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CONDITIONS OF PERMIT AFFIDAVIT
<br /> A. NOTICE 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 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 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 - 788 -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 Sections" 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 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 STATUTES, AS AMENDED)
<br /> 1 certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br /> lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br /> and Consumer Affairs. If the applicant is someone other that the "owner ", I cerify that 1
<br /> have obtained a copy of the above described document and promise in good faith to deliver
<br /> it to the "owner" 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 /> be done in compliance with all applicable laws regulating construction, zoning, 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 construction, City
<br /> codes, zoning regulations, and land development regulations in the jurisdiction. 1 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 must 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 Treatment, 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 "A" 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 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 period, 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 OBTATN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN AT' ORr3Y BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br /> $2, of I ' DO NO'S EEI TO '.. ORD AND POST A "NOTICE OF COMMENCEMENT".
<br /> 1 1,10 6 .-
<br /> SI RE: OWND' 1 1111910 F r - SIGNATURE: CONTRACTOR
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<br /> STATE OF FLORI ' L �� ' STATE OF FLORIDA / ii hOYO0
<br /> COUNT OF 1 i' S U COUNTY OF j
<br /> The foregoing in trumen was acknowledged The foregoing ins r ment wa= - e. edged
<br /> Befo k�m hia I9 day of .fp Qr L , 4-i Before this � '_ ay of *u ' , ,..-.
<br /> by L - ►'0 (j l•V 0 Wei L by 04"7„4.-{
<br /> L j 1 ,
<br /> (name of person acknowledged) (name of person acknowledged)
<br /> 9
<br /> is personally known to me, or is personally known to me, or
<br /> who has produce• /who has produced
<br /> (t •e of identification) (type of identification)
<br /> and who❑ . - d ■• d of take an oath. and wh.', V di, /.id not take a n oath
<br /> / - ' _A 4 . .
<br /> signat Vf • / - •.iiRg ' •A'c Aowledgement Sign:tur- Ir
<br /> of . erson taking acknowledgment
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