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<br />CONDITIONS OF PERNIT AFFIDAVI'r
<br />A. NO'l'ICE OF' DEED RES'I'RIC'l'IONS
<br />The undel:signed undel:stands that thi:> pennit may be subject to "deed restrictions" which
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance Hitl! any applicable deed restrictions.
<br />B. UNLICENSED COi'lTRAC'l'ORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ol-mer has hired a contractor or contractors to undertake work, they may be J:'equin::d
<br />to be licensed in accordance with state and local regulations. If the contractor is not
<br />licensed as required by laH, both the mmer and contractor m~y' be cited for a misdellleanor
<br />violation under state la1rl. If the O1rmer or intended contradtor are uncertain as to what
<br />licensing requirements may apply for the intended Hork, they are advised to contact tile
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furthermore, if the ol-mer has hired a contractor or contractors, he is advised to have th<.::
<br />contractor Is) sign portions of the "Contractor Sections" of this application for Hhicll they
<br />will be responsibl<.::. If you, as the OHner 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 licensed and is
<br />not entitled to permitting privileges in the City of :c.ephyrhills.
<br />C. 'l'RANSPOR'l'A'rION IMPACT IfEES AND UTUITY CONNEC'I'ION FEES
<br />D. CONSTRUCTUION LIEN LAW ICHAP'rER 713, FLORIDA S'l'A'l'UTES, AS AMENDEr))
<br />I certify that I, the applicant, have been provided Hith a copy of "ii'lorida's Construction
<br />lien Lom - Homeowner's Protection Gtdde" prepared by the b'lorida Department of Agricutture
<br />.md Consumer Affairs. If the applicant is someone other that the "o1rmer", I cerify that J
<br />have obtain<.::d a copy of the above described document and promise in good faitll to deliver
<br />it to the "oHne:r:" prior to COllunencement.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all Hork Hill
<br />be done in compliance Hith all applicable laHs regulating construction, zonlng, and land
<br />developmellt.
<br />Application is hereby made to obtain a permit to do Hork and installation as indicated. J
<br />certify that no Hork or installation has commenced prior to issuance of a pernlit and that
<br />all 1rJOrk vdl.l be performed to meet standards of all laHs regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdictioll. I also
<br />certify that I under.::>tand that the regulations of other governmental agencies may apply to
<br />the intended HOLk, and that it is my responsibility to identify whClt acLion", I must take Lo
<br />be in compliance. Such agencies lnclude but are not limited to: ~'DepaL.tment of
<br />~nvironmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/WasteHater Treatment
<br />*SouthHest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />"'Army Corps of Engilleers-SeaHalls, Docks, Navigable WaterHays
<br />kDepartment of Health & Rehabilitative Service.;;, Environmental Health Unit-Wells,
<br />Wa~tewater Treatment, Septic Tanks
<br />'kU. ~. h:nvironmental Prot<.::ction Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used ill Flood Zone "A" or "A,etc.", it is
<br />understood that a drainage plan addressing a "compensating volume" Hill be submitted Hhich
<br />is prepared by a professlonal engineer registered in the State of Florida prior to perndt
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed Hith the work and not as
<br />authority to violate, cancel, alter, or set aside any provisions of tile technical codes,
<br />nor shall issuance of a permit prevent the Building Official from th<.::reafter requiring a
<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 Htthin
<br />six months of issuance, or if Hork authorized by the permit is suspended or abandoned for a
<br />period of six months after the tim<.:: the Hork i.s conunenced. On<.:: 90 day extension of time
<br />may be alloHed tor the permit Hith fee cllarge of $15.00. The extension shall be requested
<br />in 1riri ting to the Buildi ng Official. An approved j nspection mu.st be ] ogged during each six
<br />month period, or the project Hill be considered abandoned.
<br />WARNING TO OWNER: YOUR E'AILURE TO RECORD A NOTICE OE' COHMENCEMEN'l' MAY RESUW' IN YOUR
<br />PAYING TWICE FOR IMPROVEMEN'l'S '1'0 YOUR PROPERTY. IE' YOU IN'l'END '1'0 OB'fAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NO'l' NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMEN'f".
<br />
<br />SIGNATURE: OWNER OR AGEN'I'
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />S'fATE OF FLORIDJI.
<br />COUNTY OE'
<br />The foregoing instrument was
<br />Before me this _~ day of
<br />by
<br />
<br />acknoVlledged
<br />, 19~
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument Has
<br />Betore me this ------Pay of
<br />by
<br />
<br />ackrlOHl edged
<br />19
<br />
<br />(name of person acknowledged)
<br />o Hho is personally knoHn to me, or
<br />
<br />(name of person acknoHledged)
<br />D/ho is personally knoHn to me, or
<br />
<br />o Hho has produced
<br />(type
<br />and v/hoO did Odid not
<br />
<br />of identificatioll)
<br />take an oath.
<br />
<br />Signature of person taking acknoHledgement
<br />
<br />Signature of person taking acknoHledgment
<br />
<br />Name typed, pri nted or stamped
<br />
<br />Name typed, printed or stamped
<br />
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