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<br />CONDI'l'IONS OF PERMIT AE'FIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'I'he undersigned understands th~t this plf:lrmit may be subject to "deed restr:iations" wlllcb
<br />may be more restdati Vel than City regulations. The undersigned assumes responsibili ty for
<br />oompliance with any applicable deed restrictions.
<br />B. UNLICENSED (~ON'I'RAC'l'ORS AND CONTRACTOR RESPONSIBII,I'l'IES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to b~ IJcensed in accordance with state and local regulations. It the contractor is not
<br />licensed as required by law, both the oymer and contractor may be cited for a mLsdemeanor
<br />violation under state laH. If the owner or intended contractor are uncertain as to y/hat
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />City ot Zephyrhills Building Department, 813-788-6611.
<br />FurtberlllOt:e, it the oymer 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 Wllich they
<br />will be responsible. If you, as the owner signs as the contractor, YQ4 are indicating that
<br />you, lathe~ than the contractor, are responsible for the work. If the contractor l^l1shes
<br />you to sign as coutractor that may be an jndication that he is not properly licensed and is
<br />rjot entitled to permitting privil~ges in the City of Zephyrhills.
<br />c. 'I'RANSPOR'l'ATION IMPAC'l' FEES AND UTILI'l'Y CONNECTION I!'EES
<br />D. CONS'l'RIICTUION IJIEN LA\i~ (CHAP'l'ER 713, FLORIDA STATUTES, AS AMENDED)
<br />J certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />1 it:n Law -- Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affair's. I f the appU.cant is someone other that the "owner", I cerify that I
<br />have obtained a copy of the above described Qocument and promise in good faith to deli.ver
<br />it to the "owner" prior to con~encement.
<br />E. CONTRAC'l'OR' a/OWNER'S AFFIDAVI'1'
<br />I certify that all the information in this application is accurate and that all vlDrk will
<br />be done in oompliance with all applicable laws reglllating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permjt to do work and installation as indicated. I
<br />ce~tify that no ywrk 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 jllrisdictlon. I also
<br />certify that I undEll:stand that the regulations of other governmental agenci.es may apply to
<br />the intended work, and that it is my responsibility to identify y/hat actions T II11H:lt take to
<br />be in compliance. Such agencies include but are not limited tOl *Depat:tment of
<br />Enviroll~ental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />'Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />'Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater '1'reatment, Septic 'ranks
<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, etc.", it is
<br />understood that a drainage plan addressing a "compensating volume"'will be submitted Hhicll
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<br />issuance.
<br />A per:mi t issued shall be construed to be a license to proceed Hi th the work and not as
<br />author! ty 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 ill plans, construction, or violations of any code. Every permit
<br />is~u~d shall become invalid unless the work authorized by such permit is cOllunenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoqed for a
<br />period of sLit months after the time the work is conunenced. One 90 day extension of tillle
<br />may be alloy/ed for tbe permit with fee charge of $15.00. '1'he extension .:lhall be 1:equested
<br />1 n writing to the Building Official. An approved inspection must be logged dud lig each. six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE '1'0 RECORD A NOrrrCE OJ!' COMMENCEMENT MAY RESUW' IN YOUR
<br />PAlING TWJ CE FOR IHPROVEMENTS '1'0 YOUR PROPERTY. IF YOU IN'1'END TO OBTAIN FINANqINq, \.x.m~UI:l'
<br />WlTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO'l'ICE OF COMMENCEMENT. ,JOBS UNfJER
<br />$2,50D IN VALUE: DO NOT NEED 'I'O RECORD AND POS'l1 A "NOTICE OF COMMENCEMEN'l'''.
<br />
<br />STGNA'l'URE: OWNER OR AGENT
<br />
<br />S I GNA'i'URE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Before Ille this _.__ day of _" 19~
<br />
<br />by ___________
<br />(name of person acknowledged)
<br />Dwho i~ personally known to me, or
<br />
<br />STA'i'E OF FLORIDA
<br />COUN'1'Y OF
<br />The foregoing instrument was acknowledged
<br />Before me this _---J.iay of.---, 19
<br />by _____
<br />(name at person aoknowledged)
<br />o.,ho is personally Imo\'m to me, or
<br />
<br />o who has produced
<br />(type
<br />and who[] did Ddid not
<br />
<br />o who has produced___
<br />(type of identification)
<br />and y/ho Odid DUd not t.ake all oath
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taki.ng acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, prInted or stamped
<br />
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