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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRI' TONS <br />The undersigned understan. that this permit may be subject co ~deed restrictionsU which <br />may be more restrictive than City regulations. The undersigned assumes responsibility for <br />compliance with any applicable deed restrictions. <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br />If the owner has hired a contractor or contractors to undertake workl 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 lawl 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 workl they are advised to contact the <br />City of Zephyrhills Building Departmentl 813-788-6611. <br />Furthermore I if the owner has hired a contractor or contractors I he is advised to have the <br />contractor(s) sign portions of the ~Contractor SectionsU of this application for which they <br />will be responsible. If youl as the owner signs as the contractorl you are indicating that <br />youl rather 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 Zephyrhills. <br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES <br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTESI AS AMENDED) <br />I certify that II the applicantl have been provided with a copy of ~Florida/s Construction <br />lien Law - Homeownerls Protection Guideu prepared by the Florida Department of Agriculture <br />and Consumer Affairs. If the applicant is someone other that the ~ownerl/I 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 ~ownerl/ prior to commencement. <br />E. CONTRACTOR'S/OWNERIS 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 I zoningl 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 constructionl City <br />codesl zoning regulations I 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 workl 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 Bayheadsl Wetland Areas and Environmentally Sensitive <br />Lands I Water/Wastewater Treatment <br />*South~est Florida Water Management District-Wells, Cypress Bayheadsl Wetland Areasl <br />Altering Watercourses <br />*Army Corps of Engineers-Seawallsl Docksl Navigable Waterways <br />*Department of Health & Rehabilitative Servicesl Environmental Health Unit-Wellsl <br />Wastewater Treatmentl 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 ~AI/ or ~A/etc.1/1 it is <br />understood that a drainage plan addressing a ~compensating volumeu 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 violatel cancell alter, or set aside any provisions of the technical codesl <br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a <br />correction of errors in plansl constructionl 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 issuancel 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 periodl or the project will be considered abandoned. <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCINGI CONSULT <br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER <br />$2/500 If VALUE DO NOT NEED TO RECORD AND POST A ~NOTIC:~F COMMENCEMENTI/. <br /> <br /> <br />/ -- t, O:~NT ~ <~O: <br /> <br /> <br />STATE OF FLORIDA ,0 /0' <br />COUNTY OF ~ S' \.. 0 <br />The foregoing instrument was acknowledged <br />I ~ ;Jobh Before me this ;ro !i..ay of Ocr-- I ~6 <br />by La.Y\U-~-M <br />n6_ (name of person acknowledged) <br />;Who is personally known to mel or <br /> <br /> <br />Signature <br /> <br /> <br />take an oath <br /> <br />of identification) <br />take an oath. <br /> <br />and <br /> <br />dgement <br /> <br />dgment <br /> <br />Name typ <br /> <br />Name typ <br />