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<br />CONDITIONS OF PE:Rl'lIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that lhit; pe:rmit may be subject to "deed restrictions" which
<br />may be more restrictive than City regulations. The undersigned a::>sumes respon::>ibi.lity for
<br />compLiance with any applicable deed rest.detions.
<br />B. UNLICENSED CONTRAC'l'ORS AND CON'l'RAC'l'OR RESI:'O)<ISIBILI'l'IES
<br />If the o~mer 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 it; not
<br />licensed at; required by la~l, both the o~mer and contractor may be cited for a misddllleanor
<br />violation under state law. If the owner or intended contractor are uncertain as to wllat
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, B13-788-66Il. .
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised 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 owner signs as the contractor, you are indicating that
<br />you, ratller than the contractor, are responsible for the Work. If the contractor wishes
<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 ~ephydlills.
<br />C. 'l'RANSPOR'J'A'rION H1PAC'1' )!'EES AND U'rILI'l'Y CONNEC'I'ION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAP'I'ER '713, FLORIDA STA'l'UTES, AS AMENDE:D)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />lien LaVJ - HOllleov-mer's Protection Guide" prepared by the Florida Department of Agricul.ture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I cerify 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 conUllencement. .
<br />E. CONTRAC'l'OR' S/OWNER' S AFFIDAVI'r
<br />I certify that all the information in this application is accurate and that all work will
<br />be don", in compliance ~dth all applicable laws regulating construction, zoni.ng, and land
<br />de:velopment.
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no work or installation has co~nenced 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 vWLk, and that it is my responsibility to i.dentify what actions I must take to
<br />be in compliance. Such agencies include but are not limited to:kDepartment of
<br />Environmental RegUlation-Cypress Bayheads, Wetland Areas and Enviromnentally Sen::li tive
<br />Lands, Water-!WasteHater 'l'reatment
<br />kSouth~{est In_orida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Sea~lalls, DOcks, Navigable WaterHays
<br />'klJepar:tment of Health & RehabilitCltive Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, 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,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 pri.or to permit
<br />is::;ui:ince.
<br />A permit i ~lflUed shall be construed to be a license to proceed ~1Ti th the vwrk and not a::;
<br />authority to violate, ci:incel, alter, or set aside any provisions of tile technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereiilfter requiring a
<br />correction of errOl"S in plans, construction, Or violati_ons of any code. Every permit
<br />issued shall become invalid unless the work authorized by such permit is cOllullenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned tor- a
<br />period of six months after the time the work is conunenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />in writing to the Building Official. An approved inspection must be logged during each six
<br />month period, or the project will be considered abandoned..
<br />WARNING '1'0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMJI1ENCEMEN'l' HAY RESIJI/I' IN Y()UR
<br />PAYING TWICE FOR IMPROVEMEN'l'S TO YOUR PROPERTY. It' YOU INTEND TO OB'l'AIN FINANCING, CONSUL'!'
<br />WITH YOUR LENDER OR AN AT'l'ORNEY BEIl~ORE RECORDING YOUR NOTICE OF COlIlJIVlENCEMEN'I'. JOBS UNDER
<br />$2,500 IN VALUE DO NO'I' NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEIvlEN'I'''.
<br />
<br />SIGNATURE: OWNER OR AGEN'I'
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE Of' FLORIDA
<br />COUNTY OF-
<br />The foregoing instrument was acknowledged
<br />Before me this____day of__. _____ ____. 19
<br />by
<br />(name of person acknowledged)
<br />o who is personally known to me, or
<br />
<br />STA'l'E OF FLORIDA
<br />COUN'rY OE'
<br />The foregoing instrument WClS acknowledged
<br />Before me t:hJs __day of----..-..- --, 19
<br />by ______
<br />(name of person acknowledged)
<br />OJho is per:sonally known to me, or
<br />
<br />o who has produced___
<br />(type of identification)
<br />and vlhoD did Ddid not take an oath.
<br />
<br />Dwho has produced
<br />(type of identification)
<br />and who Ddid [}Hd not take an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, pri.nted or stamped
<br />
<br />NamE: typed, printed or stamped
<br />
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