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<br />CONDITIONS OF PERHIT AF'FIDAVr'r
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'he under:;igned understands that this pennit Hlay be subject to "deed restrictions" wldch
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED COi'lTRAC'l'ORS AND CON'l'RACTOR RESPONSIBII,ITIES
<br />If the ovmer 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 not
<br />licensed a:; required by lavi, both the ovmer cmd contractor may be cited for a misdeml;;:C:lnor
<br />violation undt::r stale laH. If the o\mer or intended contractor au" lUlGt:::rtain as to Vo/hat
<br />licensing requirements may apply for the intended work, they are advised to contact tile
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furthermore, if the ovmer has hit'ed a contractor or contractors, he is C:ldvised to have the
<br />contractor(s) sign portions of the "Contractor Sections" of this application for whicll they
<br />will be responsible. If you, as the OHner signs as the contractor, you are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor vdshes
<br />you to sign as contractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of ~ephyrh1l1s.
<br />C. 'l'RANSPOR'l'A'fION IMPACT lfEES AND UTILI'I'Y CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAP'rER '713, r'LORIDA STA'fUTES, 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 h'lorida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "oVo/ner", I cerify that I
<br />Ilave obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "oVo/ner" prior to conunencement.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVl'r
<br />I certify that all the information in this application is accurate and thC:lt all work will
<br />be done in compliance "lith all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as indicated. r
<br />certify that no Hork or installation has conooenced 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 jurisdiction. 1 also
<br />certify that I understand that the regulations of other governmental agencies Hlay apply to
<br />the intended Hod" and that it is my responsibility to 1dentify what action::; I must t.akt::: to
<br />be in compliance. Such agencies include but are not limited to: *Depar:tment of
<br />~nvironmental Regulation-Cypress Bayheads, Wetland Areas and Environmelltally Sensitive
<br />Lands, Water/WasteHater Treatment
<br />*Southwe:;t Florida Water Management District-Wells, Cypress Bayheads, WetlC:lnd Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />'Department of Health I< Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Tr~atment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A,elc.", it is
<br />understood that a dr:ai.nage plan addressing a "compensating volume" Hil.l be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<br />is.::iuance.
<br />A permit issued shC:lll be construed to be a license to proceed with the Hork and not as
<br />authority to violate, cancel, alter, or set aside any provision::; of the technical codel:i,
<br />nor shall issuance of a perm1t prevent the Building Official from thereafter reqlliring a
<br />correction of errors in plans, construct!on, or violations of any code. Every permit
<br />i::;slled shall become invalid unless the work authorized by such per'mit is cOllunenced within
<br />six montll':;; of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of ai.x monthl:l after: the time the work is conooenced. One 90 day e.ctension of t1me
<br />may be allowed for the permit with fee cllarge of $15.00. The extension shall be requested
<br />in vniting to the Buil.ding Official. An approved inspection must be logged during each six
<br />month period, or the pt'oject Hill be consi.dered abandoned.
<br />~~ARNING '1'0 OWNER: YOUR E'AILURE '1'0 RECORD A NO'l'ICE OF COMMENCEMEN'l' MAY RESUW' IN YOUR
<br />PAYING 'l'WICE FOR IMPROVElvlEN'l'S '1'0 YOUR PROPERTY. It' YOU INTEND 'L'O OBTAIN FINANCING, cONSUL'I'
<br />WITH YOUR LENDER OR AN A'rTORNEY BEr'ORE RECORDING YOUR NO'fICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NO'I' NEED '1'0 RECORD AND POST A "NOnCE OF COMMENCEMEN'f".
<br />
<br />SIGNATURE: OWNER OR AGEN'I'
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />acknovl1edged
<br />19_
<br />
<br />STA'l'E OF FLORIDA
<br />COUNTY OF
<br />The foregoi.ng instrument was
<br />8e.co.le lilt:: tills _uay of
<br />by
<br />
<br />S'fATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />BefoLe IIlE:: lili::. _ Liay o[
<br />by
<br />
<br />acknowledged
<br />., 19
<br />
<br />(name of person acknowledged)
<br />o who is personally known to me, or
<br />
<br />(name of person acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />of identification)
<br />take an oatll.
<br />
<br />Dwho has produced
<br />(type of identifiGatiou)
<br />and vJho Ddid []Jid not take e:lll oath
<br />
<br />o who has produced
<br />(type
<br />and vJhoD did Ddid not
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />-
<br />Name typed, printed or stamped
<br />
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