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<br />CONDITIONS O~ PER~I~ A~~~DAVI~
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perml t may b,~ flUb j ec:t -to "deed restrictions" which
<br />may be more restrictive than City regulations. The unde.rsigned assumes responsibility for
<br />compliance with any applicable deed restric:tions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR l~ESPONSIBnITIE::3
<br />If the owne~ h~s hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with state and local re:qulat:ions. If the contractor is not
<br />licensed as required by law, both the ownex and cont,,[actc.r may be cited for a misdemeanor
<br />violation under state law. If the owner OI' intended c:ont:ractor are uncertain as to what
<br />licensing requirements may apply for the intended work, 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 or contractors, he is advised to have the
<br />contractor (s) sign portions of the "Contractor Section::;" of this application for which they
<br />will be responsible. If you, as the owner signs alS t:hE! contractor, you are indicating that
<br />you, rather than the contractor, are responsible 1:0J( 1:he work. If the contractor wishes
<br />you to sign as contractor that may be an indication 1:hat he is not properly licensed and is
<br />not entitled to permitting privileges in the City of :~ephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION 11'EES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STA'r1J~rES, AS AMENDED)
<br />I certify that I, the applicant, have been provided .",U:h 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 oth,er that the "owner", I cerify that I
<br />have obtained a copy of the above described Clocument 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 applicatio,n is accurate and that all work will
<br />be done in compliance with all applicable laws regula,ting construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do ~~Irk and installation as indicated. I
<br />certify that no work or installation has commenced 11):10r 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 reguJLcltions in the jurisdiction. I also
<br />certify that' I understand that the regulations of 01c:hE~r governmental agencies may apply to
<br />the intended work, and that it is my responsibility 11:0 identify what actions I must take to
<br />be in compliance. Such agencies include but are no'!: limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland ;!\.['l~as and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*ArmY 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 abat.ement
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is
<br />understood that a drainage plan addressing a "compE!l1sating 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 t:Q 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 Buildinq Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become iJlvalid unless the work authori:zed by such permit is conmenced within
<br />six months of issuance, or if work authorized by th,e permit is suspended or abandoned for a
<br />period of six months after the time the work is commenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The 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. I.E' YOU INTEND TO OBTAIN FINJ\NCING, CoNSUL'I
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A "lirOTICE OF COMMENCEMENT".
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STA'fE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Before me this -----pay of
<br />by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Before me this _ day of
<br />by
<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 whoOdid Odid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />(name of person acknowledged)
<br />[lfho is personally known to me, or
<br />
<br />[] who has produced
<br />(type of identificatipn
<br />and who Odid [):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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