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<br />COIWITIONS OF PERMIT AF'FIDAVI'r
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'he undcJ.:l:ligned undeJ.:stands that t.11:L;:, p€;uni t Hlay be subj<::ct to "deed re5trictionl:l" wlli ch
<br />way be mort: restrictive than City reg\l]ationl:l. 'l'he undersigned al;;j;:,umes re::;pon::dbility tor
<br />compliance ~Jjth any applicabl e deo:;d r:estrictions.
<br />b. UNLICgNSED coj~TRAC'l'ORS AND C:ONTHAC'l'OR Rh:SPONSIBILI'l'Il!:S
<br />If the o~mer has hired a contractor or contractor::; to undertake work, they may be r:equired
<br />to be licen::;ed in accordance with state and local regulations. If the contractor is not
<br />licensed a::; required by la~l, both the O~Uler and contractor may be cited for' a misdelllt::c:lnOr
<br />violation under state law. If the owner or intended contractor are uncertain as to ~~lat
<br />licensing requirements may apply for the intended work, they are advised to contact tIle
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor Sections" ot this application tor 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 work. If the contractor wislles
<br />you to sign as contractor that may be an indication that he is not properly licBllsed and is
<br />not entitled to permitting privileges in the City of ~ephydlills.
<br />C. 'l'R}l.NSE'OR'rA'rION H1PAC'1' fEES AND U'fILI'I'Y CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAP'rER 713, FLORIDA S'rA'rU'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 h'lorida Department of Agriculturt::
<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 AlfFIDAVl'r
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance Hith all applicable laws regulating construction, zoning, and land
<br />devt::loprnent.
<br />Application is hereby made to obtain a penni t to do \lOrk and installation as indicated. I
<br />certify that no work or installation has couunenced 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, zoniny regulations, and land development regulations in the jurisdicUOll. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended ~JOrk, and that it is my responsibility to identify what actions I must tcdu: to
<br />be in comp] iance. Such agencies include but are not limited to: A'Dep.ntment of
<br />~nvironmental Regulation-Cypress Bayheads, Wetland Areas and Environlllelltally Sensitive
<br />Lands, Water-/Wastewater 'rreatment
<br />*Southwe~t Florida Water Management District-Wells, Cypress Bayh~ads, Wetland Areas,
<br />Altering Watercourses
<br />"Army Corps of Engilleers-SeaHalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, EnviJ.:onmental Health Unit-Wells,
<br />Wa~tewater Tr~atment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
<br />understood that a drainage plan addressing a "compensating volume" ~Jill 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 con::;trued to be a license to proceed with the work and not as
<br />authority to violate, cancel, alter, or set aside any provisions of tbe 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 />i::;sued shall become invalid unless the work authorized by such permit is COllunenced within
<br />six month", 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 conuuenced. 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 ~niting 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 TO OWNER: YOUR E'AILURE TO RECORD A NO'l'ICE OF COIYJMENCEMENT MAY RESUI/I' IN YOUR
<br />PAYING TWICE FOR IMPROVEMEN'I'S '1'0 YOUR PROPERTY. IE' YOU INTEND '1'0 OB'l'AIN lfINANCING, CONSULT
<br />WI'l'H YOUR LENDER OR AN A'r'l'ORNEY BElmRE RECORDING YOUR NOTICE OF COMMENCEMENT. ,lOBS UNDER
<br />$2,500 IN VALUE DO NO'l' NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCENEN'r".
<br />
<br />SIGNATURE: OWNER OR AGEl'l'I'
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />s'r'ATE OF FLORI DA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by
<br />
<br />ackno"lledged
<br />, 19_
<br />
<br />STA'l'E OF FLORIDA
<br />COUNTY OF
<br />'l'he foregoing instrument was
<br />Before me this _day of
<br />by
<br />
<br />acknowledged
<br />19
<br />
<br />(name of person acknowledged)
<br />o who is personally known to mt:l, or
<br />
<br />(name of person acknowledged)
<br />O,ho is personally known to me, or
<br />
<br />Dwho has produced
<br />(type
<br />and ",hoD did Ddid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Owho has produced
<br />(type of identification)
<br />and who Ddid [Jdi d not take an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of per~on taking acknowledgment
<br />
<br />-
<br />NamE: typed, printed or stamp<::d
<br />
<br />Name typed, pri nted or l:>tamped
<br />
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