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<br />CONDITIONS OF PE;RJlIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to "deed restrictions" which
<br />may be more restrictiv<:: than City regulations. The undersigned assumes responsibility for
<br />compliance with any, applicable deed restl:ictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBII,I'l'IES
<br />If the ovmer has hired a contractor or contractors to undertake Hork, they may be requireod
<br />to be licensed in accordance with state and local regulations. If the contractor is not
<br />licensed as required by lay"~ both the o.mer and contractor lnay be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to wllat
<br />licensing requirements Illay apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furthermore, if the owner has llired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor Sections" of this application for whicl) they
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating that
<br />you, rather 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 Zephyrhills.
<br />C. TRA1-lSPOR'l'ATION U1PAC'1' FEES AND U'1'lLI'I'Y CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAP'rER 713, FLORIDA STA'l'UTES, AS AMENDE:D)
<br />I certify that I, the applicant, have been provided Hith a copy of "Florida's Con~truction
<br />lien LaH - Homeownel." s Protection Guide" prepared by the t'lorida Department of Agriculture
<br />and Consumer Atfai.rs. 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 faitll to deliver
<br />it to the "oHner" prior to conUllencement.
<br />E. CON'fRACTOR' S/OWNER' S AFFIDAVIT
<br />I certify th~t all the information in this application is accurate and that all work will
<br />be done in compliance .lith all applicable laHs regulating construction, zoning, and land
<br />development,
<br />Application is hereby made to obtaln a permit to do \vork and installati_on as indicated. I
<br />certify that no work or inl=itallation has commenced prior to issuance of a pet:mit and that
<br />all work Hill be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. J all=io
<br />c<::rt.i_fy that I understand that the regulations of other governmental agencies HLay apply to
<br />the intended .wt:k, and that it is my r:esponsibility to identify what actions I must take to
<br />be in compliance. Such agencies include but are not limited to :A-Depar-tment of
<br />Environmental Regulation-Cypress eayheads, Wetland Areas and Enviromnentally Sensitive
<br />Lands, Water:/Wastewater 'J'reatment
<br />.Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areaa,
<br />Altering Watercourses
<br />"Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />k[Jepartment of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Envil.'orunental 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 "compensati_ng volume" 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 Hork and not as
<br />authority to violate, cancel, alter, or set aside any provisi.ons 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, construction, or violations of any code. Every permit
<br />issued shall become invalid unless the work authorized by such permit is cOllunenced within
<br />six montlls of issuance, or if work authorized by the permit is suspended or abandoned for 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 Jogged during each six
<br />month period, or the project Hill be considered abandoned.
<br />WARIHNG TO OWNER: YOUR FAILURE TO RECORD A NO'I'ICE OF COl'-1MENCEMEN'l' MAY RESUW' IN YOUR
<br />PAYING TWICE FOR IMPROVEMEN'I'S TO YOUR PROPERTY. IF YOU INTEND '1'0 Oe'rAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CONMENCEMEN'I'. JOBS UNDER
<br />$2,500 IN VALUE DO NO'I' NEED '1'0 RECORD AND POST A "NOTICE Of!' COMMENCElvIEN'1'''.
<br />
<br />SIGNATURE: OWNER OR AGEN'I'
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />s'rATE Of' FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Befor:e me this ___ day at
<br />by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OE'
<br />The foregoing instrument was
<br />Before me this __day of
<br />by
<br />
<br />a ckno.ll edged
<br />19_
<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 />01ho is personally known to me, or
<br />
<br />o who has produced
<br />(type
<br />and HhoD did Ddid not
<br />
<br />Dwho has produced
<br />. (type of identi ficaU all)
<br />and who Ddid []::lid not take 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 />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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