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<br />CONDITIONS OF PERl'lIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to "deed restrictions" wld eh
<br />may be more restrictive than Ci ty t'e9ulations. The undersigned a::;sumes responsibLli ty for
<br />compliance with any, applicable deed restrictions.
<br />B. UNLICENSED CONTRAC'l'ORS AND CONTRACTOR RESPONSIBII.I'l'Il!;S
<br />If the o.mer has hired a contractor or c~ntractors to undertake work, they may be required
<br />to be licensed in accordance with state and local regulations. If the contractor i::; not
<br />licensed a.:i required by la.l, both tbe mmer and contractor may be cited for a rnisdemecHlor
<br />violation under state law. If the mwer or intended contractor are uncertain a::; to ..hat
<br />licensing requirE:lmenLs lllay apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, ~13-7B8-6611.
<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 tor whicll 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 .Jishes
<br />you to sign a~ 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. TRAl'lSPOR'l'ATION U1PAC'I' E'EES AND U'l'ILI'I'Y CONNEC'I'ION FEES
<br />D. CONSTRUCTUION LIEH LAW (CHAP'l'ER 713, FLORIDA STA'l'UTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Con~truction
<br />lien Law - Homeo"mer's Protection Guide" prepared by the ~'lorida Department of Agriclllture
<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 conunencement.
<br />E. COWl'RAC'l'OR' S/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 Hith all a.pplicable laHs regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do Hork and installat1.on as l.ndicated. I
<br />certify that no work at installation has commenced prior to issuanco:: of a permit and that
<br />all Hork will be performed to meet standards of all laws regulating construction, C1.ty
<br />codes, zonin9 regulations, and land development regulations in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended "/oL'k, and thaL it is my responsibility to identify what actions I must take to
<br />be in compliance. Such agencie~ include but are not limited to: -I'Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*SouthHe~t Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Wato::rcourses
<br />*Anny Corps of Engineers-SeaHalls, DOcks, Navigable Waterways
<br />ALJepartment of Health &. Rehabilitative Service::;, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U. oS. Environmental Protection Agency'-Asbestos abatement
<br />I al~o certify that, if fill material is to be used in Flood Zone "A" or "A,ete,", it is
<br />understood that a drainage plan addressing a "compensating volume" will be submitted which
<br />i~ prepared by a professional engineer registered in the State of Florida prior to permit
<br />is~uance.
<br />A permit issued shall be construed to be a license to proceed with the work and not a~
<br />authority to violate, cancel, alter, or set aside any pr6visions of tile technical code~,
<br />nor shall issuance of a permit prevent the Building Official from thereaftE:lr requ1.ring d
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become invalid unless the work authorized by SlICh permit i.::; cOllunenced within
<br />six montlls of issuance, or if work autho~ized 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 will be considered abandoned.
<br />WARNING '1'0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEN'l' MAY RESULT IN YOUR
<br />j?AYING TWICE FOR IMPROVEMEN'l'S TO YOUR PROPERTY. U' YOU INTEND '1'0 OB'l'AIN E'INANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'I'. JOBS UNDER
<br />$2,500 IN VALUE DO NO'l' NEED '1'0 RECORD AND POST A "NOTICE OE' 'MMENCEIvlEN'r".
<br />
<br />
<br />
<br />S'rA'l'E OF FLORIDA
<br />COUNTY OF-
<br />
<br />~~;o~:r:~~~sin~:;to~a~~OW1~~
<br />
<br />by ~JJ",. {,
<br />(name of person acknowledged)
<br />PWho is personally known to me, or
<br />
<br />SIG ATU . CONTRACTOR
<br />
<br />STA'l'E OF FWRIDA ~ A!,
<br />COUWl'Y OE' ~ (,.; Jt!.
<br />'I'he Ioreg01.ng inzrument was acknowledged
<br />Before me this day of , 2'C~
<br />by' _
<br />(name 0 p rson ~cknowle ged
<br />~10 is personally known to me, or
<br />
<br />DHho has produced
<br />(type of ie nLificaUoll)
<br />d 10' take an oath
<br />
<br />
<br />_._~
<br />:' _ ~ COMMISSION 1/ CC960753 ~
<br />~'. .kg August 13, 2004
<br />~'7.;r,i>>w.~'~ BONDED lHRU TROY FAlHIIISUlWlCf.INC.
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