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<br />CONDI'nONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands thijt this permit may be subject to "deed restrictionsH Wllicll
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED C;ON'l'RAC'l'ORS AND CON'l'RAC'l'OR RESPONSIBIJ.I'l'IES
<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 reg\!lations. If the contractor is not
<br />licensed as required by law, both the ovmer and contractor may be cited for a mi.sdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to what
<br />li censing requirements may apply for the intended work, they are advised to aontaot the
<br />city of Zephydlills Building Department, 81.3-788-6611.
<br />Furthennore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor (s) si gn portions of the "Contractor Sections" of this appli,cation for Hhich they
<br />will be responsible. If you, as the owner signs as the contractor, YQij are indicating that
<br />you, I:ather than the contractor, are responsible for the work. If the contractor Hishes
<br />you to sign as contractor that may be an indication that he is not properly licensed alld is
<br />not entitled to permitting privil~ges in the City of Zephyrhills.
<br />C. 'I'RANSI?OR'l'ATION IMPACT FEES AND U'I'Ul'I'Y CONNECTION FEES
<br />D. CONS'I1RlIC'l'lJION I,IEN LAlli (CllAP'l'ER 'Jl3, FLORIDA STA'l'UTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />1 ten Law - Homeowner's Protection Guide" prepared by the Florida Depa.t'tmellt of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
<br />}lave obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to commencement.
<br />E. CONTRAC'l'OR' a/OWNER' a AffFIDAVI'l'
<br />I certify that all the information in this application is accurate and tllat all work will
<br />be done in compliance with all appU.cable 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 Hork or installation has commenced 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 tile jurisdiction. J also
<br />certify that I understand that thl? regulations of other governmental agenaies may 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 tOI *Department of
<br />Envirollmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensltive
<br />Landa, Water/WasteHater Treatment .
<br />*Soutllwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Departlllent of Health & Rehabilitative Services, Environmental Health !Jnit-WeLls,
<br />Wastewater Treatment, Septic Tanks
<br />*U.8. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone ~AH or "A,etc.H, it is
<br />undeJ:.stood that a dralnage 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 Hork and not as
<br />authori ty to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a permit prevent the Building Of:J;icial from thereafter requlring a
<br />cor~ectlon of errors in plans, con~truction, or vio~ations of any oode. Every pe~mit
<br />ia~ued shall become invalid unleas the work authorized by such permit is OOlllfllenced Hithin
<br />slx months of issuance, or if work authorized by the permlt is suspended or abandoqed for a
<br />period of six 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 extellsion shall be tequested
<br />in vlri ting to the Bulld1.ng Official. An approved inspection must be logged during each' six
<br />month period, or the project wlll be considered abandoned.
<br />WARNING TO OWNElRI YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RESUL'I' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN ffINANqrNq, ~qN~ULT
<br />WITH YOUR LENDER OR AN A'I"l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'l'. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POS'!' A "NO'I'ICE Off COMMENCH'.MEN'I1If.
<br />
<br />SlGNA'l'URE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF ffLORTDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before llIe this ___ day of
<br />by.
<br />
<br />acknowledged
<br />, 19_
<br />
<br />STA'l'E OF FLORIDA
<br />COUWl'Y OF
<br />'l'he foregoing instrument WillS acknowledged
<br />Before me this -------1iay of--, 19 ~..:.._
<br />by ___
<br />(name of person acknowledged)
<br />C1ho is personally known to me, or
<br />
<br />Owho has produced
<br />(type of identification)
<br />and who Ddid D.Ud not t,ake an oath
<br />
<br />(name of person acknowledged)
<br />Owho is personally known to me, or
<br />
<br />Owho has produced
<br />(type
<br />and who[] did Ddid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, pri.nted or stamped
<br />
<br />Name typed, printed or stamped
<br />
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