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<br />CONDITIONS 0~ PERMIT AFFIDAVI~
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peJ::mit may be ~:ub:i'e,c:t: 1:0 "deed restrictions" which
<br />may be more restrictive than City requlat:io;[ls. Thl:! Llndl:!u;:Lqned assumes responsibility for
<br />compliance with any applicable deed restrictit:>ns.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOH R~SE'ONSI]U(,['rIE:~i
<br />If the owner has hired a contractor or cc.nt.l:actors tel "cUldE!r;:iike work, they may be required
<br />to be licensed in accordance with state and local J:egu.Lati.onI3. If the contractor is not
<br />licensed as required by law, both the owner and contra.::tor lRay be cited for a misdemeanor
<br />violation under state law. If the owner or intended c<:mtral::tor are uncertain as to what
<br />licensing requirements may apply for the in1i:ended 'ofork" they are advised to contact the
<br />City of Zephyrhills Building Department, 81:3-788-6611.
<br />Furthermore, if the owner has hired a contractor or c:ontr.:1c1:ors, he is advised to have the
<br />contractor (s) sign portions of the "Contrac1:or Sections" ,jf this application for which thel
<br />will be responsible. If you, as the owner signs as the cQn1:ractor, you are indicating that
<br />you, rather than the contractor, are respon::lible for the work. If the contractor wishes
<br />you to sign as contractor that may be an indication that he is not properly licensed and i!
<br />not entitled to permitting privileges in thl:! City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with .:1 (:opy of "Florida's Construction
<br />lien Law - Homeowner's Protection Guide" prl!pared by the :rlorida Department of Agriculture
<br />and Consumer Affairs. If the applicant is :3omeone 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. 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 compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a penrnlt to do work .:lnd installation as indicated. I
<br />certify that no work or installation has cormnenced prior 1to issuance of a permit and that
<br />all work will be performed to meet standardu of all laws :r:equlating construction, City
<br />codes, zoning regulations, and land developr~ent regulations in the jurisdiction. I also
<br />certify that I understand that the requlations of other gc:>vernmental agencies may apply to
<br />the intended work, and that it is my respon:3ibility to identify what actions I must take tc
<br />be in compliance. Such agencies include bu1: are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, lfetland Areas i:lnd Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management Distric1:-Wells, Cypre:3s Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Nilvigable Waterways
<br />*Department of Health & Rehabilitative Services, Environml~ntal Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U. S. Environmental Protection Agency-Asbes1:os abatement
<br />I also certify that, if fill material is to be used in Flc:>od Zone "A" or "A, etc.", it is
<br />understood that a drainage plan addressing a "compensatinc;J volume" will be submitted which
<br />is prepared by a professional engineer regil3tered in the State of Florida prior to permit
<br />issuance.
<br />A peDnit issued shall be construed to be a license to proceed with the work and not as
<br />authority to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a permit prevent the Building Offic:i.al from thereafter requiring a
<br />correction of errors in plans, construction,. or violations of any code. Every permit
<br />issued shall become ipvalid unless the work authorized by such permit is commenced within
<br />six months of issuance, or if work authoriz4:!d by the permit is suspended or abandoned for a
<br />period of six months after the time the work is conmenced. One 90 day extension of time
<br />may be allowed for the permit with fee charqe of $15.00. The extension shall be requested
<br />in writing 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 FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _ day of _
<br />by
<br />
<br />,
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _day of
<br />by
<br />
<br />acknowledged
<br />
<br />acknowledged
<br />
<br />,
<br />
<br />(name of person acknowledged)
<br />o who is personally known to me, or
<br />
<br />o who has produced
<br />( type
<br />and whoDdid Ddid not
<br />
<br />(name of person acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced
<br />(type of identification)
<br />and who Ddid [):lid not take an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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