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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'he undersigned understands that thi::; p<:l:lnit may be subject to "d<:ed restrictions" wldeh
<br />nlay be more l:estriclive than City reguJ ations. The undersigned a:>:mrnes re::;pon.sJbili.ty for
<br />compliance vlitll any applicabl e deo::d .u:strictions.
<br />B. UNLICENSED CONTRAC'l'ORS AND CON'l'AAC'l'OR RE:SPONSIBIT,I'!'IES
<br />I f the ovmer bas hired a contractor or contractor':> to undertake work, they may be r'equJn::d
<br />to be licensed in accordance with state and local regulations. If the contractor is not
<br />licensed as required by lav1, both the owner and cont I."actor !nay be cited for' a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to wllat
<br />licensing requirements may apply for the intended work, they are advi::;ed to contact tIle
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furtllermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor Sections" of this application for whicll 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 Hork. If the contractor vdshel:;
<br />you to sign a::; contractor that lllay be an indication that he is not properly licen::;ed and is
<br />not entitled to pernti tting pri.vileges in the City of :c.ephyrhills.
<br />C. 'l'RANSPOR'l'A'rION IMPACT li'EES AND UTILI'I'Y CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAP'rER '713, ~'LORIDA S'I'A'rUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />lien LaH - Homeowner's Protection Guide" prepared by the Iflorida Department of Agriculture
<br />and Con::;umer 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 commencement.
<br />E. CON'l'RACTOk' S/oWNER' S AI!'FIDAVI'l'
<br />I cerUfy that all the information in this applicati.on 105 accurate and that all work Vlill
<br />be done in compliance V/ith all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a penni t to do Hork and installati.on as indicated. I
<br />certify that no work or installation has couuenced 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 />c<:::rtify that I understand that the regulations of other governmental agencies Hlay apply to
<br />the intended vJOr.k, and that it is my responsibility to i.dentify what actions I Hlust take to
<br />be in compliance. Such agencies include but are not limited to: ~'Department of
<br />f!:nvironmental Regulation-Cypress Bayhead.:o, Wetland Area.:o and Environmentally St.:n.:oitiv<:::
<br />Lands, Water/Wastewater TreHtment
<br />*Southwest Florida Water Management District-Wells, Cypre.:os Bayh<:::ad::;, Wetland Areas,
<br />Altering Watercourses
<br />*Acmy Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Service~, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I al::;o certify that, if fill material i.:o to be used in Flood Zone "A" or "A,ete.", it is
<br />understood that a drainage plan addressing a "compensating volume" will be submitt<:::d which
<br />is prepared by a profes.:oional 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 a.:oide any provisions of tbe technical codes,
<br />nor shall issuance of a permit prevent the Building Offi.cial from thereafter requiring H
<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 cOllunenced within
<br />six montlls 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 i.:o conunenced. One 90 day extension of timE:
<br />may be aIloHed for the p<:::rmit with fee charge of $15.00. 'l'he extension shall be reque.:oted
<br />in vlri ting to the Building Official. An approved inspection must be logged during each s1}!.
<br />month period, or the project will be considered abandoned.
<br />\vARNING 'ro OWNER: YOUR FAILURE TO RECORD A NOTICE OF C01VJMENCEMENT MAY RESUW' IN YOUR
<br />PAYING TWICE FOR IMPROVENEN'l'S '1'0 YOUR PROPERTY. IE' YOU IWrEND '1'0 OB'rAIN l!'I NAN"C lNG, CONSULT
<br />WITH YOUR LENDER OR AN A'rTORNEY BE~~ORE RECORDING YOUR NOnCE OF COMMENCEMEN'r. JOBS UNDER
<br />$ 2, 500 IN VALUE~ DO NO'!' NEED '1'0 RECORD AN D POST A "NOT I CE OF COMMENCElvIEN'r".
<br />
<br />SIGNATURE: OWNER OR AGEN'I'
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />acknovlledged
<br />,19_
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrumE:nt was
<br />Before me this _---5:Iay of
<br />by
<br />
<br />S'I'ATE 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 />(name of person acknowledged)
<br />o Hho is personally known to me, or
<br />
<br />(name of person acknowledged)
<br />Olho is personally known to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Dwho has produced
<br />(type of identification)
<br />and Hho Ddid [}Hd not takE:: an oath
<br />
<br />Dwho has produced
<br />(type
<br />and whoO did Ddid not
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Nam<::: typed, printed or' stHmped
<br />
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