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<br />CONDI'rIONS OF PERMI'f AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands th~t this p~rmit may be subject to "deed restriationsH which
<br />may be mbre :restd cti va than City regulations. '1'he undersigned assumes responsibility for
<br />complianoe with any applicable deed restrictions.
<br />B. UNIJICElNSElD. \:;ON'l'RAC'l'ORS AND CONTRACTOR RESPONSIBILI'I'IES
<br />I f the m-wer has hired a contractor or contractors to undertake work, they may be required
<br />to be lJcensed in aacordance with state and local regulations. If the contraator is Ilot
<br />licensed as required by law, both the ovmer and contractor IlIay be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to V~lat
<br />licensing requirements lUay apply for the intended wo.t:k, they are advised to contact the
<br />city of Zephyrhills Building Department, 813-788-6611.
<br />Furthe.l:Inol:e, if the owner has hired a contractor or oontractors, he is adviaed to hClVlil the
<br />contractor(s) sign portions of the "Contractor SeotionsH of this application for which they
<br />will be responsible. If you, as the owner signs as the contractor, YQ4 are indicating that
<br />you, l-ather than the contractor, are responsible for the work. If the contraotor wishes
<br />you to sign as COlltractor that may be an indication that he is not properly licenaed and is
<br />not entitled to permitting privileges in the City of Zephyrhi.lls.
<br />C. 'l'RANSPOR'l'A'rION IMPACT FE;ES AND UTILITY CONNECTION FEES
<br />D. CONS'l'RllCTUION LIEN LAW (CHAP'l'ER 713, FLORIDA STATUTES, AS AMENDED)
<br />I oertify that 1, the applioant, have been provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Depa:r.tment of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "ownerH, I carity that I
<br />have obtained a oopy of the above described document and promise in good faith to deliver
<br />it to the "ownerH prior to conunencement.
<br />E. CONTRAC'l'OR' a/OWNER' 8 AFlfIDAVI'r
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance with all appU.cable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I
<br />ceftify that no Hark or installation has commenced prior to issuance of a permit and that
<br />all work vlill be performed to meet standards of all laws regulatlng construotion, City
<br />codes, zoning regulations, and lalld development regulations in the jurisdiction. I also
<br />certify that I understand that th@ regulations of other governmental agencies may apply to
<br />the intended wo:rk, and that it is my responsibility to identify what actions I must: take to
<br />be in compliance. Such agencies include but are not limited tOI *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sens~tive
<br />Lands, Water/Wastewater Treatment
<br />*Bouthwest Florida Water Management District-Wells, Cypress Bayheads) Wetland Areas,
<br />Altering Watercourses
<br />*Anny Corps of Engineers-SeawallS, Docks, Navigable Waterways
<br />*Department of Health &. Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U. S. Enviromnelltal I?rotection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in flood Zone ~AH or ~A,etc.H, it is
<br />understood that a drainage plan addressing a "compensating volume"'will be submitted whioh
<br />is prepared by a professional engine~r registered in the State of Florida prior to pennit
<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 shall issuance of a permit prevent the Building of~icial from tllereafter requiring a
<br />cor~ection of errors in plans, construotion, or violations of any oode. Every p.,mit
<br />is~ued shall beoome invalid urlless the work authorized by such permit is cOllunenced within
<br />six montlls of issuance, or if work authorized by the permit is suspended or abandoij~d f~r a
<br />period of eLK months after the time the work is conunenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15,00. The extension shall be requ@a~ed
<br />ill \'1riting to the Building Official. An approved inspection must be logged during each SiK
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNI!lRI YOUR B'AILlJRE TO RECORD A NO'rICE Of COMMENCEMENT MAY RESlJW' IN YOUR
<br />PAYING TWICE FOR IMI?ROVEMEN'l'S TO YOUR I?ROPER'fY. IE' YOU INTEND TO OB'l'AIN FINANqINq. _~qNiuL'r
<br />WI'l'H YOUR LENDER OR AN A'l"rORNEY BEFORE RECORDING YOUR NonCE OF COMMENCEMEWl'. ,JOBS UNDER
<br />$2,50D IN VALUE no NO'l' NEED TO RECORD AND POST A "NOrrICE Of COMMENCEMENT".
<br />
<br />S1GNA'l'UREI OWNER OR AGENT
<br />
<br />SIGNA'I'URE: CONTRACTOR
<br />
<br />acknowledged
<br />,19_
<br />
<br />STA'l'E OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument w~s
<br />Before me this ~ay of
<br />by
<br />
<br />s'rATfJ OF H'LORIDA
<br />COUNTY OF
<br />'J'he foregoing instrument was
<br />Before me this _ day of
<br />by
<br />
<br />aoknowledged
<br />, 1 9 ......:._
<br />
<br />(name of person aokno"l~dged)
<br />Dwho is personally known to me, or
<br />
<br />o Hho haa produced
<br />(type
<br />and whot] did Ddid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />(name of person acknowledged)
<br />Qho is pf;lrsonally kno~m to me, or
<br />
<br />Owho has produced
<br />(type of identifigation)
<br />and Vlho Ddid DUd not t.ake an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknow~edgll\ent
<br />
<br />--~._------._,------------.
<br />
<br />Name t:yped, printed or. stamped
<br />
<br />Hame typed, printed or stamped
<br />
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