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<br />CONDI'l'IONS OF PERM!'!' AFl:!'IDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The und_rsign~d understands th,t this permit may be subject to "deed restrictionsU which
<br />may be more restri cti ve than City regulations. 'l'he undersigned assumes responsibili.ty fOl;
<br />compliel1ce with any applicable deed rel3trictions.
<br />B. UNI"ICENSEDCONTRAC'l'ORS AND CONTRACTOR RESPONSIBII,I'I'IES
<br />If the owner has hired a contractor or contractors to undertake Hork, they II\ay be required
<br />to be licensed in accordance t~ith state and local regulations. If the contractor is not
<br />licensed as required by law, both the ovmer and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />C.i ty of Zephyrhills Building Department, 813-766-6611.
<br />Furtherll)Ol:e, I t 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 be responsible. If you, as Ule owner signs as the contractor, YQ4 are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign as contractor that may be an indication that he is not properly licensed and is
<br />llot entitled to permitting privileges in the City of Zephyrhills.
<br />t;. '!'RANSPOR'l'ATION IMPACT FEES AND UTILITY CONNECTION !J'EES
<br />D, CONS'l'RlJC'rUION IJIEN LM~ (CHAP'l'ER 713, FlJORIDA S'rATUTES, AS AMENDED)
<br />1 certify that I, the applicant, have been provided with a copy of "Florida's Constrllction
<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 cerify that I
<br />have obtained a GOPy of the above described document and promise in good faith to deliver
<br />it to the "owner" pr1.or to commencement.
<br />E, CONTRAC'roR' S/OWNER' S AFFIQAVI'r
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance with all appl1.cable laws regl11 ating constr-uction, zoning, and land
<br />devlill.opment.
<br />Applioation is hereby made to obtain a permit to do work and installation as indicated. 1
<br />certify that no work or installati.on has commenced prior to issuance of a permi.t and that
<br />al~ work will be performed to meet standards of all laws regulating construotion, Ci.ty
<br />codes, zoning regulations, and land development regulations i.n the jurisdictIon. J also
<br />certify that I understand that th, regulations of other governmental agencies lfiay apply to
<br />the intended work, an~ that it is my responsibility to identify what aotions I must 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 Bensi.Live
<br />Lands, Water/Wastewater Treatment
<br />*Soutllwest Florida Water Management District-Wells, Cypress Bayheads," Wetland Areas,
<br />Altering Watercourses
<br />.Anny Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*LJepiu.tment of Health & Rehabilitative Services, Environmental Health Unit-Wel.ls,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I also c:ertify that, if fLll material is to be used in Flood Zone "A" or "A, etc. ", 1t is
<br />undel::stood that a drai.nage plan addressing a "compensating volume" 'will be submitted Vlhioh
<br />is prepared by a prof~ssional engineer registered in the State of florida prior to permit
<br />issuance.
<br />A permit i.ssued shall be construed to be a license to proceed with the work and not as
<br />authority to v101ate, cancel, alter, or set aside any provisions of the technic:al codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requi.ring a
<br />correction of errors in plans, oon~truction~ or vio~ations of any code. Every pe~mit
<br />issued shall become invalid unless the work authori;Ged by such permit is oOlllmenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandofled tor a
<br />period of Si.l{ month5 after the time the work 1.s commenced. One 90 day extension of time
<br />may be allowed far the permit with fee charge of $15.00. The extension shall be requested
<br />ill writing to the Bu11dlng Official. An approved inspection must be logged during each' six
<br />month period, or the project viill be considered abandoned.
<br />WARHING TO OWNER: YOUR FAILURE TO RECORD A NOrrICE OF COMMENCEMENT MAY RESUL'l' IN YOUR
<br />PAYING 'rWICE Ii'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO oB'rAIN FINANqINq, ~qNliuL'r
<br />WITH YOUR LEHDER OR AN A'!'TORNEY Bll:FORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNfJI!lR
<br />$2,500 IN VALUE DO Nor1' NEED '1'0 RECORD AND POS'I' A "NO'l'ICE OF COMMENCEMEN'r".
<br />
<br />SIGNA'l'lJRE: OWNER OR AGEN'l'
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />S'rA'l'E OF FLORI DA
<br />COUN'I'Y OE'
<br />'l'he foregoing instrument Has aclmoHledged
<br />Before me this _._ day of ___, 19_
<br />by
<br />~(name of person acknowledged)
<br />~WhO is personally known to me, or
<br />
<br />Owho has produced
<br />(type of identification)
<br />and wholJ did Odi.d not take an oath.
<br />
<br />
<br />Signa tur:~r~cknOWledgernen t
<br />J. O. GARBER
<br />Nolm Public, Stale of Florida
<br />N-~-I~-;-;t~;p-e d , MJ> tOlnlJefIXP:- ~~,t l&~
<br />Comm, No. CC919714--'
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument wC\s aoknowledged
<br />Before me this -----.Jlay of----, 19...-:..._
<br />by
<br />
<br />.~
<br />
<br />(name of person acknowledged)
<br />is personally known to me, or
<br />
<br />o who has produced
<br />(type of identifioation)
<br />and vJho Ddid D.Ud not take all oath
<br />
<br />
<br />.<g,,:are ~ p,CknOWIOdgment
<br />J'JDoGM.8I
<br />_ .,rPUb'IlC,' Sfif8 lorIeta.,
<br />Name t:yped~_.cMarilt1ar~!
<br />Cemm. No. CC919784
<br />
<br />I,.
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