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<br />CONDITIONS OF PERl'lIT AFFIDAVIT
<br />A. NOnCE OF DEED RES'l'RICTIONS
<br />The undersigned understands that this perndt may be subject to "deed restrictions" which
<br />may be more restrictive than city regulations. The undersigned assumes responsibility for
<br />compliance with any, applicable deed restrictions.
<br />B. UNLICENSED CONTRAC'l'ORS AND CON'l'RAC'I'OR RESPONSIBILI'l'IH:S
<br />If the owner has hired a contractor or contractors to und~rtake work, they may be ~equired
<br />to be licensed in accordance with state and local regulations. If the contractor is not
<br />licensed as required by la\'/, both the o~mer and contractor may be cited for a misdemeanor
<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 Zephydlills Building Department, 1313-'"188-6611.
<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 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 v/ishes
<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. 'l'RANSPOR'l'ATION IMPACT jj"EES AND UTILI'l'Y CONNEC'l'ION FEES
<br />D. CONSTRUCTlIION 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 Con~truction
<br />lien Lay, - Homeowner's Protection Guide" prepared by the c'lorida Department of Agriculture
<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 faitll to deliver
<br />it to the "owner" prior- to conunencement.
<br />H:. CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance with all applicable laws regulating construction, zoni.ng, and land
<br />development.
<br />Application is hereby made to obtain a permit to do vwrk and installation as lnd1cated. I
<br />certify that no work or installation has conunenced prlor to issuance ot a permit 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 ln the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended wor-k, and that it is my responsibility to identify what actions I mUl:it take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sen~itive
<br />Lands, Water'/WasteHater 'I'reatment
<br />*Southwe~t Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />''''DepcHtlllent of Health & Rehabilitative Services, Environmental Health Uni t-Wells,
<br />Wastewater Treatment, Septic 'I'anks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certlfy that, if fll1 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 prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />authority to violate, cancel, alter, or set aside any provisions 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 />lssued shall become invalid unless the work authorized by such permit is cOllullt:maed witbin
<br />six montlls of issuance, or if work authorized by the perm~t 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 logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEMEN'l' MAY RESUL'l' IN YOUR
<br />PAYING 'I'WICE FOR IMPROVEMEN'l'S '1'0 YOUR PROPERTY. It' YOU INTEND '1'0 OB'rAIN FINANCING, CONSUL'!'
<br />WITH YOUR LENDER OR AN AT'l'ORNEY BEFORE RECORDING YOUR NOTICE Ol!~ COMMENCEMEN'I'. JOBS UNDER
<br />$2,500 IN VALUE DO NO'l' NEED '1'0 RECORD AND POS'!' A "NO'rICE OF COMMENCEIvlEN'r".
<br />
<br />~~ tJ2~~
<br />SIGNATURE: OWNER 0 AGENT
<br />
<br />SIGN~rURE: CONTRACTOR
<br />
<br />STNl'E OF l!'LORIDA
<br />COUN'rY Of'
<br />The foregoing instrument was
<br />Before me this ,~day of
<br />by
<br />
<br />S'fA'rE Of' FLORIDA
<br />COUNTY OF-
<br />The foregoing instrument was
<br />Before me this __ day of
<br />by
<br />
<br />acknov/ledged
<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 />[11'10 is personally known to me, or
<br />
<br />o who has produced
<br />(type
<br />and \'JhoO did 0 did not
<br />
<br />o who has produced
<br />(type of identification)
<br />and Viho Ddid []Jid not take an oath
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Slgnature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printt::d or stamped
<br />
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