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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that Lhi~ permit may be subj~ct to "deed restrictibn~H which
<br />may be more restrictive than City l:egulations. 1'he \lI1dersigned assumes responsibility for
<br />compliance with any, applicable de~d restrictions.
<br />B. UNLICENSED CONTRAC'l'ORS AND CONTRAC'I'OR RESPONSIBIl,I1'IES
<br />If the o~mer has hired a contractor or contractor~ to undertake work, they may be required
<br />to be licensed in accordance with state and local regulations. If the contractor il;; not
<br />licensed as required by laVI, both t.he a.mer and contractor Inay be cited for a misdemeanor
<br />violation under state laVI. If the owner or intended contractor are uncertain al;; to wllat
<br />licensing requirements may apply for the intended work, they an: advised to contact the
<br />City of Zephy.dlills Building Department, t:ll3-7B8-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised 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, ratller than the contractor, are responsible for the work. If the contractor 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 :!.ephyrhills.
<br />C. 'l'RANSPOR'!'ATION H1PAC'!' )!'EES AND UTUI'l'Y CONNEC,!'ION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAP'fER 713, FLORIDA STA'l'UTES, AS AMENDlW)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Conl;;truction
<br />lien LaH - Homeowner's Protection Guide" prepared by the Inorida Department of Agriclllture
<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 faitll to deliver
<br />it to the "owner" prior to commencement.
<br />E. CONTRACTOR' S/OWNER' S Ar'FIDAVIT
<br />I certify th~t all the intormation in this application is accurate and that all woxk VIill
<br />be done in compliance with all applicable laHs regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtai.n a permit to do \VDrk and installation as indicated. I
<br />certi fy that no \rlOrk OJ: installation has commenced prior to issuance ot a pel:mi t 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 vlOl:k, and that it is my l:esponsibility to identify what actions I must take to
<br />bt: in compliance. Such agt:ncies include but are not limited to: *Depa.rtment of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water-lWastewatc::r Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheadl;;, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*lJepcntment of Health &. Rehabilitative Service.::;, Environmental Health Unit-Wells,
<br />Wa.::;tewater Treatment, Septic Tanks
<br />*U.~. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.H, 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 Hith the work and not as
<br />authority to violate, cancel, alter, or set aside any provisions of tile Lc::chnical codes,
<br />nor shall issuance of a permit prevent the Building Official from there~fter 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 sllch permit i.s cOllunenced within
<br />six montlls of issuance, or if Hork authorized by the permit is suspended or abandoned for a
<br />period of six months after the time the work is conunenced. 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 />11Ionth period, or the project will be considered abandoned.
<br />WARNING '1'0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEMEN'l' MAY RESUI/!' IN YOUR
<br />PAYING 'rWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN'fEND TO OB'rAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COlvJMENCEMEN'l'. JOBS UNDER
<br />$2,500 IN VALUE DO NO'I' NEED ']'0 RECORD AND POS'!' A "NO'fICE O~' COMMENCENEN'I"'.
<br />
<br />SIGNATURE: OWNER OR AGEN'!'
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OE'
<br />The foregoing instrument was
<br />Before HIe this ._day of
<br />by ____.___
<br />(name of person acknowledged)
<br />OJho is personally known to me, or
<br />
<br />STNfE OF FLORIDA
<br />COUN'l'Y OF-
<br />The foregoing instrument was
<br />Before me this ___ day of
<br />by
<br />
<br />acknovJledged
<br />, 19_
<br />
<br />acknowledged
<br />, 19
<br />
<br />(name of person acknowledged)
<br />o who is personally known to me, or
<br />
<br />o VIho has produced___
<br />(type of identification)
<br />and vJhoD did Ddid not take an oatiL
<br />
<br />Dwho has produced
<br />(type of identification)
<br />and .Jho Odid [}did not tCike Cin oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or ~tarnped
<br />
<br />Name typed, printed or stamped
<br />
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