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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED REStRICTIONS
<br />The undersigned unders~ands that this permit may be subject to "deed restrictions" which
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any ap~licable deed restrictions.
<br />B. UNLICENSED CONTRAC~ORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accondance with state and local regulations. If the contractor is not
<br />licensed as required b law, both the owner and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to what
<br />licensing requirements ay apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-780-0020.
<br />Furthermore, if the own r has hired a contractor or contractors, he is advis,.d to have the
<br />contractor(s) sign port'ons of the "Contractor Sections" of this applicatlon for which they
<br />will be responsible. I you, as the owner signs as the contractor, you are lndicating that
<br />you, rather than the co tractor, are responsible for the work. If the contractor wishes
<br />you to sign as contract r that may be an indication that he is not properly licensed and is
<br />not entitled to permitt n9 privileges in the City of Zephyrhills.
<br />C, TRANSPORTATION IMPA T FEES AND UTILITY CONNECTION FEES
<br />D, CONSTRUCTUION LIEN AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that r, the a plicant, have been provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's r()tection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. f 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 "ownerll prior t(!l commencement.
<br />E, CONTRACTOR'S/OWNER' AFFIDAVIT
<br />I certify that all the 'nformation 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 ma e to obtain a permit to do work and installation as indicated. I
<br />certify that no work or 'nstallation has commenced prior to issuance of a permit and that
<br />all work will be perform d to meet standards of all laws regulating construct:.on, City
<br />codes, zoning regulation, and land development regulations in the jurisdiction. I also
<br />certify that I understan that the regulations of other governmental agencies may ~pply to
<br />the intended work, and t a~ it is my responsibility to identify what actions I must take to
<br />be in compliance. Such gencies include but are not limited to: *Department c,f
<br />Environmental Regulation Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater reatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />"Army Corps of Engineers
<br />"Department of Health &
<br />Wastewater Treatment, Se
<br />*U.S. Environmental Prot
<br />I also certify that, if
<br />understood that a draina
<br />is prepared by a professi
<br />issuance.
<br />A permit issued shall be
<br />authority to violate, can
<br />nor Shall issuance of a p
<br />correction of errors in p
<br />issued shall become inval
<br />six months of issuance, 0
<br />period of six months afte
<br />may be allowed for the pe
<br />in writing to the Buildin
<br />month period, or the proj
<br />WARNING TO OWNER: YOUR F
<br />PAYING TWICE FOR IMPROVEM
<br />WITH YOUR LENDER OR AN AT
<br />$2,500 IN VALUE DO NOT NE
<br />
<br />SIGNATURE:
<br />
<br />OWNER OR AGENT
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument w s
<br />Before me this _ day of
<br />by
<br />
<br />S~awalls, Docks, Navigable Waterways
<br />e~abilitative Services, Environmental Health Unit-Wells,
<br />dc Tanks
<br />ction Agency-Asbestos abatement
<br />ill material is to be used in Flood Zone "A" or "A/etc.", it is
<br />plan addressing a "compensating volume" will be submitted which
<br />nal engineer registered in the State of Florida prior to permit
<br />
<br />onstrued to be a license to proceed with the work and not as
<br />el, alter, or set aside any provisions of the technical codes,
<br />rmit prevent the Building Official from thereafter requiring a
<br />ans, construction, or violations of any code. Every permit
<br />d unless the work authorized by such permit is commenced within
<br />if work authorized by the permit is suspended or abAndoned for a
<br />the time the work is commenced. One 90 day extension of time
<br />mtt with fee charge of $15,00, The extension shall ~e requested
<br />~fficial. An approved inspection must be logged during each six
<br />ct will be considered abandoned.
<br />HURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />N1'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />OlNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />D TO RECORD AND POST A "NOTICE, OF CnNCEMENT".
<br />
<br />~IY. ~
<br />
<br />SIGNA E: CONTRACTOR
<br />
<br />acknowledged
<br />, 2CL-
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing in
<br />Before me his
<br />by
<br />
<br />k.~
<br />~'A2~
<br />
<br />(name of person ackno l~dged)
<br />Owho is personally known to me, or
<br />
<br />
<br />Owho has produced
<br />(type 0
<br />and whoO did Odid not t
<br />
<br />Signature of person taking
<br />
<br />Name typed, printed or stam eld
<br />
<br />
<br />o who has produced
<br />(type of identification)
<br />D:iid not
<br />
<br />dentification)
<br />an oath.
<br />
<br />
<br />aknowledgement
<br />
<br />............"
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