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<br />CONlJI'l'IONS OF PERlI1IT AFFIDAVIT
<br />A. NO'I'ICE OF DEED RES'l'RIC'rroNS
<br />The undersigned understands th~t this p~rmit may be subject to "deed restrictions" Wllich
<br />m~y be more restrictive than city regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRAC'l'ORS AND CONTRACTOR RESPONSIBILI'l'IES
<br />If the o\~ner- has hired a contractor or contractors to undertake work, they may be required
<br />to bE; Ii censed in accordance I~lth ::>tate and loca] regulations. It the contractor is nut:
<br />Ii aensed as required by lal~, both the olmer and contractor may be cited for a misdemeanor
<br />violation under state law. If thE; owner or intended contractor are uncertain as to Vlh~t
<br />Ii censing requirement::l may apply for the intended work, they ~re advised to contaot the
<br />city of Zephyrhills Building Department, 813-788-6611.
<br />Furthtu::1I10r"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 t.hey
<br />will be responsible. It you, as the owner signs as the contractor, YQU are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor wishes
<br />you to siyn ae contractor that may be an indication that he 1s not pr-operly Ii censed alld i.6
<br />llot entitled to penn1tting privJ.leges in the City of Zephyrhills.
<br />(;. 'l'AANI:JPOR'1'A'rIDN IMPACT FEES AND U'I'ILI'1'Y CONNECTION FEES
<br />D. CONS'1'RUC'1'UION LIEN LAv~ (CHAP'1'ER 713, FLORIDA S'1'ATUTES, AS AMENDED)
<br />1 cert1fy that I, Lhe appli.cant, have been provided with a copy of "FlorJ.da's ConstructJ.on
<br />li~n Law - Homeowner's Protection Guide" prepared by the Florida Departmellt of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", 1 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 COllUllencement.
<br />111. CONTRAC'l'0R' S/OWNER' S AFFIDAVI'l'
<br />I certify that all the information in this appli.cation i6 accurate and that all work will
<br />be done in compliance with all appli.cable laws regulating construction, zonillg, and land
<br />development.
<br />Application ls hereby made to obtaln a permit to do work and installatioll as indicated. I
<br />certi fy that no Hark or lnstallation has conunenced prior to issuance of a perrnt t ~nd that
<br />all work Vlill be performed to meet standards of ~ll laws regulating construction, City
<br />codes, zoning regulations, and land development regulat10ns ln the jllrisdlctlon. J also
<br />certify that I understand that the regulations of other governmental agencies Inay apply to
<br />the 1ntellded wOlk, and that it is my responsibility to identify what actions I must take to
<br />be in compliallce. Such agencies 1nclude but are not limited to: *Department of
<br />Envirolunental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensttive
<br />Lauds, Water/Wastewater 'Preatment
<br />*Southwest Inoritia Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />* Army Corps of Engineers--Seawa lIs, Docks, Navigable WaterVlays
<br />*\Jepar:tment of Health & Rehabilitative Services, Environmental Healt:h Unlt:-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U. S. Envir"onmental I?rotection Agency-Asbestos abatement
<br />1 also certify that, if fill material 1s to be used in Flood Zone qA" or "A,etc.", it is
<br />understood that a drainage plan address1ng a "compensat1ng volume" 'will be submitted Hh1ch
<br />is prepared by a professional engineer registered in tile state of Florida prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a llcense to proceed with the work and not as
<br />autllority to vlolate, cancel, alter, or set aside any prov1s10ns of the techllical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors ill plans, construction, or violations of any code. Every permit
<br />iSfjued shall become inval1d unless the work authorized by such permit is cOllunenced within
<br />si.x months of issuance, or if work authorized by the perm1.t 1.6 suspended or abandol1ed for a
<br />period of silt 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 extens10n shall be ~equested
<br />ill writing to the Buildi.ng Official. An approved inspection must be logged during each I:d x
<br />month period, or the project Viill be considered abandoned.
<br />WARNING '1'0 OWNER: YOUR FAILURE 'PO RECORD A NOTICE OF COMMENCEMEN'l' MAY RESUW' IN YOUR
<br />PAYING TWICE FOR IMI?ROVEMEN'I'S 'I'D YOUR PROPERTY. IF YOU IN'PEND '1'0 OB'PAIN FINANqINq,~qN~UIiI'
<br />WlTH YOUR LENDER OR AN A'I"rORNEY BEFORE RECORDING YOUR NonCE OF COMMENCEMEN'I'. ,JOBS UNDER
<br />$2,500 IN VALUE: DO NO'1' NEED 'I'D RECORD AND POS'1' A "NOTICE OF COMMENCEMEN'l'''.
<br />
<br />S I GNA'rURE: OWNlilR OR AGENT
<br />
<br />S I GNA'l'URE: CONTRAC'l'OR
<br />
<br />S'I'A'l'E Of FLORIDA
<br />COUNTY OF ------
<br />The foregoing instrument was acknowledged
<br />Betore me this _.___ day of 19_
<br />
<br />by __.____
<br />(name of person acknowl,dged)
<br />Dwho is personally known to me, or
<br />
<br />STArrE OF nORIDA
<br />COUNTY OF "-~---_._----
<br />The foregoing instrument WCl,S acknowledged
<br />Before me this _....JJay of , 19~_
<br />by _____
<br />(name of person acknowledged)
<br />D-iho :is personally knovln to 1l1i:l, or
<br />
<br />o who has produoed
<br />(type
<br />and who[] did [Jdid not
<br />
<br />of identification)
<br />t.ake an oath.
<br />
<br />o who has produced____
<br />(type of identification)
<br />and who Ddid DUd not take an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature ot person taking acknowledgment
<br />
<br />l-hune typed, printed or s l:amped
<br />
<br />-
<br />Name typed, printed or stamped
<br />
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