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<br />CONDITIONS OF PERlvlIT AFFIDAVIT
<br />A. NOTICE O~ DEED RESTRICTIONS
<br />'rhe undersigned understands thqt t.lll,;; penrli t may be sub] eet to "deed restriotions" wIdell
<br />may be more restrictive than City reguL:,tions. ']'be llndel:sj gned assumes responsibility for
<br />compliance with any applicable debd restrictiuns.
<br />B. UNLICENSED 'CON'l'RAC'l'ORS AND CON']'RACTOR RESPONSIBIT,I'l'IElS
<br />If the owner lias 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 is Ilot
<br />Ii oensed as requl.r'ed by law, both the ovmer and contractor may be ci ted for a ndlidemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to vlhat
<br />licensing requirements may apply for tile intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Fla-thermol.-e, if the owner has hired a contractor or contrautors, he is advised to have the
<br />contractor(s} sign portions of the "Contractor Sections" of this application for \'Ihich they
<br />v~i11 be l:esponsible. If you, as the owner signs as the contractor, YQ\,I are indicating that
<br />you, lather than the contractor, ar'e responsible for the work. If the contractor' Hishes
<br />you to sign as uontractor that mOlY be an indication that he is not pr-operly licellsed alld is
<br />not entitled to permitting priv1.leges in the City of ZephyrhUls.
<br />C. 'l'RANSPOkr!'A'fION IMPAC'!, FEES AND U'l'UI'l'Y CONNECTION FEES
<br />D. CONS'l'RUC'fUION l.IEN LAvJ (CIiAP'l'ER 713, FLORIDA STATUTES, AS AMENDED)
<br />f cel~tify that I, the applicant, bave been provided with a copy of "Iflorida's Construction
<br />11.en Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Conswner Affairs. If the appl1.cant is someone other that the "owner", 1 eerity that I
<br />llave obtained a uopy of the above described document and promise in good faith to deliver
<br />it to the "owner" pri.or to commencement.
<br />E. CON'l'RAC'l'OR' S/OWNER' S AFlfIDAVI'r
<br />I certify that all the information in this application is accurate and that all \'lOrk will
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Applioation is hereby made to obtai.n a permit to do work and installation as indicated. I
<br />ce~tify that no Hark or installation has commenced pri.or to issuance of a permit and that
<br />all ~wrk ~Iill be performed to meet standards of all laws regulati.ng construction, City
<br />codes, zoning regulations, and land development regulati.ons in the jurisdiction. I also
<br />certify that I undel.:stand that the regulations of other governmental agencies may apply to
<br />the intended Hor'k, and that it is my responsibility to identlfy what actions I must take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environlllc:llltal Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sens.jtive
<br />Lands, Water/Wastewater 'freatment
<br />*Soutllwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />'Arluy Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*lJepar'tment of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wc;i'l::ltewater 'l'reatment, Septic 'ranks
<br />*U.8. Environmental Protection Agency-Asbestos abatement
<br />1 alao certify that, if fill mate~ial is to be used in Flood Zone ~A" or "A, etc.", it is
<br />l111de.t.stood that a drai.nage plan addressi.ng a "compensating volume" 'wiLL be submitted which
<br />is prepared by a professional engineer registered in t11e 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 vlolate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, oon~truction, or violations of any oode. Every permit
<br />is(iued ahall become invalid unless the Hork authorized by such permit is oOllullenced wi.thin
<br />six montlls of issuance, or if work authorized by the permit is suspended or abandoqed tor a
<br />period of eiK months atter the time the work is cOllunenced. One 90 day eKtens.Lon of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be ~eque5ted
<br />in writing to the Building Official. An approved inspection must be logged during eaChoJ:ljK
<br />month period, or the Pl:oj ect Hill be considered abandoned.
<br />WAfUHNG 'ro OWNER: ).'OUR !fAILURE 'fO RECORD A NOTICE O!f COMMENCEMENT MAY RESUL'l' IN YOUR
<br />PAYING 'TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN'fEND TO OBTAIN Ii'IHANqmq, ,~'~N~UIl!'
<br />WITH YOUR LENDER OR AN AT'roRNEY BE!fORE RECORDING YOUR NOTICE OF COMMENCEMEWI'. JOBS UNfJi!lR
<br />$2,500 IN YAW!!: DO NOT NEED TO RECORD AND POS'l' A "HCYPICE OF COMMENCEMEN'I"I.
<br />
<br />SIGNA'l'URE: OWNER OR AGENT
<br />
<br />SIGNA'l'URE: CONTRAC'l'Ok
<br />
<br />S'I'1\'l'lJl Oil' E'LORlDA
<br />COUN'l').' OF
<br />The foregoing instrument was acknowledged
<br />Before me this __ day of , 19....-
<br />by ~__
<br />(name of person acknowl,dged)
<br />[lwho is personally known to me, or
<br />
<br />o who has produced
<br />(type
<br />and who[J did [J did not
<br />
<br />STA'l'E OF nORIDA
<br />COUNTY OF ------_
<br />The foregoing instrument w~s aaknoHledged
<br />Before me this __~ay of-----, 19
<br />by
<br />(name of person acknoHledg~d)
<br />Qha .is personally known to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o Hho has produced ____
<br />(type of identification)
<br />and ~Ibo Ddid DUd not t.ake all oath
<br />
<br />Signature of person taking ackno~dedgement
<br />
<br />Signature of person takiug acknowledgment
<br />
<br />l'lame typed, printed or stamped
<br />
<br />Hame typed, prillted or stamped
<br />
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