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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIoNS
<br />'fhe unaersigned understands thqt this permit may be subject to "deed restriotions" which
<br />may be more Lestrictive than City regulations. The undersigned assumes responsibility for
<br />con~liance with any applicable deed restrictions.
<br />B. UNLICENSED t;ONTRAC'l'ORS AND CON'l'RACTOR RESPONSIBILI'l'IES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with state and local regulations. If the contractor is Ilot
<br />licensed as required by law, both the ovmer and contractor may be cited for a miadellleanor
<br />violation under state law. If the ownjr or intended contractor are uncertain as to what
<br />Ijcensing requirements may apply for the intended work, they are advised to oontaot the
<br />City of Zephyrhills Building Department, 813-766-6611.
<br />Furthennore, it the owner has hired a contractor or oontractors, he is advised to have the
<br />contractor(a) aign portions of the "Contractor SectionsU of this application for whiell they
<br />will be responsible. If you, as the owner signs as the contractor, YQ4 are indicating that
<br />you, rather than the contractor, aloe responsible for the work. If the contractoL- wishes
<br />you to sign as contractor that may be an indication that he is not properly lioensed alld is
<br />not entJ tled Lo permitting privileges in the City of Zephyrhills.
<br />C. 'I'RANSPOR'I'ATION IMPAC'l' FEES AND UTUI'l'Y CONNECTION FEES
<br />D. CONS'I'RlIC'I'UION I,IEN LAW (CliAP'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 Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone otller that the "owneru, 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. CON'I'RAC'l'OR' a/OWNER'S AFFIDAVI'l'
<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 />devlj:lopment.
<br />Application is hereby made to obtain a permjt to do work and installation as indiaated. 1
<br />certify that no Hork 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 construction, City
<br />codes, zoning regulations, and land development regulations in the j\lrisdietion. I also
<br />certify that I understand that th~ regulations of other governmental agencies loay 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 />Envirolllljelltal Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sens}.tive
<br />Lands, Water/Wastewater Treatment
<br />*Souttlwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*ArIllY Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Vepartment of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<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, etc.", it is
<br />understood that a drainage plan addressing a "compensating volumeu '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 the technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, con~tructionr or violations of any code. Every pe;mit
<br />issued .shall become invalid unle.ss the work authorized by such permit is oommencedwithin
<br />sbl: months of issuance, or if work authorized by the permit is suspended or abandolled for a
<br />period of sll, months after the tilRe the work is commenced. One 90 day extension ot. time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be ~equested
<br />in \'/ri ting to the Building Official. An approved inspection must be logged during each' sj K
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAY rNG 'l'WICE FOR IMI?ROVEMEN'l'S TO YOUR I?ROPERTY. IF YOU INTEND '1'0 OB'rAIN b1INANqINq,~qN~UI/r
<br />Wl'l'H YOUR LEHDER OR AN J\'r'rORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NO'l' HEED TO RECORD AND POS'l' A "NOTICE OF COMMENCEMEN'l'''.
<br />
<br />SIGNA'l'URE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STA'n OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this __ day of
<br />by.
<br />
<br />acknowledged
<br />, 19_
<br />
<br />STA'rE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument w~s aoknowledged
<br />Before me this -----Jiay of--, 19
<br />by
<br />(name of person aoknowledged)
<br />Qho is personally known to me, or
<br />
<br />(name of person acknowledged)
<br />Owho is personally known to me, or
<br />
<br />o who has produced
<br />(type
<br />and who[] did Ddid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Owho has produced
<br />(type of identification)
<br />and who Ddid [}Ud not t.ake an oath
<br />
<br />Signatu.t'e of person taking acknowledgement
<br />
<br />Signature of person takiug aoknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or' stamped
<br />
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