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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NO'lllCE OF DEED RES'l'RICTIONS
<br />The undersigned understands thq.t thi/> permit may be subject to "deed restrictions" which
<br />may be more restrictive than City regulations. Tile undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSEP /CON'l'RAC'l'ORS AND CON'l'RAC'l'OR RESPONSIBILI'I'IES
<br />I f the o\vller has hired a contractor or contractors to undertake work, they IlIay be required
<br />to be licensed in accordance Hilh atate and local regulations. If the contractor is not
<br />licensed as required !Jy lavJ, both the ovmer and contractor may be oj ted tal: a mlsdemeanol:
<br />violation under statt:: la\;. If the owner or intended contractor are uncertain as to vlhat
<br />11 censing requirements may apply for the intended work, they are advised to contact the
<br />City of Zephydlills Building Do;partment, 813-768-6611.
<br />Furtherll1ore, if the owner has hir.::d a contractor or contractors, he ls advised to bave the
<br />contractor(s) sign portions of the "Contractor So;ctions" of thls application far which they
<br />vdll be responsible. If you, as the owner slgns as the contractor, YQLl are indicating that
<br />you, lather than the contractor, are responsible for the wOj::k. I f the contnictor wishes
<br />you to slgn as contractor that may be an indication tllat he is not properly licensed and is
<br />liot elitilled to permitting privileges in the City of Zephyrhills.
<br />c. 'l'RANSPOk'l'ATION IMPAC'l' FEES AND U'l'ILI'I'Y CONNECTION FEES
<br />D. CONS'l'RUC'l'UION LIEN LAW (CHAprl'ER '713, FLORIDA STATUTES, AS AMENDED)
<br />j certify that I, the applicant, have been provided with a copy of "Florida's Constrllcticn
<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 cerity 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 con~encement.
<br />E. CON'rRAC'!'OR' a/OWNER'S AFFIDAVIT
<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 indioated. I
<br />certify that no work or installation has cownenced prior to issuance of a permit and that
<br />all work will be pertormed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify thatl understand that the regulations of other governmental agencies may apply to
<br />the intelided work, .:HId that it is my responsibility to identify what actions I must take to
<br />be in compliance. Sqeh agencies include but are not 11mi ted to: *Uepcu:tment of
<br />Enviroll~ental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sens~tive
<br />Lands, Water/Wastewater rfreatment
<br />*Souttlwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable WatenJays
<br />*lJepartment of Health Ii Rehabiliteltive Services, Environmental Health I1nit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*11.8. Environmental Protection Agency-Asbestos abatement
<br />1 also certify that, if fill material is to be used in Flood Zone ~AN or "A,etc.", it is
<br />understood tllat a drainage plan addressing a "compensating volume" '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 />authori ty to violate, cancel, alter, or set aside any provisions of the teclllliGal codes,
<br />nor sllall 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 becoIne invalid unless the work authorized by such permit is cOliunenced Hithin
<br />six months of issuance, or if work authorized by the per-mit is suspended or abandoqed tor a
<br />period of sl" months after the time the work is commenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension sball be requested
<br />ill wri ting to the Buildlng Official. An approved inspection must be logged during each. slx
<br />month period, or the ptoject Hill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NO'l'ICE OF COMMENCEMENT MAY RESUW' IN YOUR
<br />PAYING TWICE FOR IMPROVEMEN'l'S TO YOUR PROPERrfY. IF YOU IN'fEND TO OB'l'AIN I:'lNANqn~q, ~9N~UI/r'
<br />Wl'!'H YOUR LENDER OR AN A'l"!'ORNEY BEIi'ORE RECORDING YOUR NOTICE OF COMMENCEMEWI'. .JOBS UNDER
<br />$2,500 IN VAWI!: DO NOrl' NEED TO RECORD AND POS'l' A "NOr!'ICE OF COMMENCEMEN'llf!.
<br />
<br />(~ .~~:~
<br />SiGHNi~~R-;'~ ~)
<br />
<br />S'rA'l'E OF FLORIDA
<br />COUNTY OE'
<br />The foregoing instrument was acknowledged
<br />Before me this ____ day of_, 19_
<br />!Jy_
<br />(name of person acknowledged)
<br />Owho is personally known to me, or
<br />
<br />
<br />STA'l'E OF FLORIDA
<br />COUNTY OF
<br />'llhe foregoing instrument wa,s acknowl edged
<br />Before me this _------1iay of----, 19
<br />
<br />by
<br />
<br />(name of person acknowledged)
<br />Dvho is personally known to me, or
<br />
<br />o who has produced
<br />(type
<br />and whol] did Ddid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Owho has produced
<br />(type of identification)
<br />and vJho Ddid DUd not t.ake an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, IH111ted or stamped
<br />
<br />Nelme typed, printed or. stamped
<br />
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