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<br />CUNJjJ'J'10NS OF PERMIT .1\.FI!'IDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'J'he undersigned undontsnds t~st thIs pon.U may bo sUbJeatto 'deed re.tdcHon." .,hIch
<br />may be more restrlctive than City regulatiolls. The undersigned assumes resporisibi.11ty for
<br />compliance with any applIcable deed reslrIctions.
<br />B. UNI,ICENSEIJ CONTRACTORS AND CONTRAC'l'OR HESI?ONSIBIl,l'l'IES
<br />If tho own.r h.s hind a contnator or contnator. to undertske work, they msy bo requirod
<br />to be licensed in accordance with state and local regulations. If the contractor is not
<br />llcensed as required by law, both the owner and contractor may be clted for a misdemeanor
<br />violation under state law. If the owner or Intended contractor are uncertain as to what
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />City ~f Zephyrhills BUilding Department, 813-788-661.1.
<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 which they
<br />will be responsible. If you, as the OWher 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 lndication that he Is not properly licensed and is
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES ANIJ UTII.ITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, F,LORIDA STATUTEa, AS AMENDED)
<br />.1 cectlty thst I, the appHcant, hove heen provided .,ith a copy of 'Flodds's ConstructIon
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida 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 faith to deliver
<br />it to the "owner" prior to commencement.
<br />E. CONTRACTOR'S/OWNER'S AFI!'IDAVIT
<br />I certify that all the information in thls application is accurate and that all Work will
<br />be done in compliance with all a~plicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as indicated. 1
<br />certify that no work or installation has commenced 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. I also
<br />certify that 'I understand that the regulations of other goverrunental agencies may apply to
<br />the intended work, and that it is my responsibility to identify what actions I must 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 Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of EngineerS-Seawalls, Docks, Navigable Waterways.
<br />*Department of Health, Rehabilitative Services, Envirorunental lIealth Unit-Wells,
<br />Wastewater Treatment, SeptIc 'ranks
<br />*U.s. Envirorunental 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 prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with the work flnd 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 />issued shall beoome invalid unless the work authorized by such permit is COhnenced within
<br />six months 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 commenced. 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 'ro RECORD A NOTICE OF COMMENCEMENT HAY RESUL'l' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND '1'0 OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE 011' COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO N NEED TO RECORD AND POST A "NOTICE OF COMMENC ENT".
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<br />STATE 011' FLORIlJ~ ~
<br />COUNTY 01' . q ( 0
<br />The foregoing instr\pnent was l\cknowledged
<br />Before me thij~~ of JUM(:I ,.;J.W
<br />by "- Ld. 'j c.fJW!J-
<br />(name of person acknolfledged),
<br />~is Personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />t take an oath.
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<br />STA'I'E OF FLORIDA '--;J
<br />COUNTY OF rfV;::J( cJ
<br />The foregoing instrument was I~c)mow] edged
<br />Before me this ~JlFl-Y c:f.:...,~ ,.J/VoJ , ,~lJ}U
<br />by J~ j{'A~
<br />(name of person acknowledged)
<br />~s personally known to me, or
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<br />n
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<br />Name typed, printed or stamped
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