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<br />L;UJW!'!'!ONS OF PERllI'f AFB'IDAVI'I'
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands thqt this permit may be subject to "deed restrictions" which
<br />may be more re~trictive than City regulations. TIle undersigned assumes responsibility for.
<br />compliance with any applicable deed restriction<i.
<br />B. UNLICENSED CON'I'RAC'l'ORS AND CONTRACTOR RESPONSIBII,I'l'IES
<br />I f the O\-lner has hired a contractor or contractors to undertake Hork, they nlay be required
<br />to b.. Ij censed in accordance \dth state and local regulations. If the contractor is not
<br />Ii censed as requi.red by law, both the ovmer 'and contractor may be c1 ted for a milidemeanor
<br />violation under state laH. If the owner or intended oontractor are uncertain as to vlhat
<br />licensing requirements may apply for tile intended work, they are advised to contapt the
<br />city of Zephyrhills Building Department, 813-788-6611.
<br />fflutherIIlOl-'e, j f the ovlller has hired a contractor or contractors, he is advised to have the
<br />contractor (s) sign portions of the "Contractor Seotions" of this appUcation tor which they
<br />vli11 be l-esponsible. If you, as the owner s.igns as the contractor, you are indicating that
<br />you, rather than the contractor, are responsible for the wo:r:k. If the contractor Hishes
<br />you to sign a~ contractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privil~ges in the City of Zephyrhills.
<br />c. 'rRANSPOR'l'ATION IMPAC'r !fEES AND U'rILITY CONNECTION FEES
<br />D. cONS'rRlJC'rUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />J certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I cerity 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 />E. CONTRA.C'l'OR' S/OWNER' S AFFIDAVIT
<br />I certify that all the information in this application is accurate and tllat all Hark will
<br />be done in complianoe with all appUcable laws regulating construotion, zoning, and land
<br />development.
<br />Applioation is hereby made to obtain a permit to do Hark and installation as indicated. I
<br />certify that no Hork or installation has commenced prior to issuance of a permit and that
<br />all work vlill be performed to meet standards ot all laws regulat1.ng construction, City
<br />codes, zoning regulations, and land development regulations in the jllrisdiction. I also
<br />certify that I understand that the regulations of other governmental agenoies may apply to
<br />the intended work, and that it is my responsibility to identify what actions 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 Environment.ally Sensj.tive
<br />Lands, Water/WasteHater Treatment
<br />*SouthHest 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 Treatment, Septic Tanks
<br />'u.S. Environmental Frotection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone ~A" or "A,etc.H, it is
<br />understood that a drainage plan addressing a "compensating volume" 'will be submitted which
<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 license to proceed Hith the work and not as
<br />autllority to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuanoe of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, oonstruction, or violations of any code. Every permit
<br />issued shall become invalid unless the work authorized by such permit is cOllunenced within
<br />six montl1s of issuance, or if work authorized by the permlt i~ suspended or abandoqed for a
<br />period of sll, months after the time the Hork is commenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />in writing to the Buildi.ng Official. An approved inspection must be logged during eacb six
<br />month period, or the pr'oj eet Hill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAIWRE 'l'0 RECORD A NOTICE OF COMMENCEMEN'l' MAY RESUL'l' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IwrEND TO oe'rAIN InNANqHlq,~9NlJUL'I'
<br />WI'l'H YOUR LENDER OR AN A'r'rORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'r. JOBS UNDER
<br />$2,50D IN VALUE DO NOT NEED 'I'D RECORD AND POS'l' A "NOnCE OF COMMENCEMENT".
<br />
<br />SlGNA'l'URE: OWNER OR AGENT
<br />
<br />SIGNA'l'URE: CONTRACTOR
<br />
<br />Dwho has produced
<br />(type
<br />and whoD did [] did not
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument H~S aoknowledged
<br />Before me this -----Pay of--, 19
<br />by
<br />(name of person aoknowledged)
<br />[1ho is personally known to me, or
<br />
<br />o who has produoed .
<br />(type of identifioation)
<br />and vJho Ddid DUd not take an oath
<br />
<br />STATE OF FLORIDA
<br />COUN'I'Y Oli'-
<br />'J'he forego1.ng instrument was
<br />Before me this __ day of
<br />by
<br />
<br />acknowledged
<br />1?_
<br />
<br />(name of person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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