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<br />CONDI'l'IONS OF PERl'1I'l' AFFIDAVIT
<br />A. NOTICE Of DEED RESTRICTIONS
<br />The ~nderaigned understands th~t thim p.rmit may be
<br />mCiY be more restrictive than City regulations. 'I'he
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED. bONTRAC'l'ORS AND CON'l'RACTOR RESPONSIBII,I'l'IES
<br />If the owner lIas hired a contractor OE contractors to undertake work, they may be required
<br />to b~ licensed in accordance with state and local regulations. If the contractor is Ilot
<br />licensed as required by law, both the ovmer and contractor may be cited for a miademeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to wllat
<br />li censing requirements may apply for the intE:lnded work, they are advised to Clontapt the
<br />City of Zephyrhills Building Department, 613-766-6611.
<br />furthenool:e, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor SectionsU of this applioation for whicl. they
<br />vlil1 be Lesponsible. If you, as the owner signs as the contractor, YQI,! are indicating that
<br />you, rather than the contractor, are responsible for the wOj;-k. I f the contractOj;' \vishes
<br />you to sign as COlltractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of ZephyrhUla.
<br />c. 'l'RANI:lPOR'l'ATION IMPAC'l' Ii'EES AND UTILITY CONNECTION )fEES
<br />D. CONI:l'l'RUC'l'UION LIEN LAW (CHAP'l'ER 713, FLORIDA STATUTES, AS AMENDED)
<br />1 oertify that I, the applicant, have been provided with a copy of "florida's Construction
<br />lien Law - Homeowner's Protection Guideu prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "ownerU, I oarity that I
<br />have obt:ailled a copy of the above described Qocument and promise in good faith to deliver
<br />it to the "owneru prior to commencement.
<br />E. CON'l'RAC'l'OR' S/OWNER' S AfFIDAVI'l'
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in complianoe with all applicable laws regulating constnlCtion, zoning, and land
<br />devfillopment.
<br />Applioation is hereby made to obtain a permit to do work and installation as indicated. I
<br />ceq:ti fy that no viOrk 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 regulations in the jurisdiction. I also
<br />certify that! understand that the regulations of other governmental agencies loay apply to
<br />the intended work, and that it is my responsibility to identify what aations I must take to
<br />be in compliance. Such agencies inolude but are not limited tal *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally l:lensJ_tive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads) Wetland Areas,
<br />Altering Watercourses
<br />*Army 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. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Fload Zone ~Au or "A,etc,U, it is
<br />underetood that a dralnage plan addressing a "compensating volumeu'will be submitted which
<br />is prepared by a professional engineer registered in the 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 shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />cor~ection of errors in plans, oon~truotiOQ1 or vio~ations of any code. Every permit
<br />iSriued 13hall beoome invalid unless the Hork authorh;ed by such permit is oOllUTumcedwlthin
<br />SlK months ot issuance, or if \vork authorized by the permlt is suspended or abandolled f~r a
<br />period of six 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 tequea~ed
<br />ill \iri ting to the Building Official. An approved inspection must be logged dud l11J each six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING 'l'WICE FOR IMPROVEMEN'l'S TO YOUR PROPERTY. If YOU IN'l'END TO OB'rAIN FINANqINq, .CqN,UL'I'
<br />Wl'rH YOUR LENDER OR AN A'l'TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'l'. JOBS UNDER
<br />92,500 IN VALUE no NOfl' NEED TO RECORD AND POS'l' A \\NOfnCE OF COMMENCEMEN'I'".
<br />
<br />-
<br />subject ~o "deed restriotlonsu which
<br />undersigned assumes responsibility for
<br />
<br />SIGHA'l'UREI OWNER OR AGENT
<br />
<br />S I GNA'l'URE I CONTRACTOR
<br />
<br />STA'l'E Of FLORIDA
<br />COUNTY Of
<br />The foregoing instrument w~s
<br />Before me this -------Pay of
<br />by
<br />
<br />S'l'A'I'El OF fLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Before me this __ day of , 19_
<br />by__
<br />(name of person acknowl~dged)
<br />Dwho is personally known to me, or
<br />
<br />D who has produced
<br />(type
<br />and who[] did 0 did not
<br />
<br />aoknowledged
<br />, l~ _:.._
<br />
<br />of identification)
<br />take an oath.
<br />
<br />(name of person aoknowledged)
<br />Gho is personally known to me, or
<br />
<br />Owho has produced
<br />(type of ldentifioation)
<br />and Hho Ddid DUd not t.ake an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking aoknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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