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<br />CONDI'rIONS OF PERI'1I'I' AFnOAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The unde~signed understands that this permit may be subject to "deed rest~ictionsH which
<br />may be more restrictivb than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions,
<br />I
<br />8, UNLICENSED CONTRACTORS Aim 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 la"" both the o~mer and contractor may be cited for a misdemeanor
<br />violation under state law, If the owner or intended contractor are llncertain as to what
<br />licensing requirements may apply for the intended work, they are adv1sed to contact the
<br />C1ty 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 SectionsH of this application for which they
<br />will be responsible. If you, as the o",ner signs as the contractor, you are 1ndicating that
<br />you, rather than the contractor, are responsible for the work, If the contractor ",ishes
<br />you to sign as contractor that may be an indication that he is not properly licensed and is
<br />not ent1tled to permitting privileges 1n the City of Zephyrhills.
<br />C. 'l'RANSPORTA'rION H1PAC'l' FEES AIIJD UTILITY CONNECTION FEES
<br />D, CONSTRUCTUION LIEN LAvJ (CHAP'I'ER 713, FLORIDA STA'flJ'fES, AS AMENDED)
<br />I certify that I, the applicant, have been provided witll a copy of "Flor1da's Construct1on
<br />lien Law - Homeowner's Protection Guideq prepared by the Flor1da Department of Agriculture
<br />and Consumer Affairs. If the applicant 1s someone other that the "ownerH, 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 "ownerH prior to conunencement.
<br />E, CONTRACTOR' S/OWNER' S AFFIDAVI'f
<br />I certify that all the information in this application 1s accurate and that all work will
<br />be done 1n 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 perm:i.t and that
<br />all work Vlill be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations .in the juriadict.ion, 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 respons1bility to identify what actions I Joust take to
<br />be in compliance, Such agencies include but are not lim1ted 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, 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 1n Flood Zone "A" or "A,etc,", it 15
<br />understood that a drainage plan addressing a "corr~ensating volumeH 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 11cense to proceed w1 th the vwrk and not as
<br />authority to violate, cancel, alter, or set aside any provi.sions of tlle 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 cOlllmenced 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 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 per10d, or the project will be considered abandoned,
<br />WARlUNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUW' IN YOUR
<br />PAYING TWICE FOR Il'1PROVEMEN'l'S TO YOUR PROPERTY. IF YOU INTEND 'fO OB'l'AIN FINANCING, CONSlIW'
<br />WITH YOllR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'l'. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED 'l'O RECORD AND POST A "NO'fICE OF COlVIMENCEMEN'l'".
<br />
<br />SlGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />acknowledged
<br />2Q_
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />'fhe foregoing instrument v~as acknowleqged
<br />Before me this _day of , :.::0 _
<br />by
<br />(name of person acknowledged)
<br />Olho is personally known to me, or
<br />
<br />STATE OE' l!'LORIDA
<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 ident1fication)
<br />take an oath.
<br />
<br />Owho has produced
<br />(type of 1dent1fication)
<br />and ~lho Ddid DUd not take an oath
<br />
<br />Owho 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, pr1nted or stamped
<br />
<br />Name typed, printed or stamped
<br />
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