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<br />CONDITIONS OF PERl'1I'f AFFIDAVIT
<br />
<br />"A. NO'I'lCE OF DEED RES'l'RIC'rIONS
<br />Tne undersigned understands thqt thil:1 penni t may be subject to "deed restriotions" -wllich-
<br />may be more r6st1:ic:tive than City re9ulations. The undeu:liyned assumes responsibility for
<br />con~liance with any applicable deed restrictions.
<br />B. UNLICENSEP !CON'l'RACTORS AND CON'l'HAC'l'OR RESPONSIBII,I'l'U:S
<br />I f the owner has hired a contractc,r or contractors to undertake work, they Illay be required
<br />to pi: licensed in accordance ~dth state and local regulatJ.ons. If the contractor is not
<br />licensed as required l.Jy law, both the vI-mer and contractor may be cited for a misdemeanor
<br />violation under state laH. If the O\mer or intended contractor are uncer-tain as to vJhat
<br />li censing requirements may apply for the intended wOl:k, they are advised to CQntaot the
<br />City of Zephyrhills Building Department, 813-788-6611,
<br />Fur'therlllo~-e, if the Oymer has hired C:t contractor or contractors, he 15 advised to have the
<br />contractor(s) sign portions of the "Contractor Sections" of this application for Hhioh they
<br />will be responsible, If you, as the owner: signs as the contractor, YQl! are indicating that
<br />you, lather than the contractor, are responsible for the work. If the contractor: wishes
<br />you to sign as contractor that mClY be an indication that he 1s not pr:operly licensed and is
<br />not entitled to permitting privileges 1n the City of Zephyrhi,lls.
<br />c. 'l'RANSPOk'1'ATION IMPAC'1' If'EES AND U'l'ILI'I'Y CONNECTION FEES
<br />l), CONS'1'RUC'1'UlON l,IEN LAW (CHAP'l'ER 713, FLORIDA STATUTES, AS AMENDED)
<br />j certify tllat I, the app11cant, 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 "owner", I cerify that I
<br />have obtained a copy of the above described aocument and promise in good faith to deliver
<br />j t to the "owner" pri.or to COlTUllencement.
<br />E. CON'1'RAC'l'OR' S/OWNER' S AFFIl1AVI'l'
<br />I certify that all the information in this application is accurate and tllat all work will
<br />be done in compliance with all applicable laws regll1ating construction, zoning, and land
<br />dev4;llopment,
<br />Application is hereby made to obtaln a permit to do wOi-k and installation as indicated. I
<br />ce~tify that no Hork or installation has commenced prior to issuance of a permit and that
<br />ail work will be performed to meet standards of all laws regulating aOllstruction, City
<br />codes, zoning regulations, and land development regulat10ns in the jurisdiction, I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended wor'k, olfld that it is my responsibility to identify what aations I must ti:lke to
<br />lJe in compliance, Such agencies include but are not limited tal *Department of
<br />EnvironllleHital Reguli:ltion-Cypress bayheads, Wetland Ai'eas and Environmentally Sensj.tive
<br />Lands, Water/Waste~'later Treatment
<br />*Southwest florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />AArmy Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*lJepartment of Health 6i Rehabilitative Services, Env1ronmental 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.N, it is
<br />understood that a dra1nage plan addressing a "compensating volume" 'wiLL be su!Jmitted Vlhi.uh
<br />is prepared by a professional engineer registered in tile State of Florida prior to penuit
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />authori ty to violate, cancel, al ter', or set aside any provisions of the tectlllical codes,
<br />nor shall 1ssuance of a permit prevent the Building Official from thereafter requiring a
<br />cpr~ectiQn of errors in plans, gon~truction! or vio~ations of any code. Every pe,mit
<br />ist.t~ed sh~ll become invalid unl~ss the HarK authorized by such permit is cOllunenced within
<br />six months of issuance, or if work authorized by the perm1t 1s suspended or abandoned f~r a
<br />period of SiK months after the time the work is commenced. One 90 day extension of time
<br />may be alloHed for the permit with fee charge of $15,00. Tile extension shall be ~equeated
<br />in writing to the Build!.ng Official. An approved 1nspection must be logged during each'siK
<br />mOnth period, or the project Hill be considered abandoned.
<br />WARNING '1'0 OWNElR: YOUR E'AILURE '1'0 RECORD A NO'l'ICE OF COMMENCEMENT MAY RESUL'I' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER'ry. IF YOU IN'I'END TO OB'rAIN Ji'INANqINq,~qN~UljI'
<br />WITH YOUR LENDER OR AN A'l"I'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'r. JOBS UNDER
<br />$2,500 IN VALUEl DO NO'l' NEED '1'0 RECORD AND POS'l' A "NO'l'ICE OF COMMENCEMEN'I"',
<br />
<br />SIGNA'l'URE: OWNER OR AGENT
<br />
<br />SIGNA'l'URE: CONTRAC'l'OR
<br />
<br />STA'L'E Olf FLORIDA
<br />COUN'I'Y Olf
<br />The foregoing instrument was ackncwledged
<br />Before Ine this __ day of , 19_
<br />
<br />by _____..__.
<br />(name of person acknowl~dged)
<br />Dwho is personally known to me, or
<br />
<br />o who bas produced_.
<br />(type of identification)
<br />and who[] did []did not take an oath.
<br />
<br />STA'I'E OF FLORIDA
<br />COUN'l'Y OF _______
<br />The foregoing instrument w~s acknoHledged
<br />Before me this ----5iay of-------, 19 __~__
<br />by
<br />(name of person acknoHledged)
<br />Gho is personally known to me, or
<br />
<br />o who has produced_____________
<br />(type of identification)
<br />and Hha Ddid DUd not t.ake all oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person takiug acknowledgment
<br />
<br />Nallle typed, printed or stamped
<br />
<br />-
<br />Name typed, printed or stamped
<br />
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