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<br />CONDI'rIONS OF PERM!'l' AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands thqt this permit may be subject to "deed restrictions" which
<br />m~y be more restrictive than City regulations. The undersigned assumes responsibility for
<br />complianoe with any applicable deed restrictions,
<br />B. UNLICENSED 'CON'I'AAC'I'ORS AND CON'l'AACTOR RESPONSIBII.I'rJES
<br />I f the OIwer has hired a contractor or contractors to undertake work, they Illay be required
<br />to be licensed 1n ~ccordance with state and local reglllations, If the contractor is not
<br />licensed as required by law, both the owner and contractor may be cited for a misdemeanQr
<br />violation under state law, If the owner or intended contractor are uncerLain as to Wll~t
<br />licensing requirementl:l may apply for the intended work, they are advised to contact the
<br />city of Zephyrhills BllUding Department, 813-768-6611.
<br />Furthe.r:more, if the owner has hi.t:ed a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor Sections" of this application for which tlley
<br />will be .t.esponsible. If you, as the owner signs as the contractor, yo\..! are i.ndioating that
<br />you, rather than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign a~ contractor that may be an indication that he is not properly licensed alld is
<br />riot entitled to permitting privil~ges in the City of Zephyrhills,
<br />C. 'l'RANSl?OR'l'A'rION IMPAC'r FEES AND U'l'ILI'I'Y CONNECTION fEES
<br />D. cONS'rRUc'rUION LIEN LAW (CHAP'I'ER 713, FLORIDA STATUTES, AS AMENDED)
<br />1 cert.ify 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 carify 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 cOIlUllencement.
<br />E. CONTRAC'l'OR' S/OWNER' S AFff'IDAVI'l'
<br />I certify that all Lhe 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 />devellopment.
<br />Application is hereby made to obtain a permi t to do work and installation as indioatlild. 1
<br />ce~tify that no ~wrk or installation has commenced prior to issuance of a permit and that
<br />all work ~Jill be performed to meet standards of all laws regulati.ng construotion, City
<br />cQdes, zoning regulations, and land development regulations in the jurisdiction, J also
<br />certify that I under'stand that the regulations of other governmental agenoies may apply to
<br />the intended work, C:lnd that it is my responsibility to identify what aotions I must take to
<br />be in compliance, Such agencies include but are not limited to; *Department of
<br />Environmental Regulatiqn-Cypress Bayheads, Wetland Areas and Environmentally Sens1tive
<br />Lauds, Water/Wastewater Treatment
<br />*Southwest fi'lodda Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*ArlllY Corps of Engineers-Seawalls, Docks, Navigable WatenJays
<br />*lJepartlllent of Health & Rehabilitative Services, Environmental Health Unit-Wella,
<br />Wastewater Treatment, Septic Tanks
<br />*U.8, Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone ~A" or "A, eta,", it is
<br />unde~stood that a drainage plan addressing a "compensating volume" 'will be submitted whicll
<br />is prepared by a professional engineer registered in tile state of Florida prior to penniL
<br />iasuanoe.
<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 techniual codes,
<br />nor shall issuance of a permit prevent the Building Of~icial from thereafter requiring a
<br />correction of errors in plans, cDn~truction! or vio~qtions of any code. Every p~~mit
<br />iuued shall beoome invalid unless the work authorized by suoh permit is oOllunenclad within
<br />six months of issuance, or if work authorized by the perm1t is suspended or abandoqed f~r a
<br />period of sLx months after the time the work is cOIlUllenced, One 90 day extension of time
<br />may be allowed fo~ the permit with fee charge of $15.00, The extension shall be teques~ed
<br />ill writing to the Buildi.ng Offioial. An approved inspection must be Jogged during each I:jjx
<br />month periOd, or the project Viill be considered abandoned,
<br />WARNING '1'0 OWNElR; YOUR FAUURE '1'0 RECORD A No'rrCE OE' COMMENCEMENT MAY RESUW' IN YOUR
<br />PAYING 'l'WICE FOR IMPROVEMENTS TO YOUR PROPER'ry, IF YOU IN'rEND TO OB'l'AIN li'INANqnlq, '~9NijUL'l'
<br />WlTH YOUR LENDER OR AN A'j"l'ORNEY BEFORE RECORDING YOUR NonCE OF COMMENCEMEN'l'. JOBS UNDER
<br />$2,500 IN VALUE DO NO'l' NEED '1'0 RECORD AND POST A "NonCE OF COMMENCEMEN'l''',
<br />
<br />SlGHA'I'URE; OWNER OR AGENT
<br />
<br />SIGNA'l'URE): CONTRACTOR
<br />
<br />STA'I'ID OF H'LORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Before ll\e this __ day of ___, 19_
<br />by __ _____
<br />(name of person aoknoWledged)
<br />Dwho is personally known to me, or
<br />
<br />G who has produced
<br />(type
<br />and who[] did 0 did not
<br />
<br />STA'I'E OF FLORIDA
<br />COUWry OF
<br />The foregoing instrument \i~f:l ao}mo~dedged
<br />Before me this .--------Slay of----, 19 ~~_
<br />by
<br />(name of person acknowledged)
<br />C1ho is personally known to me, or
<br />
<br />o Viho has produced___. "__
<br />(type of identifioation)
<br />and ~Jho Ddid Olid not t.ake an oath
<br />
<br />of identification)
<br />take an oath,
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />I'lame typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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