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<br />CONDI'l'IONS OF PERMI'r AFlnDAVIT
<br />A. NOTIC! OF D~ED RESTRICTIONS
<br />~he uq.dersigned understanda th~t thil> perrnit may be subject to "deed restrictions" widell
<br />m~y be more restrictive than City regulations. Tile undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSEDc'ON'l'RAC'l'ORS AND CON'l'HACTOR RESPONSIBII,I'l'IES
<br />If the owner has hired a contractor or contractors to undertake work, they Il\ay be required
<br />to be licensed in accordance ~~ith state and local regulations. If the contractor is not
<br />lioensed as required by law, both the owner and oontractor may be cited for a misdemeallor
<br />violation under state laH. If the owner or intended contractor are uncertain as to what
<br />li censing regui rement.s may apply for the intended work, they are advlsed to oontact the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />FurtheruloJ::e, if the owner has hired a contractor or contractors, he is advised to have the
<br />contracto~(s) sign portions of the "Contractor Sections" of this application for which they
<br />HlJ 1. be .Lesponsible. If you, as the owner signs CIS the contractor, YQl,I are i.ndicating that
<br />YOII, rather than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign a.:l contractor that may be an indication that he 113 not properly licensed and is
<br />llOl entitled to permitting priv1.leges in the City of Zephyrh1.lls.
<br />c. 'l'RANSPOR'l'A'rION I MPAC'l' FEES AND U'l'ILI'l'Y CONNECTION FEES
<br />D. CONS'rR\JCTlJION J,IEN LAW (CHAP'l'ER 713, FLORIDA S'l'ATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Flor1.da's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agri.oulture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
<br />have obta1.ned a copy of the above described document and promise in good faith to deliver
<br />1. t to the "owner" pri.or to corrunencement.
<br />E. CON'l'RAC'I'OR' S/OWNER' S AFFIDAVI'l'
<br />I certify that all the information in this applicatlon is accurate and tllat all work will
<br />be done in compliance with all applleable laws regulatlng construction, zonlng, and land
<br />devi?lopment.
<br />Applioation is hereby made to obtain a permit to do work and installation as indioated. I
<br />certify that no Hark or installati.on has commenced prior to issuance of a permi t and that
<br />all work will be performed to meet standards of all laws regulatlng construction, City
<br />codes, zoning regulations, and land development regulations in the jllrisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies !nay apply to
<br />tile intended work, and that it is my responsibility to identify what actiona 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 Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Soutllwest Florida Water Management District-Wells, Cypress Bayheads,-Wetland Areas,
<br />Altering Watercourses
<br />~Army Corps of Engineers-SeawallS, Docks, Navigable WaterHays
<br />*Department of Health 6< Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U,5. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone ~A" or "A, etc.", it is
<br />understood that a drainage plan addressing a "compensating volume" 'will be submitted which
<br />is prepared by a professional engineer registered in tile state of Florida pr1.or to permit
<br />issuance.
<br />A permit isslled 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 issuance of a permit prevent the Building Official from thereafter requ1.ring a
<br />correotion of errors in plans, construction, or violations of any code. Every permit
<br />issued shall beoome invalid unless the work authorized by such permit is oOllunenoed within
<br />six months of issuance, or if work authorized by the penui.t ls sllspended or abandoqed tor a
<br />period of ai.x months after the time the work is commenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extensi.on shall be requested
<br />in writing to the Buildi.ng Official, An approved inspection must be logged during each si.x
<br />month peri.od, or the pr'oj ect Hill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAUURE 'fO RECORD A No'rICE OF COMMENCEMENT MAY RESUL'l' IN YOUR
<br />PAYING 'l'WICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO oB'rAIN FINANqINq, ~(4NfiUL'r
<br />WI'l'H YOUR LENDER OR AN A'l''I'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NO'l' NEED TO RECORD AND POS'l' A "NOTICE OF COMMENCEMEN'llll.
<br />
<br />SlGNA'l'lJRE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />S'J'A'l'E OF FLORIDA
<br />COUNTY OE'
<br />'l'he foregoing instrument was
<br />Before me this __ day of
<br />by
<br />
<br />acknowledged
<br />, 1!L-
<br />
<br />STA'rE OF nORIDA
<br />COUWry OF
<br />The foregoing instrument w~s aokno\<11 edged
<br />Before me this -------J.iay of----, 19
<br />by
<br />(name of person aoknowledged)
<br />DIho is personally kno\'m to me, or
<br />
<br />(name of person acknOWledged)
<br />Dwho is personally known to me, or
<br />
<br />Owho has produced
<br />(type
<br />and what] did [] did not
<br />
<br />of i.denti.ficationl
<br />take an oath.
<br />
<br />o who has produced__.
<br />(type of identification)
<br />and Vlho Ddid OUd not t,ake an oath
<br />
<br />Signature of person taki.ng acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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