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<br />CO\'t;J!r~1.1l0NS 0:-: p~n,\1I'~\ I\FW"JDAVIT
<br />
<br />A. NO'l'ICE OB' DJlJED RES'l'RIC'I'IONS
<br />'l'he undersJgned understands that tiLLs penn1 t Il13Y hl3 s',lb.l eutl~o "deed restrJctions" Hldch-
<br />r.~3'y bt'more restrJct.:ive than City t'13qulatio'IS. 'J'he und'3t:signed assumes responsib,t lity for
<br />compliance Hi th any applicable deE,dcestd,cl:iotls.
<br />B. UNl,ICENSED CON'l'R1\C'I'ORS AND COnTHi\CTOn RIllS p:mSIBIL,ITIES
<br />I f the (J~'1ner has hired a contractor or cont r:a,:::tot's to undertake work, they may be requl red
<br />i to be 11censed in accordance wltlJ state and local reglllatJolls. If the contractor 1s not
<br />l..1.censed as required by laH, both theol^lTler and contt:,'1ctor may be cited for a lid sdemeanor
<br />violation under state law, If the' OHner or i.ntended :contractor are l1ncertaln as to Hhat
<br />Ucensing requirements may apply for the intended Iwrk, they are advised to contact the
<br />City of Zephyrhills Building Department, 013-'788-6611.
<br />B'urtherlllore, if the owner has h.il:ed a contract:or or contractors, he is advised to have the
<br />contractor (s) sign portions of the "Contractor Sections" of this app,U.cation for Hhleh they
<br />Hill be responsible. If you, as the OHner signs ~s the contractor, you are indicating that
<br />you, rather than the contractor, are responsible for the Hork. If the contractor Hishes
<br />you to sign as contractor that may be an lndicatlon that he is not properly licensed and 1s
<br />lIot entitled to permitting privileges ill the City of Zephyrhills.
<br />C. 'l'RAHSPOR'l'A'l'ION IMPAC'l' FEES AND UTILI'I'Y CONHEC'l'ION FEES
<br />D. CONS'rRtJC'rtJION LIEN LAW (CHAPTI!:R '71.3, FI.oRIDA S'l'A'l'UTES, AS AMENDED)
<br />J certify that I, the appLicant, have been provided Hlth a copy of "B'lorida's Constrllction
<br />lien LaH - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and ConSllmer Affairs. If the applJcant is someone other that the "oHner", I cerj,fy that I
<br />have obtained a copy of the above described Clocument and promise in good faith to deliver
<br />it to t.he "owner" prior to conunencement.
<br />E:, CON'I'H1\C'rOH' S/oWNEH' S AFI!'IDAVl'l'
<br />r cerU,fy that all the information in Ud.s application is accurate and that all vlOrk ~'dl.l
<br />be clone ,i,ll compU,ance ~dth ali applicable laHs regulatillg const.ruction, zonlng, and land
<br />development.
<br />1\ppl.lcatlon .is he):ehy made to obtain a perroJt to do work and installation as indicated. I
<br />certify thaI: no Hork or instal.lation has conunenced pr.i.or to issuallce of a permit: and that
<br />all Hark Hili be performed to meet standards of all laHs regulating constructJon, City
<br />codes, 'zoning regulatlons, and land development: regll.latlons in the jur.l.sd.l.ct10n. I also
<br />certify tllat I understand that the regulations of other governmental agencies may appl.y to
<br />t.he ill tended Hork, and that it is my responsibility to identify \-That act.lons I mllst: take [:0
<br />be in complJance. SlIch agencies include but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensit1ve
<br />l.ands, Water:/WasteHal:er 'I'reatment:
<br />"'Southwesl: Flor:ida Water Management Distrlct-Wells, Cypress Bayheads, Wetland Areas,
<br />1\1 ted,llg Wa tercourses
<br />"Army Corps of Ellgilleers-SeaHaIls, Docks, Navlgable WaterNays
<br />"Department: of Health & Rehabilitative Services, Environmental Health Unlt-Wells,
<br />Wastewater Treatment, Septlc 'ranks
<br />"U.S. Ellviromnental Prot.ectioll Agency-Asbestos abatement
<br />I also cer.tLf.y that, if fi.llmaterlal is to be used in I!'lood Zone "A" or \\A,etc.", it 1s
<br />understood that a drainage plan addressing a "compensat:lng volume" Hill be submJtted Hld.ch
<br />is prepared I)y a professional engineer registered in the State of Florida prior to permit
<br />issuance.
<br />A permit jasued shall be construed to be a license to proceed with the Hork and not as
<br />authority t.o violate, cancel, alter, ar set aside any provlsions of the technical codes,
<br />nor shall issuance of a permit prevent.: the BuJ..lding Official from thereafter requlring a
<br />con:eution of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become invalld unless the work authorized by such permit is commenced' w:Uhin
<br />sl}( months of issuance, or if \'1ork authorized hy the permlt is suspended or abandoned f.or a
<br />period of six months after the time the work 15 commenced. One 90 day extensioll of time
<br />may be allowed for tile permit with fee charge of $15.00. 1~e extension shall be requested
<br />ill writing to the Building Official. An approved inspection mllst be logged during each allC
<br />month ped,od, or the project Hill be considered abandoned.
<br />WARNING '1'0 OWNER: YOUR FAII,URE TO RECORD A NOTICE OF COMMENCEMEN'l' M1\Y RESULT IN YOUH
<br />PAYING TWICE B'OR IMPROVEMENTS '1'0 YOUR PROPER'ry. IE' YOU IN1'END '1'0 OB'I'AIN FINANCHIG, CONSU!!!'
<br />WITH YOUR LENDER OR AN A'r'l'ORNEY BEFORE RECORDING YOUR NOT;ICE OF COMMENCENEH'I'. ,JOBS UNDER
<br />$2,500 IN VALliE DO NO'!, NEED '!'O RECORD AND POST A "NO'rICE OF COMMENCEME'.N'l"'.
<br />
<br />-...._-------~--_._---~._----_._._.
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNA'I'URE: CON'l'R1\CTOH
<br />
<br />S'l'A'l'E OF FLORIDA
<br />COUN'l'Y OF'..
<br />'J'he forego:lng instrument Has acknowledged
<br />Before me this _.._____ day of..._____._, l!:t_,...
<br />
<br />by ____.____ ___
<br />(name of person acknowledged)
<br />[] ~'1ho is personally known to me, or
<br />
<br />[] Hho has produced
<br />(type
<br />and Hha[) dld [Jdld not
<br />
<br />STATE OF FLORIDA
<br />COUN'I'Y OF
<br />'l'he foregoing instr\1ment Has aclmo'tTledged
<br />Before me this _..._...slay of------...--, 19_~
<br />
<br />by
<br />
<br />(name of person acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />of identlfication)
<br />take an oath.
<br />
<br />o who has prodl1ced__,__________
<br />(type of identification)
<br />and "lho Ddid Diid not talc.;: an oath
<br />
<br />Signature of person taking acknoHledgement
<br />
<br />Signature of person taklng acknOHledgment'
<br />
<br />N~~~~-t~Yr;;ci~--p~i;;l ed --;;~-;"'t~-~I;;;;-----"----"
<br />
<br />Name typed, pr\.nted or
<br />
<br />s l:amped
<br />
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