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<br />COliDITIONS Of' PERl'IfIT AFFIDAVIT
<br />
<br />A. NO'l'ICE~ O~' DEED RESTRICTIONS
<br />The undersigned understands that this permit may bt= subject 1:0 "deed restrictions" which
<br />m~y be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED C'oNTRACTORS AND CON'l'RAC'I'OR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to \lndertake work, they may be required
<br />to be licensed in accordance with st~te and local regulatlons. 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 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 />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 permitting privileges in the City of Zephyrhills.
<br />C. 'rRANSPORTA'rrON I MPAC'l' FEES AND UTILI'!'Y CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LMJ (CHAP'I'ER 713, FLORIDA STATU'rES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />li€::n LaH - Homeowner's Protection Guide'! prepared by the ~'lorida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "o~mer", 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 connencement.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVr'I'
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in cm~liance Hith 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 i,nstallation has commenced prior to issuance of a permit and that
<br />all ~wrk ~Jill be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulati0ns in the jurisdlction. 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/Wastewater 'X'reatment
<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 />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 />is prepared by a professional engineer tegistered 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 />issued shall become invalid unless the work authorized by such permit is coum~nced 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 cOTIUllenced. 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 RESUI.'l' IN YOUR
<br />PAYING TWICE FOR U1PROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB'l'AIN nNANCING, CONSUl/X'
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMEN'l'''.
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE; CONTRACTOR
<br />
<br />acknowledged
<br />2Q_
<br />
<br />S'l'A'I'E OF FLORIDA
<br />COUNTY OF
<br />'rhe foregoing instrument was acknowleqged
<br />Before me this _day of. , lO ~
<br />by
<br />(name of person ackno~dedged)
<br />01ho is personally known to me, ox:'
<br />
<br />STATE OE' nORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by_
<br />
<br />(name of person acknowledged)
<br />Dwho 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 Hho Ddid DUd not take em oath
<br />
<br />Dwho 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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