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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTlCE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to "deed restrictions. which
<br />may be more restrictive than City regulations. The undersigned assumes resp~nsibility for
<br />compliance with any applicable deed restrictions,
<br />B. UNLlCENSED CONTRACTORS 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 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 contractor 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, 813-780-0020,
<br />Furthermore, if the owner has hired a contractor or contractors, he is advisE!d to have the
<br />contractor!s) sign portions of the "Contractor SectionsH 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 work. If the contr~lctor wishes
<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 Zephyrhills,
<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 GuideH prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "ownerH, 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 "ownern 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 />b~ done in compliance with all applicable laws regulating construction, zoninq, and land
<br />development,
<br />Application is hereby made to obtain a permit 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 performed to meet standards of all laws regulating construct'con, 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 responsibility to identify what actions I mllst 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-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 ~reatment, 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 "AH or "A,etc,", it is
<br />understood that a drainage plan addressing a "compensating 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 the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code, Every permit
<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 extensicln of time
<br />may b allowed for the permit with fee charge of $15,00. The extension shall be requested
<br />in w iting to the Building Official. An approved inspection must be logged dUlCing each six
<br />mon period, or the project will be considered abandoned.
<br />I,'-~ H;G TO OWNER: UR FAILURE TO RECORD .l\ NOTICE OF COMMl':NCEMENT MAY RESULT IN YOUR
<br />PA NG TWICE FO OVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />W. H YOUR LEND N ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$ 500 IN VALU OT EED TO RECORD AND POST A "NOTICE OF COMMENCEMENT",
<br />
<br />
<br />~ fA. -^--<> DCA--o>
<br />S IGNATU. : CONTRACTOR
<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 />, 2CL-
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoin? in!3yument w~~ledgedD\tJ
<br />Before me th~s day of , 20_
<br />by
<br />.---;./, (name of person acknowledq'ed)
<br />~ is personally known to me. or
<br />
<br />Owho
<br />
<br />(name of person acknowledged)_ ~.
<br />o who is personally known to mei'~
<br />
<br />Owho has produced
<br />(type
<br />and whoO did 0 did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />
<br />~
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Name typed, printed or stamped
<br />
<br />...........................,
<br />. J. BESWICK
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<br />.............................. ........ ,I
<br />
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