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<br />CONDI'l'IONS OF PERMIT AFB'IDAVIT
<br />.1\. NO'l'{CE OF DEED RES'l'RIC'frONS
<br />The undersigned understands thijt this permit may be subject to "deed restrictions" which
<br />may be more restl:iative than city regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deo::d Lestriction~.
<br />B. UNJ,ICENSED c'ONTRAC'l'ORS AND CON'l'RAC'l'OR RES PONS lBII,I'l'IES
<br />If the oHner has hired a contractor: or contractors to undertake work, they way be required
<br />to be licensed in accordance Hith ~tate and local regulations. If the contracl:or is not
<br />licensed as required by law, both the o~mer and contractor may be cited for a misdemeanor
<br />violation under state laH. If the owner. or intended contractor: are uncertain as to Hhat
<br />ljcensing requirements may apply for the intended wor:k, they are advised to contact the
<br />city of Zephyrhills Building Department, 813-788-6611.
<br />Furthermol.'e, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor: Sections" of this application for which they
<br />will be u:sponsible. I f you, as the mmer signs qS the contractor, you. are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractot' wishes
<br />you to sign alJl contractor that may be an indication that he is not properly licensed and is
<br />lIol elltitled to permitting privi.leges in the City of Zephyrhills.
<br />c. 'l'RANSPOR'l'ATION IMPAC'l' FEES AND UTILITY CONNECTION FEES
<br />D. CONS'l'R\JC'rUION LIEN LAW (CHAP'l'ER 713, FIJORIDA S'I'ATUTES, AS AMENDED)
<br />1 certify that I, the applicant, have been provided Hith a copy of "Florida's Constr\lction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Depar'tment of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "o~ler", I cerify that I
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to conunencement.
<br />E. CON'rRAC'roR' S/OWNER' S AFFIDAVI'l'
<br />I certify that all the information in this application is accurate and tllat all Hork will
<br />be done in compliance with all applicable laws regulating constr'uction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as indicated. 1
<br />certify that no ~wrk or installation has conunenced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating COllstruction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. 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 identify what actions I ilIust 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 />*Soutllwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waten.ays
<br />*Depat'tment of Health Co Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks .
<br />*U.3. 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 tllat a drainage plan addressing a "compensating volume" 'will be submitted which
<br />is prepared by a professional engineer registered in the State of florida prior to permit
<br />jssuance.
<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 issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />is/jued shall become invalid unleS5 the work authorized by 5uch permi t is oOilunenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoqed for: a
<br />period of slli months after the time the work is conunenced. One 90 day extension of tillle
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be tequested
<br />in writing to the Building Official. An approved inspection must be logged during each I:d K
<br />month period, or the pt.oject Hill be considered abandoned.
<br />WARlUNG TO OWNER I YOUR FAILURE 'fO RECORD A NO'l'ICE OF COMMENCEMENT MAY RESUW' IN YOUR
<br />PAYING TWICE Ii'OR IMPROVEMENTS '1'0 YOUR PROPERTY. IF YOU INTEND TO oB'rAIN FINANqWq, ~qN~Ul}I'
<br />WlTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2, SOD IN VALUE DO NOT NEED 'I'O RECORD AND POS'l' A "NOTICE OF COMMENCEMEN'r".
<br />
<br />SIGNA'l'URE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />s'rATE OF FLORIDA
<br />COUN'I'Y OF-
<br />The foregoing instrument was acknowledged
<br />Before me this __ day of __, 19_
<br />by _____
<br />(name of person acknowledged)
<br />Owho is personally known to me, or
<br />
<br />STA'l'E OF l!"LORIDA
<br />COUN'fY OF
<br />The foregoing instrument was acknowledged
<br />Before me this ------sjay of----, 19
<br />by
<br />(name of person acknowledged)
<br />C1ho is personally known to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Dwho has produced
<br />(type of idelltifiaation)
<br />and Hho Odid DUd not take all oath
<br />
<br />o who has produced
<br />(type
<br />and who[] did Odid not
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Slgnature of person taking acknowledgment
<br />
<br />Name typed, printed
<br />
<br />or stamped
<br />
<br />Hame typed, printed or stamped
<br />
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