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<br />COlllll'l'IONS OF PERl'1IT AFfiDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands thqt lhil:J pj;rmit may be subject to "deed restriotions" which
<br />mC:iY be more l:esLdative than City regulations. '1'lle undersigned assumes responsibility for
<br />compliance with any applioable deed restrictions.
<br />B. UNLICENSEj) 'CON'l'RAC'l'ORS AND CON'l'RAC'l'OR RESPONSIBII,I'l'IES
<br />I f the o\,mer has hired a contractor or contractors to undertake Hork, they may be required
<br />to be licensed in accordance Hlth state and local regulat1ons. If tile contractor is not:
<br />Ii oens""d as requ1red by lav~, both the ovmer and contractor may be cj ted for a misdemeanor
<br />violation under state lav~. If the owner- or intended contractor are uncerlain as to v.hat
<br />li censing requirements may apply for the intended wOl:k, they are advised to contact the
<br />City of Zephyr.hills Building Department, 813-768-6611.
<br />Furthennol::e, if the ovmer has hin;d a contractor or contractors, he 1s adv1sed to have the
<br />cantraator(s) sign portions of the "Contractor SectionsU of this application for Hhiell they
<br />will be responsible. If you, as the owner signs as the contractor, YQU are indicating that
<br />you, l:ather than the contractor, are responsible for the Work. If the contractor Hishes
<br />you to sign as contractor that m<lY be an indication that he 1s not pl:operly licensed alld is
<br />not entitled to pennitting privil~ges in the city of Zephyrhills.
<br />C. 'l'RANi:lI:'OR'l'A'l'lON IMPAC'l' F'EES AND UTILI'l'Y CONNECTION FEES
<br />D. CONS'I'RIIC'I'UION LIEN LAW (CHAP'l'ER '713, FLORIDA S'I'ATUTES, AS AMENDED)
<br />J certify that I, the applicant, bave been provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I cerify tllat I
<br />have obtaineci a copy of the <lbove described document and promise in good faith to deliver
<br />it ta the "owner" prior to commencement.
<br />E. CON'I'RAC'l'OR' a/OWNER'S AFF'IDAVI'l'
<br />I certify tllat all the information in this application is accurate and that all work will
<br />be done in cm~liance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obta.in a permit to do Hork and installation as indioated. I
<br />certify that no v~ork or installation has co~nenced pr10r to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I undel:'stand that the regulations of other governmental agencies may apply to
<br />the intended Hork, and that it is my xesponsibility to identify what actions I nmat take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Enviralllllental Regulation-Cypress Bayheads, Wetland Areas and l!:nvironmentally Benaj,tive
<br />Li:Ulds, Water/Wastewater Treatment
<br />*Soutllwest Flor1da Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />AAJ:llIY Corps of Engineers-Seawalls, Docks, Navigable Waten~ays
<br />*lJepa1.tment of Health lie Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater 'I'reatment, Septic 'l'anks
<br />*II.S. Environmental Protection Agency-Asbestos abatement
<br />1 also certify that, 1f fill material 1s to be used in Flood Zone ~A" or "A, etc.", it is
<br />ulldet:stood that a dralnage plan addressing a "compensating volume" 'wiLL be subulitt:ed V/hioh
<br />is prepared by a professional engineer registered in tile State of floricia prior to permit
<br />il:lSUallce.
<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 codea,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requlring a
<br />correction of errors irl plans, construction, or violations of any code. Every p~xmit
<br />iSSUfi;d shall become invalid unleas th~ Ho.r:k authorized by such permit is cOllullenced Hithin
<br />six months of issuance, or if work authorized by the permit l.s suapellded or abaudolled for a
<br />period of six months after the tilDe the work ls co~nenced. One 90 day extenaion of time
<br />may be allowed for the permit with fee charge of $15,00. The extension shall be tequeated
<br />ill writing to the Building Official. An approved inspeotion must be logged during each'aix
<br />month period, or the proj<:lct vdll be considered abandoned.
<br />WARNING '1'0 OWNER: YOUR a'AlLURE '1'0 RECORD A No'nCE OF COMMENCEMENT MAY RESUL'I' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IE' YOU IN'I'END TO OB'I'AIN It'I1'lANqWq, ~qN~UI/!'
<br />Wl'l'H YOUR LENDER OR AN A'l"rORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NO'r NEED '1'0 RECORD AND POS'l' A "NCYrICE OF COMMENCEMEN'l"'.
<br />
<br />S I GNA'l'lJRE : OWN ER OR AGEl'rr
<br />
<br />SIGNA'l'URE: CONTRACTOR
<br />
<br />aclmcv;ledged
<br />,19_
<br />
<br />STA'l'E OF FLORIDA
<br />COUNTY OF
<br />'rhe foregoing instrument w~s aoknovlledged
<br />Before me this _-----Fay of----, 19
<br />by
<br />(name of person acknowledged)
<br />Qho 1s personally kno~m to me, or
<br />
<br />[] Hho has produced ____
<br />(type of identification)
<br />and Hho fJdid D-iid not t.ake all oath
<br />
<br />S'l'A'I'E OF 1fL0RlDA
<br />COUN'I'Y OF
<br />'l'he foregoing instrument Vias
<br />Before me this __ day of
<br />by.
<br />
<br />(name of person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />o who has produced
<br />(type
<br />e:llld who[] did LJ did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />I'lame typed, printed or stamped
<br />
<br />Hame typed, pr1nted or ::ltamped
<br />
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