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<br />CONDI'.rrONS OF' PERlVJI'r AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned undel.'stands that this permit may be subject to "deed restrictions" which
<br />may be more restrictive than City regulations. The undersigned assumes ret:iponsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED d)NTRACTORS Al'lD CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake 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 law, both the ovmer and contractor may be cited for a misdemeanor
<br />violation under state laH. If the owner or intended contractor al.'e uncertain as to vvhat
<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 />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 wishes
<br />you to sign as contractor that may be an indication that he is not properly licensed and is
<br />not entitled to perulitting privileges in the City of Zephyrhills,
<br />C. 'l'RANSPOR'{'A'rION H1PAC'l' FEES Al'llJ UTILITY CONNECTION FEES
<br />D. CONSTRUC'rUION LIEN LAvl (CHAP'l'ER 713, FLORIDA STATU'rES, AS AMENDED)
<br />I certify that I, tile applicant, have been provided with a copy of "Florida'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 obt~ined a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to COMnencement.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'r
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in cm~liance 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 Hark 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 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 'l'reatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Ar:my Corps of Engineers-Seay/alls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. 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 submitted which
<br />i.s prepared by a professional engineer registered in the State of Florida pri or to pe,['Jllit
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with the Hork and not as
<br />authority to violate, cancel, alter, or set aside any provisions of the tecllllical 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 permit is cOlllmenced H1thin
<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 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 RESUL'l' IN YOUR
<br />PAYING 'rWICE FOR IJvlPROVEMEN'l'S TO YOUR PROPERTY. IF YOU INTEND '1'0 OB'IIAIN InNANCING, CONSUL'I'
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'II. JOBS UNDER
<br />$2,500 HI 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 />STATE OE' E'LORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by,
<br />
<br />acknowledged
<br />2Q_,_.
<br />
<br />S'l'ATE OF FLORIDA
<br />COUNTY OF
<br />'llhe foregoing instrument Has acknowlec\jted
<br />Before me this -----------s:lay of---,-._,,--, )_
<br />by
<br />(name of person ackno~lledged)
<br />O/ho is personally known to me, or
<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 />Dwho has produced
<br />(type of identification)
<br />and vlho Ddid []:lid not take an oath
<br />
<br />o who has produced
<br />(type
<br />and whoD did Ddid not
<br />
<br />Signature of person taking acknowledgement
<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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