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<br />CONDI'l'IONS OF PEPMIT AFFIDAVIT
<br />A. NO~ICE OF DEED RESTRICTIONS
<br />The undersigned understands thijt this pDrmit may be subject to "deed restrictionsU whicll
<br />may be inore restri ati ve than City regulol\:ions. The undersigned assumes responsibili ty for
<br />compliance with any applicable deed restrictions,
<br />B. UNLICENSEDdON'l'RAC'l'ORS AND CONTRACTOR RESPONSIBILITIES
<br />If tile owner lias hired a cOlltractor or contractors to undertake work, they may be required
<br />to be licensed in accordance wi.th :otate and local regulations. If the oontractor is not
<br />licensed as required by law, both the ovmer and contractor may be cited for a mi.sdemeanor
<br />violation under state laH. If the owner or intended contractor are uncerlain as to Vlhat
<br />licensing requirements may apply for the intended work, they are advised to contaot the
<br />City of Zephyrhills Building Department, 813-768-6611.
<br />Furthenno:re, i.f the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor SectionsH of this application for which they
<br />will b~ responsible. If you, as the owner signs as the contractor, YQ~ are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor wislles
<br />you to sign a~ contractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privil~ges in the City of Zephyrhills.
<br />C. 'I'RANSPOR'l'ATION IMPACT FEES AND UTILITY CONNECTION !fEES
<br />D. cONS'rRlJC'I'UION LIEN LAW (CHAP'I'ER 713, FLORIDA S'l'ATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Constr\lction
<br />lien Law - Homeowner's Protection Guideu prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "ownerH, I cet'ify that I
<br />llave obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to commencement.
<br />E. CON'I'RAC'l'OR' S/OWNER' S AFFIDAVI'I'
<br />I certify that all the information in this application is accurate and tllat all work will
<br />be done in compliance with all appli.cable laws regulating construction, zoning, and land
<br />development.
<br />Applioation is hereby made to obtain a permi.t to do work and installation as indiaated. r
<br />certify that no Hork or installation has commenced prior to issuance of a permit and that
<br />all work Hill be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the j\lrisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies loay apply to
<br />the intended work, and that it is my responsibility to i.dentify what actions I mllst take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Bensttive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Baytleads,-Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waten/ays
<br />*Uepartn~nt of Health & Rehabilitative Services, Environmental Healtll Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone ~Au or "A,ete.N, it is
<br />understood that a drai.nage plan addressing a "compensating volume" 'will be submi tted "'lhiah
<br />it> prepal.-ed by a professional engineer registered in the state of Florida pdor to pennl t
<br />issuance,
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />authority to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall i.ssuance of a permit prevent the Building Official from thereafter requi.ring a
<br />correction of errors in plans, oonstruction, or viol~tions of any oode. Every permit
<br />issued shall become invalid unless the work- authori;l;ed by such permit is oOllunenaed within
<br />six months of issuance, or if work authorized by tile permit is suspended or abandoQ~d far a
<br />period of si.x months after the time the work is commenced. One 90 day extension of time
<br />may be alloHed for the permit with fee charge of $15.00. The extension shall be requested
<br />ill writing to the Buildlng Official. An approved lnspeetion must be logged during each a!H
<br />month period, or the Pl.-oject Hill be considered abandoned.
<br />WARNING 'I'O OWNER: YOUR FAII~URE 'fa RECORD A NO'fICE OF COMMENCEMENT MAY RESUL'l' IN YOUR
<br />PAYING TWICE E'OR IMPROVEMENTS TO YOUR PROPER'fY. IF YOU INTEND TO OB'l'AIN 11'1 NAIH:;INq , _(.:qN~ULT
<br />WITH YOUR LENDER OR AN A'rTORNEY BEIfORE RECORDING YOUR NOTICE OF COMl-tENCEMEN'r. ,mas UNDER
<br />$2,500 TN VALUE DO NO'l' NEED '1'0 RECORD AND POS'l' A "NOTICE OF COMMENCEMENT".
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STA'I'E OF FLORIDA
<br />COUNTY OF
<br />'rhe foregoing instrument w~s acknoHledged
<br />Before me this _----Sjay of----, 19
<br />by
<br />(name of person acknowledged)
<br />C1ho is personally known to me, or
<br />
<br />S'rA'l'E or E'LORI DA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Before me this _ day of _---, 19_
<br />by.
<br />(name of person acknowl~dged)
<br />Dwho is personally known to me, or
<br />
<br />Dwho has produced
<br />(type
<br />and who[] did []di.d not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced___
<br />(type of identifioation)
<br />and ~/ho Ddid DUd not t.ake all oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />J:i~I~~-t-YP-;,i~-'-p r in t ed-~;--s tamp ed
<br />
<br />Name typed, printed or stamped
<br />
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