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<br />CONDI1I'rONS OH' PER~IrI' AE'FI"[)AVIT
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The I.\.ndertil.gned understande th~t Lh:Li3 p!3rmit illay b.;: subject eo "deed restdction6" which
<br />maY be more LesLl:ictive than City r-e9ulations. 'i'll,;: luJd,;:.L"si'Jned assumes responsibility for
<br />c.:omplii:Ulce \d th any applicable d€:t:drestrictiolls.
<br />B. UNLICENSEr~'CON'l'RAC'l'ORS AND CON'l'RAC'l'OR RESl?OFlSIBILI'l'U:S
<br />If the O\>luer has hired a contractor or contractors to undertake work, they nlay be required
<br />to ptl licensed in accordance wi.th .:;tate cUld local regul,:iU.ons, If the contracto1: is IlOt:
<br />licen6ed as requlred i..ly law, both the ovmer and contraotor way i..le clted for a miademeanor
<br />violation under state law, If th", owner' 01: int",nded cOrltracto1: a1:e uncertain as. to vlhat
<br />licensing requirements may apply for the intended work, they are advised to oontact the
<br />city of Zephyrhills Building Department, 813-766-6611,
<br />Flu:thermol:e, 1 f the owner has hir-",eJ a contractor or contractors, he i.s advised to herve the
<br />contractor(s) sign portions of the "Contractor SectionsU of this application for which they
<br />vlil1 be tesponsible, If you, as the owner signs as the contractor, YQ\,! are indic:ating that
<br />you, rather than the contr-actor, are responsible for the work. If the contractor- wishes
<br />~'ou to slyn as contractor that mC\y be an indi.cC\tion that he 1s not pt-operly licensed and is
<br />llot entitled to permitting pri.vi.l~ges in the City of Zephyrhi.lls,
<br />c. 'l'AANSPOR'l'A'rroN IMPAC'l' IfEES AND U'fILI'I'Y CONNECTION FEES
<br />lJ, CONS'i1RllCTUION I,IEN LAW (CHAPTER 713, FlJORIDA STATUTES, AS AMENDED)
<br />1 certify tllat I, the applicant, have been provided with a copy of "florida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs, If the applicant is someone other that: the "owneru, I cerify that I
<br />llave obtained a copy of the above described ~ocument and promise in good faith to deliver
<br />it to the "ownerU prior to conmencement.
<br />ill. CON'rRAC'i'OR' S/OWNER' S Al!'fIDAVI'P
<br />r certify that all tile information in this application is aocurate and that all work will
<br />be done in compliance with all applicable laws regul ating constnlction, zoning, and land
<br />developmellt,
<br />Application is hereby made to obtai.n a permit to do work and installation as indioated. I
<br />ce~tify that no Hark or installation has commenced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulat.ions in the jurisdiction. I also
<br />certify that! understand that the reS:1ulations of other governmental agencies lOay apply to
<br />the intended wor'k, and that it is my responsibility to identify what aations I IllllSt take to
<br />be in compliance, Such agencies include but are not limited to; *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Bens~tive
<br />IJeHlcts, Water/Wastewater 'freatment
<br />*Soutllwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*A1:my Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*lJepartment of Health & Rehabilitative Services, Environmental Health Unit-Wel.ls,
<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.", it is
<br />understood that a drai.nage plan addressing a "compensating volume" 'will be submitted v/hich
<br />is prepared by a professional engineer registered in tlle 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 />authority to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor ahall issuance of a permit prevent the Building Of~icial from thereafter requiring a
<br />correction of errors in plans, con~truotion! or vio~~tions of any oode. Every p"mit
<br />is,iu~d ahall beoome invalid unless the Hark authori:z.ed by suoh permit ia oOllunl\lnced Hithin
<br />six months of issuance, or if work authorized by the penult is suspended or abandol!ild f9t" a
<br />period of SLK months after the time the work is commenced. One 90 day extension of tillle
<br />may be allowed for the permit with fee charge of $15.00. The extenaion shall be reques~ed
<br />ill writing to the Building Offioial. An approved inspection must be logged during each a!x
<br />month period, or the project Vlill be considered abandoned.
<br />WARNING '1'0 OWNER: YOUR Ii'AlLURE '1'0 RECORD A NO'i'ICE OF COMMENCEMENT MAY RESUL'l' IN YOUR
<br />PAYING 'l'WICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN'fEND TO OB'!'AIN li'INANqINq, {::9N~UU!'
<br />Wr'l'H YOUR LEHDER OR AN A'i"PORNEY BEIi'ORE RECORDING YOUR NOTICE OF COMMENcEMEN'r. JOBS UNDER
<br />$~, 500 iN VALUE!: DO NO'i' NEED 'l'Q RECORD AND POS'l' A "NOnCE OF COMMENCEMEN'i"',
<br />
<br />SIGNA'l'URE: OWNI1lR OR AGENT
<br />
<br />SIGNA'i'URE: CONTRACTOR
<br />
<br />of identification)
<br />take an oath.
<br />
<br />STA'!'E OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument w~s acknowledged
<br />Before me this _~ay of---, 19
<br />by
<br />(name of person aoknowledged)
<br />o.ho is personally known to me, or
<br />
<br />o who has produced . ______
<br />(type of identification)
<br />and V/ho lldid [}Ud not t.ake an oath
<br />
<br />B'!'A'i'm Oli' H'LORlDA
<br />COUNTY OF
<br />'l'he fO.l.-egoing instrument was acknowledged
<br />Before Ine this ___ day of ____, 19_
<br />by ___..__
<br />(name of person acknowl,dged)
<br />OHho is personally known to me, or
<br />
<br />o who has produoed
<br />(type
<br />alld whoD did Ddid not
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />ll-a-I~;;;-ty'p~-:-prTnt';;d o~-~tamped
<br />
<br />Name typed, printed or' stamped
<br />
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