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<br />CONDITIONS OF PERMIT A~~~~AVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pennit Imay b,~ subjec:t to "deed restrictions" which
<br />may be more restrictive than City regulations. The und~rsigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIUTlE:S
<br />If the owne~ ha,s hired a contractor or contractors tc ur.,dertake work, they may be required
<br />to be licensed in accordance with state and local reg"la.tions. If the contractor is not
<br />licensed as required by law, both the owner and cont:Ui.ct:Clr may be cited for a misdemeanor
<br />violation under state law. If the owner or intended c:cllt:ractor are uncertain as to what
<br />licensing requirements may apply for the intended WOl:l;, 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 Gont:ractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor SectioJlf;"1 of this application for which they
<br />will be responsible. If you, as the owner signs as t::]lE~ contractor, you are indicating that
<br />you, rather than the contractor, are responsible for 'ch,e work. If the contractor wishes
<br />you to sign as contractor that may be an indicationt:tlat he is not properly licensed and is
<br />not entitled to permitting privileges in the City of Zl~phyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION~EES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 113, FLORIDA STATU'rES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />lien Law _ Homeowner's Protection Guide" prepared b~' the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone c,t,her that the "owner", I cerify that I
<br />have obtained a copy of the above described document: and promise in good faith to deliver
<br />it to the "owner" prior to commencement.
<br />E, CONTRACTOR' sImmER' 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 regulat::ing construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do 1~)rk and installation as indicated. I
<br />certify that no work or installation has commenced p.dor 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 understand that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is my responsibilit~ 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 P~eas 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 'raterways
<br />*Department of Health & Rehabilitative Services, EmTlronmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U. S. Environmental Protection Agency-Asbestos abat4!I1l.ent
<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 "compen:sating 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 Buildingr Official from thereafter requiring a
<br />correction of errors in plans, construction, or vicIlations of any code. Every permit
<br />issued shall become i~valid unless the work authorized by such permit is conmenced within
<br />six months of issuance, or if work authorized by tile permit is suspended or abandoned for a
<br />period of six months after the time the work is cOlmnenced. 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 ab.andoned.
<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'!
<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 COMMENcEMENT".
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />ST1~TE OF FLORIDA
<br />COUNTY OF
<br />Thle foregoing instrument was
<br />Before me this ---pay of
<br />by
<br />
<br />acknowledged
<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 />(name of person acknowledged)
<br />Owho is personally known to me, or
<br />
<br />Owho has produced
<br />(type
<br />and whoOdid Odid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />(name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />o who has produced
<br />(type of identificatipn
<br />amd who Odid Diid 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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