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<br />CONDITIONS OF PER\'lIT AF'FIDAVI'I'
<br />A. NO/rICE OF' DEED RES'l'RICTIONS
<br />'I'he undersigned understands that tlli::; permit may be subject to "deed restrictions" whi eh
<br />way be mort: restrictive than City r:-=glllations. The undersigned a::;::;umes re::;ponsibili.ty tor
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRAC'l'ORS AND CON'I'RACrOR RESPONSIBILITIES
<br />If the ovmer has hired a contractor or contractors to undertake work, they may be l'equirt::d
<br />to be licensed in accordance with state and local regulations. If the contractor is not
<br />licensed ab required by laVi, both the ovmer and contractor may be cited for a misdellleclnor
<br />violation under ::.tate lav/. If the Ollfler or intended contracto.1: are uncertain as to v~hat
<br />licensiny requireme:nts may apply for the intended work, they are: advised to contact t.he
<br />City of Zephyr:hills Building Department., 813-788-6611.
<br />Furthermore, if the ovlfler has hi!:ed a contractor or contractors, he is advised to have the
<br />contractor (s) sign portions of t:he "Contractor Sections" of this application for which thli::Y
<br />Viill be respon~ible. If you, a~ the OViner 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 cont.t'CtctOl. that may be an indication that he is not properly li censed and is
<br />not entitled to permitting privileges in the City of ~ephyrhills.
<br />C. 'l'RANSPOR'rNfION H1PAC'l' li'EES AND UTILI'I'Y CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAP'fER 713, I!'LORIDA STA'fUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Const.ruction
<br />lien LaH - Homeowner's Protection Guide" prepared by the Wlorlda Depa.t:tment of Agri cul.ture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
<br />have:: obl~ained 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 AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compU.ance vlith all applicable laws regulating construction, zoniny, and land
<br />devt:lopment,
<br />Applicat.ion is hereby made to obtain a permit to do Hork and installation as indicated. I
<br />certi fy that no work or in::;tallation has conunenced prior to issuance of a permi.t awl that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />COdiCS, zoning regulations, and land development regulations in the jurisdiction. 1 also
<br />c<:rtify that. I understand that the regulations of other governmental agencie::; may aprly to
<br />the intended vwrk, and tha tit is my responsibility to identify v~hat actions I must take to
<br />be in compliance. Such agencies include but. are not limited to: ~.Depal:tment of
<br />l!;nvironmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally St;;nsitive
<br />Lands, Water/Wastevlater 'I'real:ment
<br />*Southwe::;t Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />"Army Corps of Engineers-SeaHalls, Docks, Navigable Waterways
<br />*Departu~nt of Health i Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />.U.~. Environmental Protection Agency-Asbestos abatement
<br />I al::;o certify that, if fill waterial is to be used ill Flood Zone "A" 0.1: "A, etc.", it is
<br />understood that a drainage plan addressing a "compensating volume" vlill be submitted which
<br />is prepared by a rrofessional engineer registered in the State of Florida prior to permit
<br />is::;uance.
<br />A permit iss\ted shall be conbtrued to be a license to proceed with the wOl.k and not as
<br />authority to violate, cancel, alter, or set aside any provisions of tile technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construct~on, or violations of any code. Every permit
<br />issued shall become invalid unless the work authorized by such permit is cOHunenced within
<br />six months of issuance, or if work authorized by the penni t is suspended or abandoned tor a
<br />period of six months after the time the vlOrk iEi commenced. One 90 day extension of t.ime
<br />may be allowed for the permit with fee charge of $15.00. The extension sha1.1 be requested
<br />in vniting to tbe Building Official. An approved inspection must bt: logged during each six
<br />month period, or the project will be considered abandoned.
<br />~vARNING TO OWNER: YOUR E'AILURE TO RECORD A NO'l'ICE OF COI'1MENCEMEN'l' MAY RESUr,'l' IN YOUR
<br />PAYING 'l'WICE FOR IMPROVEMEN'1'S '1'0 YOUR PROPERTY. n' YOU IN'l'END '1'0 OB/rAIN B'JNANCJNG, CONSULT
<br />WITH YOUR LENDER OR AN ArI''I'ORNEY BEmRE RECORDING YOUR NOnCE OF COMMENCEMEN'I'. JOBS UNDER
<br />$2,500 IN VALUE DO NO'l' NEED '1'0 RECORD AND POST A "NonCE OF COMMENCEMEN'r".
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUN'l'Y OF'
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by
<br />
<br />acknoVlledged
<br />19_
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF'
<br />'I'he foregoing instrument was acknowledged
<br />Before me this __day of---, 19
<br />by _____.___
<br />(name of person acknowledged)
<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 />DViho has produced
<br />(type
<br />and vlhoD did Ddid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Owho has produced
<br />(type of identlfl catJou)
<br />and vJho 0 did [).:ii d not ta ke an oa lh
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of per~on taking acknowledgment
<br />
<br />Name tyred, pri nted 0.1: stamped
<br />
<br />Name typ-=d, print.ed or stamped
<br />
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