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<br />CONDITIONS OF' PERJ-.lIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'fhe under:signed understands that this per:mit may be suLject to "deed restrictions" which
<br />may be mor:e r:estr:ictiv~ tllan City regulations. The undersigned assumes responsibility for
<br />compliance ~Ji thany applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AIm CON'l'RACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contr:actors to llndertake work, they may be required
<br />to be licensed in accordance with state and local regulations. If the contractor is not
<br />licensed as required by laH, both the ovmer and contractor may be cited for a misdemeanor
<br />violation under state laH. 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 of Zephyrhills Building Department, 813-788-6611.
<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 for which they
<br />Hill be responsible, If you, as the OHner signs as the contractor, you are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor Hishes
<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'RANSPORTA'rION H1PAC'1' FEES AI'iD U'rILITY CONNECTION FEES
<br />D, CONSTRUC'l'UION LIEN LAv/ (CHAP'I'ER 713, FLORIDA STA'fU'fES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />lien LavJ - 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 "OWflE::r" prior to conunencement,
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'f
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance VJi th all applicable laws regulating construction, zoning, and land
<br />dE::velopment.
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no Hork 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 governmental agencies rnay 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/WastevJater 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, Environmental Health Unit-Wells,
<br />WasteHater Treatment, Septic Tanks
<br />*U.5. Environmental 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 submit,ted Hhich
<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 Hork and not as
<br />autho.!:ity to violate, cancel, alte.!:, or set aside any provisions of thE:: technical codel;;,
<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 permit is commenced within
<br />six months of issuance, or if work authorized by the permit il;; 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 COMMENCEMENT MAY RESUW' IN YOUR
<br />PAYING TWICE FOR IHPROVEMEN'l'S '1'0 YOUR PROPERTY. IF YOU INTEND TO OBTAIN InNANCING, CONSUl,T
<br />vHTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'l'. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMEN'I'".
<br />
<br />SIGNATURE; OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />ackncvdedged
<br />2Q_
<br />
<br />S'l'A'fE OF FLORIDA
<br />COUNTY OF
<br />'fhe foregoing instrument Has acknowle~ed
<br />Before me this __day of , '" _
<br />by
<br />(name of person acknowledged)
<br />Dlho is personally known to me, or
<br />
<br />STATE OE' ~'LORIDA
<br />COUNTY OF
<br />The foregoing instrument Wd~
<br />Before me this _ day of
<br />by.
<br />
<br />(name of person acknowledged)
<br />o who is personally known to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />D who has produced
<br />(type of identification)
<br />and who Ddid DUd not take an oath
<br />
<br />o who has produced
<br />(type
<br />and whoD did Ddid not
<br />
<br />Signature of person taking acknoHledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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