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<br />CONDITIONS OF PERMI'.::' l-\FFIDAVI'T
<br />
<br />A. NOfICE OF DEED RESTRICfIONS
<br />The undersigned understands th~t this permit may be subjeQt to "deed restrictions" which
<br />may be more restrictive than City re<;/ula\:iol1s. 'J'h,~ 1Il1d,er:signed assumes responsibillty for
<br />compliance with any applicable de~d restrictions.
<br />B. UNLICENSED c'ON'l'RAC'I'ORS AND CON'l'RACTOR RES PONS lBII.I'l'IES
<br />If the owner lias hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with state and local regulations. If the contracl:or is not
<br />lioensed as required l.Jy law, both the m.mer and contractor lllay be ci ted for a misdemeanor
<br />violation under state laH. If the owner or intended contractor are uncel^tain as to vlhat
<br />li censing requi rements may apply for the intended walk, they are advlsed to contact the
<br />city of Zephyrhills Bui.lding Department, 613-788--6611,
<br />Furthel'mol.-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 appli.cati.on for which they
<br />.dl1 be .Lespon6ible. If you, as the owner signs qS the contractor, YQLl are i.ndicating that
<br />you, l'ather than the contractor, are responsi.ble for the work. If the contractor \<lishes
<br />you to siyn as OOlltractor that may be an indioation that he i.s not properly licensed and is
<br />llot entitled to permitting privil~ges i.n the City of Zephyrhills.
<br />c. 'I'RANSI?Ok'l'ATION IMPAC'r FEES AND UTILITY CONNECTION FEES
<br />D. CONS'rRUCTUION LIEN LAW (CHAP'l'ER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provi.ded with a copy of "Florida's Constr\lcti.on
<br />lien Law - Homeowner's Protecti.on Guide" prepared by the Florida Department of Agri.culture
<br />and Consumer Affairs. If the applicant is someone other that: the "owneru, I cerify that I
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "owneru prior to conunencement.
<br />E. CON'rRAc'rOR' S/OWNER' S AFFIDAVI'r
<br />I certify that all the information in this application i.s accurate and that all work will
<br />be done in compliance with all applicable laws regulating constrllcti.on, zoning, and land
<br />development.
<br />Application i.6 hereby made to obtain a permi.t to do work and installation as indicated. I
<br />certify that no work or i.nstallati.on has conunenced prior to i.ssuance of a pennit and that
<br />all work will be performed to meet standards of all laws regulating constructi.on, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agenci.es Inay apply to
<br />the intended work, and that i.t is my responsi.bility to identi.fy what aotions I IImst 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 Bensttive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads,-Wetland Areas,
<br />Altering Watercourses
<br />*Anny Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Departrnent of Health & Rehabilitative Services, Environmental Healtll Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />1 also certify that, if fill material i.s to be used in Flood Zone ~A" or "A,etc.u, it is
<br />understood that a drainage plan addressing a "compensating volume"'will be submitted Vlh1ch
<br />is prepared by a professional engineer registered in the State of rlorida prlor 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 techni.cal codes,
<br />nor shall issuance of a permit prevent the Building Offici.al from thereafter requiring a
<br />correction of errors in plans, construction, or vio~~tions of any code. Every permit
<br />ia~iUed shall beoome invalid unless the work authorized by such permit is oommenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandor!ed far 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 requested
<br />ill writing to the Buildlng Official. An approved i.nspect;;ion must be logged during each si x
<br />month period, or the project wi.ll be considered abandoned.
<br />WARNING '1'0 OWNER: YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RESUL'l' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IE' YOU INTEND TO OB'rAIN FINANqlNq, .~'4N~UL'f'
<br />WI'rH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMl"lENCEMENT. JOBS UNfJER
<br />$2,50!) IN VALUE DO NO'l' NEED TO RECORD AND POS'l' A "NOTICE OF COMMENCEMEN'r".
<br />
<br />SIGNA'l'URE: OWNER OR AGENT
<br />
<br />SIGNA'I'URE: CONTRACTOR
<br />
<br />acknowledged
<br />, 19_
<br />
<br />STA'l'E OF nORIDA
<br />COUNTY OF
<br />Th~ foregoing instrument w~s aaknowl~dged
<br />Before me this ------siay of':--.--, l~......:.....
<br />by
<br />(name of person acknowledged)
<br />C1ho is personally known to me, or
<br />
<br />Dwho has produced
<br />(type of identification)
<br />and .lho fJdid DUd not t.ake all oath
<br />
<br />sr!'ATE OF FLORI DA
<br />COUNTY OE'
<br />~'h'e foregoi.ng i.nstrument was
<br />Before me this _ day of
<br />by _ \
<br />
<br />(name of person ackno~l.dged)
<br />Dwho is peraonally known to me, or
<br />J
<br />Dwho has produced
<br />(type
<br />and who[] di.d [) did not
<br />
<br />of i.dentification)
<br />take an oath.
<br />
<br />Signature of person taklng acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, pri.lIted or stamped
<br />
<br />Name typed, printed or' stamped
<br />
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