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<br />CONDITIONS OF PERMIT AE'FIDAVI'I'
<br />A. NO'l'lCE OF' DEED RESTRICTIONS
<br />'l'he und.:=l.:signed unden,tands that tl1i:> permit may be subject to "deed restriction~" which
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed ~estrictions,
<br />B. UNLICENSED COj-jT'RAC'I'ORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OHner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance Hith state and local regulations. If the contractor is not
<br />licensed as required by laVi, both the OhTDer and contractor may be cited for a mi.sdellleanor
<br />violation under state la"l. If the ovmer or i.ntended contractor are uncertain as to Hhat
<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 c"mer has hi,red a contractor or contractors, he is advised to have the
<br />contractor (s) sign portions of 'the "Contractor Sections" of this application for which they
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating th~t
<br />you, rather th~n the contractor, are responsible for the work. If the contractor wishes
<br />you to sign at;; contractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of <'.ephyrhills.
<br />C. 'l'RANSPOR'I'ATION U1PACT fEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STA'i'UTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "florida's Constructi.on
<br />lien LaH - Homeowner's Protection Guide" prepared by the Inorida Department of Agricul.ture
<br />and Consumer Affairs. If the applicant is someone other that the "ovmer", 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 "owne1." prior to conunencement. '
<br />E. CON'fRACTOR' S/OWNER' S AFFIDAVI'I'
<br />I certify that all the information in this application is accurate and thdt ,,11 work viill
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />devel.opment.
<br />Application is hereby made to obtain a permi t to do \'1Ork and installation as indicated. I
<br />certify that no Hork 0.1: in::;tallation has commenced pri.or' to issuance ot a permt t and that
<br />all work will be performed to meet standards of all laws regulating constructioll, City
<br />codes, zoning regulations, and land development regulations in tile jurisdiction. 1. al.::;o
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended ~lOrk, and that it is my responsibility to identify what action::; I must take to
<br />be in compliance. Such agencies include but are not limited to: "'Depar:tment of
<br />&;nvir:omnental Regulation-Cypr:ess Bayheads, Wetland Areas and Environmentally St::nsitive
<br />Lands, WateJ:'/Waste~Jater Tredtment
<br />'*SouthVle::;t li'lorida Water Management District-Wells, Cypres's Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />"'Army Corps of Engiueer::;-SeaHalls, Docks, Navi.gable Waterway::;
<br />*Departlllent of Health & Rehabilitative Service.::;, Environmental Health Unit-Wells,
<br />Wa::;tewater Treatment, Septic Tanks
<br />*U.S. Environrnental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used ill Flood Zone "A" or "A,etc.", it is
<br />understood that a drainage plan addressing a "compensating volume" will be .::;ubmiLLed which
<br />is pr:epared by a profe::;sional engineer: registered in the State of florida prior to permit
<br />iSl:iuance.
<br />A permit is::;ued shall be construed to be a license to proceed with the wor:k and not as
<br />authority to violate, cancel, alter, or set aside any provisions of tbe 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 per'mit is cOlrnneuced Vl1thin
<br />six: months of i.ssuance, or if work authorized by the permit is suspended or abandoned tOL a
<br />period of six months after the time the "lOrk is conunenced. One 90 day extension of time
<br />may be allowed for the permit with fee cllarge of $15.00. The extensi.on shall be requested
<br />in ~lriting to the Building Official, An approved inspection must be jogged duri.ng each si.!
<br />month period, or the project Hill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COI'1MENCEMEN'l' MAY RESUW' IN YOUR
<br />PAYING TWICE FOR IMPROVEMEN'l'S '1'0 YOUR PROPER'ry. IE' YOU IN'l'END '1'0 OB'rAIN !fINANCING, CONSULT
<br />WITH YOUR LENDER OR AN AT'l'ORNEY BElfORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALlIE DO NO'l' NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMEN'r".
<br />
<br />SIGNATURE:
<br />
<br />
<br />"'--"- ~
<br />
<br />
<br />~
<br />
<br />
<br />S'I'ATE OF FLORI DA
<br />COUNTY OF'
<br />The foregoing instrument was
<br />Befor:e me this _ day of
<br />by
<br />
<br />acknovlledged
<br />,19_
<br />
<br />STA'rE OF FLORIDA
<br />OOUNTY Ot'
<br />The foregoing instrument was
<br />Before me this _day of
<br />by
<br />
<br />acknowledged
<br />19
<br />
<br />(name of person acknowledged)
<br />Owho is personally known to me, or
<br />
<br />(name of person acknowledged)
<br />O/ho is personally knoHn to me, or
<br />
<br />Owho ha.::; produced
<br />(type
<br />and ,,/hoO did Ddid not
<br />
<br />Owho has produced
<br />(type of identification)
<br />and v/ho Ddid O:ii d 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 acknoViledgment
<br />
<br />Nam~ typed, printed or stamped
<br />
<br />Name typed, printed or: stamped
<br />
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