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<br />CONDITIONS OF PEro~IT AFFIDAVIT
<br />A. NOnCE OF DEED RESTRIC'l'IONS
<br />The undersigned understands that this permit may be subj~ct to "deed restrictionsU which
<br />may be more restrictive than City t.egulations. 'l'he lll1dersigned assumes responsibLlity for
<br />compliance Hith any, applicable deed restJ::ictions.
<br />B. UNLICENSED CONTRAC'l'ORS AND CON'l'RAC'l'OR Rli:SPONSIBIJ,I'l'[l!;S
<br />If the o~mer has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with state and local reglllatiol1s. If the contractor is not
<br />licensed as required by law, 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 Zephyrhills Building Department, B13-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he 1s advised to have the
<br />contractor(s) sign portions of the "Contractor SectionsU of this application for which they
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating that
<br />you, ratller 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 licen~ed and is
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C. 'rRANSPOR'rA'rrON H1PAC'1' Ii'EES AND OTlLI'I'Y CONNEC'I'ION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAP'rER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Con~truction
<br />lien Law - Homeowner's Protection Guide" prepared by the ~'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 cormnencement.
<br />E. CON'fRACfOR' 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, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no work or installation ha~ 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 governmental agencies may apply to
<br />the intended vlO.r:k, 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-lWastewater 'freatment
<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 Service::;, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Envirorunental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Fldod Zone "AU or "A,etc.u,. 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 tile technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter re~liring 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 sHch permit if; cOIlulIenced within
<br />si.x monthlii of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of six months Qfter 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 />rllonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE 'l'0 RECORD A NO'l'ICE OF COMMENCEMEN'l' MAY RESUW' IN YOUR
<br />PAYING TWICE FOR IMPROVEMEN'!,S TO YOUR. PROPERTY. IF YOU INTEND '1'0 OB'l'AIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN AT'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COlvtMENCEMEN'l'. JOBS UNDER
<br />$2,500 IN VALUE DO NO'I' NEED '1'0 RECORD AND POST A "NOTICE Of!' COMMENCEMEN'r".
<br />
<br />SIGNATURE: OWNER OR AGEN'I'
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OE'
<br />~he foregoing instrument was
<br />Before me this _day of
<br />by ___
<br />(name of person acknowledged)
<br />olho is personally knoHn to me, or
<br />
<br />STA'fE OF FLORIDA
<br />COUNTY OF
<br />The fotegoin<;j lnst'::ulllenL was
<br />Before me this _ day of
<br />by
<br />
<br />ackno~lledged
<br />, 19_
<br />
<br />acknowledged
<br />, 19
<br />
<br />(name of person acknowledged)
<br />Owho is personally known to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Dwho hQs produced
<br />(type of identification)
<br />and who Ddid [J:lid not take an oath
<br />
<br />Owho has produced
<br />(type
<br />and whoD did D did no t
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />-
<br />.Hame typed, printed or stamped
<br />
<br />Name typed, printed or stan~ed
<br />
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