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<br />CONDITIONS OF PEPJv1I'I' AFFIDAVIT
<br />
<br />A. NO~lCE OF DEED RESTRIC~IONS
<br />. The.undersigned understands thijt lhis p~rmit may be subject ~o "deed restriationsH ~hich
<br />may be more restrictive tllan City regulations. The undersigned assumes responsibility f0r
<br />aomplii:lllCe with any applicable deedcestl:ictions.
<br />"B. UNLICENSED CON'l'RAC'l'ORS AND CON'l'HAC'l'OH HESI:'ONS IBII.I'l'IES
<br />If tile owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with state and local reyulations. If the contractor is not
<br />licensed as required by law, both the owner and contractor may be cited for a miademeallor
<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, 813-78B-6611.
<br />FurtheJ:more, if the owner has hired a contractor or contractors, he 1a advised to have the
<br />contractor(sl sign portions of the "Contractor SectionsH of this application for which they
<br />v/ill be responsible. If you, as the ovmer signs as the contractor, YQ4 are i.ndicating that
<br />you, rather than the contractor, are responsible for the work. If the contracto!.' wishes
<br />you to 51gn as contractor that may be an ind1cation that he is not properly licensed and is
<br />Ilot entitled to permitting privil~ges in the city of Zephyrh1lls.
<br />C. 'l'RANSl:'OR'!'A'rION IMI?AC'l' FEES AHD U'!'ILI'l'Y CONNECTION ~'EES
<br />D. CONS'PRUCTUION LIEN LAW (CHAP'l'ER 713, FLORIDA s'rATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "FloJ:ida'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 "owner", I cerify that I
<br />!Iave obtained a copy of the above described document and promise in good faith to deliver
<br />1t to the "ownerH prior to commencement.
<br />E. CON'rRAC'rOR' a/OWNER'S AFFIDAVI'P
<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 />dev~lopment.
<br />Applioation is hereby made to obtain a permit to do work and installation as indioa.ted. I
<br />ce,l:tify that no Hark or installation has commenced prior to iSl;luance of a permit and that
<br />all work will be performed to meet standards of all laws regulating c6nstruotion, City
<br />codes, zoning regulations, and land development regulatlons in the juri::idiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />tile intended work, and that it is my responsibility to identify what aotions I "mst take to
<br />be in compliance. Such agencies include but are not limited tOI *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Ben~.tive
<br />Lands, Water/Wastewater Treatment
<br />*Soutllwest 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.6. Environmental I?roteation Agency-Asbestos abatemf'mt
<br />1 also oertify 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 Hhich
<br />is prepared by a professional engineer registered in the State of florida prior to permit
<br />iasuance.
<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 p.l;ovisions of the technioal codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, ~on~truction, or vio~ations of any oode. every p.,~it
<br />issued shall beoome invalid unless the ~-Iork. authori:l;ed by such permit is oOllunenced within
<br />aix months of issuance, or if \-Iot"k authorized by the permlt il;l l;Iuspended or abandol1@d for a
<br />period of s12t months after the time the work is commenced. One 90 day eKtension of time
<br />may be allowed for the permit with fee charge of $15.00. The eKtension shall be tequea~ad
<br />in writing to the Building Official. Ju1 approved inap~ction must be logged during each 15tH
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNElRI YOUR FAILURE '1'0 RECORD A NorrrCE OF COMMENCEMEN'l' MAY RESUL'!' IN YOUR
<br />E'AYING 'l'WICE FOR IMPROVEMEN'l'S TO YOUR PROPERrry. IF YOU INTEND TO OB'rAIN FINANqINq. _~'~N~UL'r
<br />WI'!'H YOUR LENDER OR AN A'!"l'ORNEY BEFORE RECORDING Y NOTICE OF COMMENCEMEN'l'. JOBS UNDER
<br />$2,500 IN VALUE DO NO'l' NI!:ED '1'0 RECORD AND POS'l' "NOrrre, F" ENCEMEN'r" .
<br />
<br />.....)
<br />
<br />
<br />SIGHA'l'URE: OWNER OR AGENT
<br />
<br />STA'n OF FLORIDA
<br />COUN'l'Y OF
<br />The foregoing instrument w~a acknowledged
<br />Before me this ~ay of----, 19....:.._
<br />by
<br />(name of person acknowledgedl
<br />Qho is personally known to me, or
<br />
<br />s'rA'rlll Qlf FLORIDA
<br />COUNTY OF
<br />The foregolng instrument was acknowledged
<br />Before me thia ______ day of ____, 19_
<br />by
<br />(name of person acknowl~dged)
<br />Dwho is personally known to me, or
<br />
<br />[] who has produced
<br />(type
<br />and who[] did [Jdid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Owho has produced
<br />(type of identifioation)
<br />and vlha Ddid DUd not t.ake an oath
<br />
<br />Signature of peraon taking acknowledgement
<br />
<br />Signature of person taking aoknow.l.edgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, p.dnted or. stamped
<br />
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