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<br />CONDl'l'IONS OF PERNI'!' AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'1'he underaigned understands thijt this permit may be subj ect to "deed restd.ctions" Hhich
<br />may be more restrictive than City regulations. The undersigned assumes responsibility fo~
<br />compliance with any applicable deed restriction~.
<br />B. UIH,lCENSED CON'l'RAC'l'ORS AND CON'l'RAC'l'OR RESPONSIBIT.I'l'IES
<br />If the o~..mer 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 />lic611sed as required by la~l, both the o~mer and contractor may be cJted for a lIIi.adell\eallOr
<br />violation under state law. If tlH::: oWller or intended contractor are uncertain as to Hhat
<br />licensing requirements may apply for the intended work, they are advised to contact tlae
<br />Ci ty of Zephyrhill s Building DepaJ::tment, B 13-7 88-6611.
<br />Ifurtherlllore, 1 f the OHner bas hired a contractor or contractors, he is advlsed to have the
<br />contractor (8) sign portions of the "Contractor Sections" of this appli.cation for Hhich they
<br />will be responsible, If you, as the ovmer signs CIS the contractor, YQlI are indicating that
<br />you, rather than the contractor, are responsible for the wor'k. 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'I'ATION lMPAC'I' !fEES AND U'!'ILI'l'Y CONNECTION fEES
<br />Do CONS'I'RUC'I'UION I,IEN LAv~ (CHAP'I'ER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided Hith a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affair's 0 If the appllcant 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 />j t to the "owner" prior to COlTUllencement.
<br />E. CON'I'RAC'I'OR' S/OWNER' S AFFIDAVI'I'
<br />I certify that all the information in this application is accurate and that all Hark will
<br />be done in compliance with all appJ.1cable laws regulatlng construction, zoning, and land
<br />development.
<br />Application is hereby made to obtai.n a permi.t to do work and installation as indicated. I
<br />certify that no ~wrk or installation has conunenced prior to issuance 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 j\lrisdiction. J also
<br />certify that I understand that the regulations of other governmental agenc1es may apply to
<br />the intended work, and that it is my responsibility to identify what actions T mllst take to
<br />be in compliance. Such agencies include but are not limited tOI *Department of
<br />EnvirOlm!ental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Bens4.tive
<br />Lands, Water/Waste~"ater Treatment
<br />*SouthHest E'lorida Water Management District-Wells, Cypress Bayheads, Wet1and Areas,
<br />Altering Watercourses
<br />"'Army Corps of Engilleers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabllitative Services, Environmental. Health lJn1t-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 \'Ih1ch
<br />is prepared by a professional engineer registered in tlle state of Florida prior to pennit
<br />i.:isuance,
<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 sllall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or vio~atians of any code. Every permit
<br />issued shall become invalid unless the work authorized by such permit is OOllUlIenced within
<br />six months of isauance, or if work authorized by the perm1t is suspended or abandol}ed 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 tequeated
<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 'I'O OWNER: YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RESUL'I' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER'ry. IF YOU INTEND TO oB'rAIN E'INAtH";ING, ~qN~UL'!'
<br />WlTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMIvtENCEMEN'r, JOBS UNDER
<br />$2,500 IN VALU&: no NOT NEED '1'0 RECORD AND POS'l1 A "NOTICE OF COMMENCEMEN'llll.
<br />
<br />S T GNA'l'l1RE : OWN ER OR AGENT
<br />
<br />SIGNA'I'URE: CONTRACTOR
<br />
<br />s'rA'rE Of Ii'LORIDA
<br />COUNTY OE' --..
<br />The foregoing instrument Has acknowledged
<br />Before me this ____ day of ______" 19_
<br />by.
<br />(name of person acknOWledged)
<br />DHho 1s personally known to me, or
<br />
<br />o who has produced
<br />(type
<br />and whorl did []did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />STA'rE OF I!'LORIDA
<br />COUNTY OF
<br />Thefor'egoing instrument WqS ackrlOHledged
<br />Before me this __----S-iay of---, 19 ,_~_
<br />by
<br />(name of person acknoHledged)
<br />[1ho is personally known to me, or
<br />
<br />o who has produced__._ ____.____
<br />(type of identifioation)
<br />and Hho Odid []Jid not take all oath
<br />
<br />Signatur.e of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />-
<br />l'lame typed, pri.nted or stamped
<br />
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