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<br />CONDITIONS OF PERNH' AFFIDAVIT
<br />~: NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands th~t Lhi~ permit may be subject to "deed restriotionsff wllich
<br />may be more restrictive than City regulations. The undersigned assumes responsibilit; for
<br />compliance with any applicable deed restriction~.
<br />B. UNLICENSED CON'I'RAC'I'ORS AND CON'rAAcTOR RESPONSIBII.I'I'IES
<br />If the Ovlner has hired a contractor or contractors to undertake work, they may be requin,d
<br />to bl:: licensed in accordance wit.h :>tate and local regulations. If the contracl:or is not
<br />licensed as required lJy lavJ, both the OHner and contractor may be cited for a 1ll1sdemeanor
<br />violation under state law. If the owner or- intended contractor are uncertain as to vlhat
<br />licensing requirement:> may apply for the intended work, they are advised to contact the
<br />City of Zephydlill s Building Department, 613-'786-6611.
<br />l!~urtherlllorc=, if the owner has hired a contractor or oontractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor Sectionsff of this application for which they
<br />will be responsible. If you, as the owner s.igos CIS the contractor, yo\.! are indiaatlng 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 />llot entitled to permitting privil~ges in the City of Zephyrhills.
<br />C. 'I'RANSPOR'l'ATION IMPACT FEES AND U'l'UI'l'Y CONNECTION ImES
<br />D. CONS'l'RUC'I'lJION LIEN LM~ (CHAP'l'ER 713, FLORIDA STATUTES, AS AMENDED)
<br />1 certify that I, the applicant, have been provided with a copy of "Florida's Constrllction
<br />lien Law - Homeowner's Protection Guldeff prepared by the Florida Departmellt of Agrioulture
<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 faith to deliver
<br />it to the "owner" prlor to COlTunencement.
<br />E. CONTRAC'l'OR' S/OWNER' S AFFIDAVl'l'
<br />I certify that all the information in this application is accurate and that all vlOrk 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 lndicated. I
<br />certify that no Hork or installatlon has commenced prior to i:>suance of a permit and that
<br />all work will be performed to meet standards of all laws regulating construotion, 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 loay apply to
<br />the intended work, and that it is my responsibility to ldentity what actions I must take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />EnvirolllT!ental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Bens.J.tive
<br />Lands, Water/Waste\Vater 'freatlllent
<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 & Rehabi.litative Services, Environmental. Uealth 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 ~Au or "A,etc.ff, it is
<br />understood that a drainage plan addressing a "compensating volume"'wi.Ll be submitted \r/hich
<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 />authoril:y to vi.olate, cancel, alte!., or set aside any provisions of the teohniGal 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 beaome invalid unles:> the work authorized by such permit is COllulIenced \r/Jthin
<br />six months of issuance, or if work authorized by the permi.t i.s suspended or abandoqed tor a
<br />period of sil{ months after the time the work is conunenced. One 90 day extensi.oll of time
<br />may be allowed for the permit with fee charge of $15,00. The extellsion shall be tequested
<br />jn writing to the Building Official. An approved inspection must be logged duri.ng each l:lix
<br />month period, or the pr'oject Hill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RESUUl' IN YOUR
<br />PAYING TWICE FOR IMPROVEMEN'l'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN l!~INAN(1INq, ~9N~UL'!'
<br />WITH YOllR LENDER OR AN A'l"fORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'I'. JOBS UNDER
<br />$ ~, 500 IN VALUE: no NO'!' NEED TO RECORD AND POST A "NOrl'ICE OF COMMENCEMEN'I'".
<br />
<br />S T GHA'l'URE : OWN ER OR AGEN'I'
<br />
<br />SIGNA'I'URE: CONTRAC'fOR
<br />
<br />S'fA'fE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this ____ day of
<br />by.
<br />
<br />acknowledged
<br />, 19_
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument w~s aaknowledged
<br />Before me this .------J,iay of----, 19 __~_
<br />by
<br />(name of person acknowledged) .
<br />Qho is personally known to me, or
<br />
<br />(name of person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />[J who has produced
<br />(type
<br />and who[] did []did not
<br />
<br />o who has produced__.__. ___
<br />(type of identification)
<br />and Hho Ddid DUd not t.ake an oath
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Si.gnature of person taking acknowledgment
<br />
<br />------------------------
<br />j.i~.I~;;-tYp~.Z:Cpri.nted or stamped
<br />
<br />Hame typed, pri.nted or stamped
<br />
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