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<br />CONDI'l'IONS OF PERMI'I' AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The under:signed understandli thiijt thia p~rmit may be subject: to "deed restrictions" widell
<br />ma~ be more restrictive than City regulations. The undersigned assumes responsibility for:
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED (~ONTRAC'l'ORS AND CON'l'RACTOR RESPONSIBII,I'I'IES
<br />If the owner has hired a contractor or contractors to undertake work, they nlay be required
<br />to be lioensed in accordance with state and local regulations. If the contractor is not
<br />licensed as required by law, both the owner and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to wllat
<br />licensing requirementl> may apply for the intended work, they are advil>ed to contact: the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furtherll1o.re, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor SectionsU of this application for which they
<br />will be responsible. If you, as the owner signs as the contractor, YQ4 are indicating that
<br />you, lather than the oontraotor, are responsible for the work. If the contractor \..Jishes
<br />you to sign as contractor that may be an indication that he is not properly licensed and is
<br />not eutitled to permitting privileges in the City of Zephyrhills.
<br />C. 'l'RANSPOR'l'ATION IMPACT FEES AND U'l'Ul'!'Y CONNECTION FEES
<br />ll. CONB'l'Rlle/rUION IJIEN LAv~ (CIiAP'I'ER 713, FLORIDA STATUTES, AS AMENDED)
<br />r certify that I, the applicant, have been provided with a copy of "Florida's Conl>tructlon
<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 "owner", 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 commencement.
<br />El, CON'l'RAC'l'OR' S/OWNER' S AFFIDAVI/I'
<br />I certify that all the information in this application is accurate and tllat all work will
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Applioation is hereby made to obtain a permit to do work and installation as indioated. I
<br />certify that no work or installation has cO~Renced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulat.ions in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is my responsibility to identify what actions I tRust take to
<br />be in compliance. Such agencies include but are not limited tOI *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensttive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Anny Corps of Engineers--Seawa lIs, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Env1ronmental Health Un1t-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement.
<br />I also certify that, if 'f111 material is to be used in Flood Zone \'A" or "A,etc.", it is
<br />undetstood that a drainage plan addressing a "Gompensating volume" 'will be submitted vlh.ich
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<br />issuance,
<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 t.echnical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requ1ring a
<br />correction of errors in plans, construction, or violations of any oode. Every permit
<br />iSl3ued 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 abandor~ed for a
<br />period of S11t 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 I>hall be requested
<br />in writing to the Building Official, An approved inspection must be logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNERI YOUR FAIWRE 'ro RECORD A No'ncE OF COMMENCEMEN'I' MAY RESUIil' IN YOUR
<br />PAYING TWICE li'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN'rEND TO oB'rAIN FINANC1INq, ~qN~uIlr
<br />WITH YOUR LENDER OR AN A'l"rORNEY BEFORE RECORDING YOUR NO'l'ICE OF COMMENCEMEN'I'. JOBS UNDER
<br />$2,500 IN VALUE: DO NO'l' NEED '1'0 RECORD AND POST A "NO'l'ICE OF COMMENCEMEN'l"'.
<br />
<br />_~Ut ~_)
<br />SIGHA'l'URE: OWNER 0 AGENT
<br />
<br />STATE OF FLORWA
<br />COUN'rY OF y,...~
<br />The foregoing instrument was acknowledged
<br />Sefote me this _[1_ day of f/r}A1CL-, I"9 ~~
<br />by _ G e..\oV"" (!..;, S TI:A.l E-
<br />(name of person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />'ia":ho has produced ~ DL
<br />(~. (type of identificat.ion)
<br />~Jdid ~ - '~n oath.
<br />
<br />~ 'Jtt _
<br />~
<br />Signature of person taking acknowledgement
<br />
<br />_~!u- ~,~___
<br />
<br />SIGNA'l'URE: CONTRAC'l'OR
<br />
<br />STA'I'E OF FLORIDA
<br />COUN'rY OF
<br />The forego.ing instrument Wl;"\S ackll~edged
<br />. Before me this ~ay of. l'Y}aA ,~@3
<br />by .o~~ ~
<br />(name of person acknowledged)
<br />[J,ho is personally kno\</n to me, or
<br />
<br />/is~
<br />
<br />~ho has produced_ F~_o L. ________
<br />(type of identification)
<br />d n t t ath
<br />
<br />Name typed, p
<br />
<br />
<br />
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