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<br />CONDITIONS OF PERl'lIT AFE'IDAVIT
<br />-A, NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands thqt lhil:l p\:Jrmit may be subject to "deed restr:ictionl':l" ilhich
<br />may be more restrictive than City r"lI;!ulations. 'rhe undersigned assumes respOnSilJility for
<br />oon~liance with any applicable deed restrictions.
<br />B. UNLICENSED CON'l'RAC'l'ORS AND CON'l'HACTOR RESPONSIBILI'l'IES
<br />If the Oimer has hired a coutractor or contractors to undertake Hark, they may be requin,d
<br />to be ljcensed 1n accordance with state and local regHlatiolls. If the contractor is not
<br />licensed as requ1red by law, both the Oimer and contractor may be cj ted for a ndsderneanor
<br />violation under state laH. If the owner or intended contractor are ullcel:tain as to vlhat
<br />Ucensillg requirements may apply for the intended work, they are adv1sed to contact the
<br />City of Zephyrhil1s Building Department, 813-788-6611.
<br />Furtherlllor-e, j f the ovmer has hired a contractor or contractors, he is adv1sed to have the
<br />oontractor (s) sign portions of the "Contractor Sections" of this application for \dlich they
<br />Hill be .responsible, If you, as the olrmer signs as the contractor, YOl! are: indioaUng that
<br />you, .rather than the contractor, are responsible for the wo.r-k, If the contractor wishes
<br />you to s19n as oontractor that may be an 1ndication that he is not properly 11cenaed and 1s
<br />!lot entitled to permitting privileges in the City of Zephyrhi.lls.
<br />C. 'l'RANSPOR'l'A'rION IMPACT fEES AND UTILITY CONNECTION IfEES
<br />lJ, CONS'l'RUC'rUION LIEN LA~1 (CHAP'l'ER '713, FLORIDA STATUTES, AS AMENDED)
<br />J oerti.fy tllat I, the applicant, have been provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Flor1da Department of Agriculture
<br />and Consumer Affairs, If the appl.i_cant is someone other that the "owner", I cerify that I
<br />!lave obbd.!led a oopy of the above described document and promise in good fai th to deliver
<br />it to the "owner" pri.or to cormnencement.
<br />E. CONTRAC'l'OR' a/OWNER'S AFFIDAVI'l'
<br />I certify that all the information in this applicaU_on is accurate and that all \lOrk will
<br />be done in compliance with all appl1cable laws regul ati.ng constructioll, zonillY, and land
<br />development,
<br />Appliuation is hereby made to obtain a permi.t to do work and installation as indicated. I
<br />certi fy that no Hork or installaU_on has cormnenced pd.or to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating oOllstruotion, City
<br />codes, zoning regulations, and land development regulat.ions .in the jurisdiction. I 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 IlIlHit take to
<br />be in compliance, Such agencies include but are not limited tOI *Department of
<br />Environmental Regulation-Cypress 8ayheads, Wetland Areas and Environmentally Sens.j.tive
<br />Lands, Water/WasteHater Treatment
<br />*Soutllwest ~lorida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />-I<ArlllY Corps of Engineers-Seawalls, Docks, Navigable Watenlays
<br />*lJepartment of Health & RE:!habilitative 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" 'Hill be suomi tted v/h1ch
<br />is prepared by a professional engineer registerE:!d in the. State of Florida prJor to permit
<br />j ssuance.
<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 />cor~ection 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 cOllulIenced wlthin
<br />six months of issuance, or if Hark authorized by the pernd.t is suspended o.r- abandor~ed for a
<br />period of aix months after the time the work is conunenced. One gO day extension of time
<br />may be allowed for the permit with fee charge of $15,00, The extension shall be tequested
<br />In wrlting to the Building Official. An approved inspection must be Jogged during each'sjx
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNERI YOUR FAILURE TO RECORD A NOTICE m' COMMENCEMENT t.1AY RESUL'l' IN YOUR
<br />PAYING 'l'\'iICE I)'OR U1?ROVl!iJVIEN'l'S '1'0 YOUR PROPER'ry. IF YOU INTEND TO oB'rAIN !PINANqINq,CqNljUI/I'
<br />WITH YOUR LENDER OR AN A'I"rORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'!'. ,JOBS UNDER
<br />$2,50D IN VALUE DO NO'I' NEED ,!'O RECORD AND POS'l' A "NO'nCE OF COMMENCEMEN'!''',
<br />
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<br />I
<br />
<br />
<br />SIGNA'l'URE: OWNER OR AGENT
<br />
<br />SIGNA'!'URE: CONTRAC'l'OR
<br />
<br />S'l'A'l'El OF FLORI DA
<br />COUN'!'Y OE' _._-
<br />The foregoing instrument was acknowledged
<br />Befor-e me this ____ day of _____, 19__
<br />by ~__
<br />(name of person acknowl,dged)
<br />Dwho is personally known to me, or
<br />
<br />STA'!'E OF FLORIDA
<br />COUNTY OF _________
<br />The foregoing instrument was acknowledged
<br />Before me this _---sjay of--------, 19
<br />by
<br />
<br />(name of person acknowledged)
<br />o.ho is personally known to me, or
<br />
<br />Dwho has produced
<br />(type
<br />and who[] did 0 did not
<br />
<br />o who has produced__.___ __________
<br />(type of identifioati.on)
<br />and vlho Ddid [}Ud not take an oath
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Harne typed, printed or stamped
<br />
<br />Name typed, printed 01.' stamped
<br />
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