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<br />l;U!Wl'i'lONS OF PERMI'f AFFIDAVIT
<br />A. NO'fICE OF DEED RES'lIRIC'fIONS
<br />The undersigned understands thqt this permit may be subject to "deed restrlctions" widell
<br />may b~ more restrictive than City regulations. The undersigned assumes responslbility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRAC'l'ORS AND CON'l'RACTOR RESPONSIBILI'l'IES
<br />If tile owner has hlred a contractor or contractors to undertake work, they may be required
<br />to b~ licensed in accordance with state and local regulations. If the contractor is llot
<br />licensed as required by law, both the owner and contractor may be cited for a misdemeanor
<br />violation under state laH. If the owner or intended contractor are uncertain as to vlhat
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />City of Zephyrhilla Building Department, 813-788-6611.
<br />Furt.hennor-e, j t the ovmer has hired a contractor or contractors, he is advised to have the
<br />oontractor(s) sign portions of the "Contractor Sections" of this application tor whicll they
<br />will be Lesponsible. If you, as the owner signs as the contractor, you are i.ndicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign as contractor that mOlY be an indication that he ls not properly llceused and is
<br />not entitled to permitting privil~ge$ in the City of Zephyrhills.
<br />C. 'I'RANSPOR'l'ATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONS'fRUC'fUlON LIEN LAW (CllAP'l'ER 713, FLORIDA STATUTES, AS AMENDED)
<br />I 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 cerify that I
<br />11ave obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "oHner" pri.or to conunencement.
<br />E. CONTHAC'I'OR' a/OWNER'S AFFIDAVI'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 applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installatiol1 as indicated, I
<br />cc:q:tify that no vlOrk or installation has conunenced prior to issuance of a permit and that
<br />all work V1ill be performed to meet standards of all laws regulating construation, City
<br />codes, zoning regulations, and land development regulations 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 aations I IIIUSt take to
<br />be in compliance. Such agencies include but are not limited tOI 'Department Df
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensttive
<br />Lands, Water/Wastewater Treatment
<br />*SouthweClt Ii'lodd.. Water Management District-Wells, Cypress Bayheads, Wet.1and Areas,
<br />Altering WateruDurses
<br />*Anny 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 I?rotection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone qA" or "A, etc.", 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 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 tbe technical codes,
<br />nor shall lssuance of a permit prevent the Buildlng Official from thereafter requiring a
<br />correction of errors in plans, con~truction, or violations of any oode. Every permit
<br />is/iUed shall beaome invalid unless th~ work autho:r:1zed by such permit is oOIlunencljd within
<br />six months of is/mance, or if work authorized by the permit: is suspended or abandoflCld for a
<br />period of s1x months after the time the work is oonunenced. One 90 day extension of tillle
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />in writing to the Build1ng Offioial. An approved inspection must be logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING 'ro OWNERI YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMEN'l' MAY RESUW' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROI?ERTY. IE' YOU INTEND TO OBTAIN lnNANGINq,~9NijUL'r
<br />WI'l'H YOUR LENDER OR AN A'fTORNEY BEFORE RECORDING YOUR NOTICE OF COMlvtENcEMEN'r. JOaS UNDER
<br />$2,500 IN VALUE DO NO'l' NEED 'l'0 RECORD AND POS'l1 A "NOTICE OF COMMENCEMENT".
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE; CONTRACTOR
<br />
<br />STA'l'E OF E'LORIDA
<br />COUNTY OF
<br />The forego1ng instIument was acknowl~dged
<br />Betore me this ~_ day of ___, 19_
<br />by.
<br />(name of person acknowledged)
<br />Dwho 1s personally known to me, or
<br />
<br />Owho has produced
<br />(type
<br />and wbo[] did Odid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />STATE OF FLORIDA
<br />COUN'rY OF .________
<br />The foregoing instrument w~s acknowledged
<br />Before me thls _-----liay of--, 19
<br />by
<br />(name of person acknowledged)
<br />C1ho is personally known to me, or
<br />
<br />o who bas produced
<br />(type of identifioation)
<br />and 1'1110 Ddid .DUd not t.ake an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person tak1ng acknowledgment
<br />
<br />Hame typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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