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<br />CONDITIONS OF PEIlHIT A!TIDAVIT
<br />A. NOTICE or DEED RESTRICTIONS
<br />The undersigned understands that th1s permit may be subject to ~deed r.strictions- which
<br />may b. more restrictive than City regulations. The undersigned a..umes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CON'l'MCTOR RESPONSIBILITUS
<br />If the owner ha. hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with state and local regulations. If the contractor i. not
<br />licensed as required by law, both the owner and contractor may be cited tor a misdemeanor
<br />violation under state law. If the owner or intended contractor ere uncertain as to what
<br />licensing requir..-nts ..y apply for tbe intended work, they are advised to contact the
<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. of this application for which they
<br />will be responsible. If you, as the owner signs al the contractor, you are indicatin9 that
<br />you, rather than the contractor, are responsible for the Nork. If the contractor wishes
<br />you to si9n .s contractor that may be an indication that he i. not properly licen.ed and is
<br />not entitled to pe~ttin9 priVileges in the City of Zephyrhills.
<br />C. TIlANS!ORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAP'l'ER 713, FLORIDA STA'1'U'!'ES, AS NtEMDED)
<br />I cert1ty that I, the applicant, have b.en provided with a copy of ~Florida's Construction
<br />lien Law - Homeowner's Protection Guide- prepared by the Florida Dapartmant ot Agriculture
<br />and ConsuMer Attairs. It 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 fa1th to deliver
<br />it to the ~owner- prior to c~ncement.
<br />E. CONTPACTOR' S/OWN!R' S AFFIDAVIT
<br />I certify that all the information in this application 1s accurate and that all work wl11
<br />be don. in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application 1s hereby made to obtain a permit to do work and 1nstallation as indicated. I
<br />certiry that no work or installation has commenced prior to issuance of a permit and that
<br />all work will be performed to ..et standards of all law. regulating construction, City
<br />code., zoning regulation., and land development r.gulations in the jurisdiction. I also
<br />certify that 1 understand that the regulations of other gOYe~ntal agencies may apply to
<br />the intended work, and that it i. my re.pon.1bility to identlfY What actions I must take to
<br />be in co~liance. Such agencie. include but are not It.ited to: *DepartmeDt of
<br />Environmental Regulation-Cypre.. Bayheads, Wetland Area. and Envirouaentally Sensitive
<br />Landa, Water/Wa.tewater Treatment
<br />.Southwest Florida Water Management District-Wells, cypress Bayheads, Wetland Areas,
<br />Altering Watercour...
<br />*Axmy Corp. of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health , Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tank.
<br />*U.S. Environmental Protection Agency-Aabestos abatenent
<br />1 also cert1fy that, if fill ..terial is to be used in Flood Zone ~A- or ~A,etc.H, it ~s
<br />understood that a drainage plan addressing a ~compen.at1n9 volum.- will be submitted which
<br />is prepared by a profess1onal engineer registered in the State of Florida prior to permit
<br />iaauance.
<br />A permit issued shall be construed to be a license to proceed with the work and not a.
<br />authority to violate, cancel, alter, or set aside any provi.ions of the technical codes,
<br />nor ahall issuance ot a permit prevent the Bu1lding Otticial from thereatter requir1ng a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become Invalid unle.s tbe work authorized by .uch pe~t is commenced within
<br />six months of issuance, or if work authorized by the pe~t i. auapended or abandoned for a
<br />period ol aix montbs alter the time the work is commenced. One 90 day extension or t~me
<br />may be allowed for the permit With ree charge ot $15.00. The extension shall be requested
<br />in wr1ting to the Building Official. An approved 1napection mu.t be logged during each six
<br />month peeiod, or the project will be conaidered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE Of' COHHENCDSEN'l' HAY RESULT IN YOUR
<br />PAYING TWICE FOR IHPROVEHEHTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINNfCING, CONSULT
<br />WITH YOUR LENDER OR Nt ATTOJQlIY aEfOIl! RECORDING '{OUR NOTICI: OF COHHENCEMDlT. JOBS UNDER
<br />$2, SO lJE DO OT HOD TO RECORD AND POST A ~NOTIC OF CEMENT-.
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<br />SIG TURE: 0 R AGENT
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<br />STATE OF FLORIDA.: / ~ (h '- (}f(7/l.( ~ STATE OF FLORIDA !:It' ! fs ton'lf g:.I/
<br />COUNTY OF J;:t:.L _ t2 COUNTY OF (/
<br />The loregoing in~t~nt was i9knowledged , I The toregoing inst~ent w.II~c;ltnowledged i /
<br />Befor" ~ ttlh ~ day of f-eJJ~ ~. ~1}O't Before llIe~hh ~d.y of ~ctwj7' -*0<007
<br />by j5,iJtJect ~Maf:f by !t.k.~I2~-MaIJ"
<br />(name of pen acknowledged) (name of perso acknowledged)
<br />~o ill per.onally known to.., or ~o 1. per.onally known to me, or
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<br />o who has produced -- 0 who has
<br />(type of identification)
<br />an not tate an oath.
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<br />Si9nature ot p,er n taking acknowledgment
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<br />Na_ typed, printed or stamped
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