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<br />CONDITIONS OF PERMIT AF.'FlDAVI'l' <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that I:his permit may be subject to "deed restrictions" which <br />may be more restrictive than City regulations. The undersigned assumes responsibility for <br />compliance with any applicable deed restrictions. <br />B. UNLICENSED CONTRACTORS AN/) CONTRACTOR RESPONSIBlJJl'l'lES <br />If the owner has hired a cOlltractor or COil tractors to undertake work, they Inay 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 owner Clnd cont.ractor may be cited for a misdemeanor <br />violation under state law. If the owner or intended contractor are uncertain as to what <br />licensing requ.irements may apply for the .intended wor:!::, they are advised to contact the <br />City of Zephyrhills Building Department, 813-788-6611. <br />Furthermore, if the owner has hired a COil tractor 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. TRANSPOR'l'A'fION IMPACT FEES AND UTILITY CONNECTION FEES <br />D. CONSTRUCTUION LIEN LAW (CllAPTER '113, FIJORID1\ ST1\TU'l'ES, AS AMENDED) <br />I certify that I, the 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 obtained a copy of the above described document and promise in good faith to deliver <br />it to the "owner" prior to conunencement. <br />E. CONTRACTOR' S/OWNER' S AF.'F'IDAVIT <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 indil:ated. I <br />certify that no work or installation has cOllunenced 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 lilY 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 Envirorunentally Sensitive <br />Lands, Water/Wastewater Treatment <br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, <br />Altering Watercourses <br />*Army Corps of Engilleers-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 E'lood Zone "A" or "A, etc.", it is <br />understood that a drainage plan addressing a "compensa.t:ing volwne" 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 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 commenced 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 cOllunenced. 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 '1'0 OWNEH: YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br />PAYING TWICE FOR IMPROVEMENTS 1'0 YOUR PROPERTY. IF YOU INTEND '1'0 OBTAIN FINANCING, CONSULT' <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 COMMENCEMENT". <br /> <br />SIGNATURE: OWNER OH AGENT <br /> <br />SIGNNl'URE: CONTRACTOR <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />The foregoing instrument was <br />Before me this _ day of <br />by <br /> <br />acknowledged <br />19_ <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />The foregoing instrument was <br />Before me this _day of <br /> <br />acknowledged <br />19 <br /> <br />h~' <br /> <br />(nmne of. pe.:.:.svH acknowledged) <br />o who is personally known to me, or <br /> <br />(name of person acknowledged) <br />Gho is personally known to me, or <br /> <br />o who has produced <br />(type <br />and whoD did Ddid not <br /> <br />of identification) <br />take an oath. <br /> <br />Dwho has produced <br />(type of identification) <br />and who Ddid [):lid not take an oath <br /> <br />Signature of person takiug acknowledgement <br /> <br />Signature of person taking acknowledgment <br /> <br />Name typed, printed or stamped <br /> <br />Name typed, printed or stamped <br /> <br />.. <br />.. <br />