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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NO'l'lCE OF DEED RESTRIC'l'WNS
<br />The undersigned understands thqt thia permit may be subject to "deed restrictions" which
<br />.may 4e more restrictive than Ci ty regulations. '1'he undersigned assumes responaibili ty for
<br />compliance with any applicable deed restrictions.
<br />B. lINLICE:NSED'CON'l'RAC'l'ORS AND CONTRACTOR RESPONSIBII,I'l'IES
<br />If the Of'iner has hir'ed a contractor or contractors to undertake work, they nlay ~Ie .required
<br />to pe licensed in accordance with state and loca.l regulations. If the contractor is llot
<br />licensed as required by law, both the owner and contractor may be oited for a mi/ildellleanor
<br />violation under state la\l. If the owner or intended contractor are uncertain iaS to what
<br />11censil19 requirements may apply for the intended work, they are advised to contact the
<br />city of Zephyrhills Building Depal.tment, 813-768-6611.
<br />Furtherlnol:e, it the owner has hired a contractor or contractors, he ilO adviseq to havCl the
<br />contractor(a) sign portions of the "Contractor Sections" of this appHcation for which they
<br />will be l.espol1sible. If you, as the owner signs SlS the contractor, YQI,! are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor wisllea
<br />you to sign as oontractor that m~y be an indication tllat he is not properly licensed and is
<br />Hot elltitled to permitting privileges in the City of Zephyrhi.lls.
<br />c. 'I'RANSPOk'l'A'rJON IMI?AC'l' li'EES AND U'l'UI'J1Y CONNECTION FEES
<br />LJ. CONS'l'RUC'l'UION I,IEN LAW (CHAP'l'ER 713, FLORIDA S'l'ATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construotion
<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 carify that I
<br />have obtalneq a copy of the above described Qocument and promise in good fal th to deli vel.'
<br />1 t to the "owner" priol: to CCJlTunencement.
<br />E, CON'J1RAC'l'OR' a/OWNER'S AFFIDAVl'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 construotion, zoning, and land
<br />devi;llopment.
<br />Applioation is hereby made to obtain a permjt to do work and installation as indicated. I
<br />ce~tify that no .,fOrk or installation has commenced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating oonstruotion, C1ty
<br />codes, zoning regulations, and land development regulations in the jllrisdictlon. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended wOl:k, and that it is my responsibility to identify what actions I IOUSt Lake to
<br />be in compliance. Such agencies inolude but are not limited tal *Department of
<br />Environmental Regulatign-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />I,allds, Water/Wastewater 'freatment
<br />*Southwest Iflorida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waten/ays
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-WeLls,
<br />Wastewater Treatment, Septic Tanks
<br />*u.S. Envil:onmental Protection Agenoy-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "A" 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 engine~r registered in the State of Florida prior to permit
<br />isauance.
<br />A permit issued shall be construed to be a license to proceed with the WOl:k and not as
<br />authority to violate, cancel, alter, or set aside any provisions of tile technical codes,
<br />nor ahall issuance of a permit prevent the Building of~icial from thereafter requiring a
<br />cQr~ection of errors ill plans, con~truction, or violations of any code. Every pe~mit
<br />is~u!ild ahall beoome invalid unless th!il Hork authori:z;ed by such pel:mi t is oOlluoenoed within
<br />si.x months of issuance, or if HOl:k authorized by the perm1t is suspended or abandoqlild f~r a
<br />period of s1x months after the time the work is conunenced. One 90 day extension of time
<br />may be allowed for tile permit with fee charge of $15.00. The eKtellsion shall be requ@a~ed
<br />ill writing to the Building Official. An approved i.nspection must be logged during each ~ix
<br />Illonth period, or the pl:oject Hill be considered abandoned.
<br />WARNING '1'0 OWNIDRI YOUR FAILURE 'fO RECORD A NOTICE: OF COMMENCEMENT MAY RESUW' IN YOUR
<br />l?AYING 'l'WICE E'OR IMPROVEMENTS TO YOUR PROI?ER'fY. IF YOU INTEND TO OBTAIN li'INANqHH~I~'~Ni,UL'I'
<br />W~TH YOUR LENDER OR AN A'fTORNEY BEFORE RE:CORDING YOUR NO'l'ICE OF COMMENCEMENT. ,WBs UNDER
<br />i~_O~_IN VALU" DO NOT N~EIJ 'J'O RECORD AND POS: ~ "N:~;OMMENCEMEN'J"'( \
<br />
<br />
<br />\::::~~o;;;~~ C~==~~NA;:~RE' c~~~~b~,
<br />
<br />STATE OE' FLORIDA
<br />COUNTY OE'
<br />The fore901ng instrument was acknowledged
<br />Before me this _____ day of , 19_
<br />by.___
<br />(name of person acknOWledged)
<br />Dwho is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />alld who[] did Ddid not take an oath.
<br />
<br />STA'l'E OF FLORIDA
<br />C01JN'1'Y OF
<br />'rlhe foregoing instrument WqS a-Okno~lledged
<br />Before me this --------Pay of----, 1~ _~__
<br />by
<br />(name of person acknowledged)
<br />o.,ho is pEH;sonally known to me, or
<br />
<br />Ot~lo has produced
<br />(type of identific~tion)
<br />and v~ho Odid DUd npt t.ake an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />N~~e typed~--printed o~-~t;-mped--------
<br />
<br />Name typed, printed or stamped
<br />
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