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<br />CONDITIONS OF PERMIT AFFIDPVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />. .
<br />The undersigned understands that this permit may be :mbje,,::t to "deed restrictions" which
<br />may be more restrictive than City regulations. The lmden:iigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBII~ITIES,
<br />If the owner has hired a contractor or contractors to unde.rtake work, they may be required
<br />to be licensed in accordance with state and local regulations, If the contractor is not
<br />licensed as required by law, both the owner and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended cont;c'actor are uncertain as to what
<br />licensing requirements may apply for the 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 contr~ctors, 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 as the contractor, you are indicating that
<br />you, rather than the contractor, are responsible for the toi'ork. If the contractor ~Iishes
<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 Zephy'rhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, 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 by the E'lorida Department of Agriculture
<br />and Consumer Affairs. If 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 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 application is accurate and that all work will
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permdt to do work and installation as indicated. I
<br />certify that no work or installation has commenced prior to issuance of a permit and that
<br />all work will be perfor.med to meet standards of all laws regulating construction, C.ity
<br />codes, zoning ,regulations, and land development regulations in the jurisdiction, I also
<br />certify that'r understand that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is my responsibility 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 Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Well.s, cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corpa of Engineers-Seawalls, Docks, Navigable Waterw'ays
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U,S. Environmental Protection Agency-Asbestos abatement
<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 "compensating volume" will be submittE.d 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 Godes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requining a
<br />correction of errors in plans, construction, or violations of any code. Every pernlit
<br />issued shall become invalid unless the work authorized by such permit is commenced within
<br />six months of issuance, or if work authorized by the 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 six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMIV1ENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN'TEND TO OBTAIN FINANCING, CONSULT
<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 />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Before me this_day of ,1!L-
<br />by
<br />(name of person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />STATE OF FI,ORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me t,his ~day of
<br />by
<br />
<br />acknowledged
<br />19
<br />
<br />(nan~ of person acknowledged}
<br />Clrho is personally known to me, ox:
<br />
<br />o who has produced
<br />(type of identification)
<br />and whoD did.. Ddid not take an oath.
<br />
<br />o who has produced "
<br />(type of identification)
<br />and who []did Q:iid not take an oat;h
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowl€.dgment
<br />
<br />-
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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