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<br />CONDITIONS OF PERMI~ AFFIDAV~T
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that t:his pel:mlt may bl~ :lUb:je:c:t: 1:0 "deed restrictions" which
<br />may be more restrictive than City regulat:icnls. Th.~ undenrLqned assumes responsibility fqr
<br />compliance with any applicable deed res:tl:ictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRAC'I'OH FlB:SPONSI13IIJITn:S
<br />If the owne~ ha,s hired a contractor or contt'actors to undE!.r1:ake work, they lllay be required
<br />to be licensed in accordance with state and local :(e<gulatJ.olls. If the contractor is not
<br />licensed as required by law, both the owner' and contractc,r may be cited for a misdemeanor
<br />violation under state law. If the owner or intendl!d cont:rac:tor are uncertain as to what
<br />licensing requirements may apply for the intended 11'l0rk, t:hey are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furthermore, if the owner has hired a contractor 0;( contracl:ors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor Sec1:ions" of this application for which they
<br />will be responsible. If you, as the owner signs as the conl:ractor, you are indicating that
<br />you, rather than the contractor, are responsible fC)r the wo:t'k. If the contractor wishes
<br />you to sign as contractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privileges in the City cJf 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 a .:::opy of "Florida's Construction
<br />lien Law - Homeowner's Protection Guiden prepared by the FllJrida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other thi~t the "ownern, I cerify that I
<br />have obtained a copy of the above described document and pr'Jmise 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 c'Dnstruction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no work or installation has commenced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all laws re,~lating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that" I understand that the regulations of other governmental agencies 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 to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Ar.my Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, 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 "An or "A,etc.", it is
<br />understood that a drainage 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 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 t~e Building Official 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 authorized by the permit: is suspended or abandoned for a
<br />period of six months after the t~e the work is commenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. 'l'he extension shall 'be requested
<br />in writing to the Building Official. An approved inspection must be logged during each si~
<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, CoNSUL'l
<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 COMMENCEMENTn.
<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 />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 />(name of person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />(name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and whoDdid Ddid not take an oath.
<br />
<br />D who has produced
<br />(type of identification
<br />and who Ddid ~id 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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