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<br />CONDITIONS at' PEPlvlIT An"IDAVIT
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands thqt Lh:Li3 pl'll:Illi t roa}' bt3 SU'l)J eel 1~O "deed restrictions" which
<br />may be more l:estrictive than City rt:qulctt:ion!!l. 'I'lli:: unJ,:rsigned assumes responsibilit;y for
<br />compli,wce with any applicable dE:E:drlilstrictiolHi.
<br />B. UNLICENSEDCON'I'RAC'!'ORS AND CON'l'RACTOR RESPONSIBlr.n'IES
<br />If the ovmer has hired a contractor or contractors to undertake Hork, they may be required
<br />to be licensed in accordance Hith state and local regulatiuns, If the contractor is not
<br />licensed as requi red by IavJ, both the ovmer and contractor lllay be cited for a mIsdemeanor
<br />v~olation under state law, If the OWner or intended cuntractor are uncertain as to vrtlat
<br />licensing requirements may apply for the intended work, they are advi.sed to contaot the
<br />city of Zephyrhills Building Department, 813-788-6611,
<br />Furthe.nllol'e, 1 f the owner has hired a contractor or contractors, he is advi.sed to have the
<br />contractor(s) sign portions of the "Contractor SectionsU of this application for which they
<br />will be responsible. If you, as the owner signs as the contractor, YQ4 are indicati.ng that
<br />you, l'ather than the contractor, are responsible for the work. I f the contractor \-lishes
<br />you to sign as contractor that may be an indication that he is not properly licensed alld is
<br />not elltitled to permitting privil~ges in the City of Zephyrhills.
<br />C. '!'RANSI:'OR'l'ATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONS'l'RlJC'l'UION LIEN LAW (CllAP'l'ER 713, FLORIDA STATUTES, AS AMENDED)
<br />I c.ntify that I, the applicant, have been provided with a copy of "Flori.da's ConstrucU.on
<br />li.en Law - Homeowner's Protecti.on 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 />Ilave obtained a copy of the above described document and promise in good fai.th to deliver
<br />it to the "owner" pri.or to commencement.
<br />E. CONTRAC'rOR' S/OWNER' S AFll'IDAVI'r
<br />I certi.fy that all the information in this appli.cation is accurate and that all work will
<br />be dOlle in oompliance with all appllcable 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 />certify that no vwrk or installation has commenced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulati.ng construotion, City
<br />codes, zoning regulations, and land development regulations in the j\lrisdiction. J also
<br />certify that I under'stand that the regulations of other governmental agenci.es may apply to
<br />tile intended work, and that it is my responsibility to identify what aotions I must take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Enviromljental Regulation-Cypress Bayheads, Wetland Areas and Envi.ronmentally Sens.j.tive
<br />Lands, Water/WasteHater 'rreatment
<br />*Soutllwest Florida Water Management District-Wells, Cypress Bayheads,'Wetland Areas,
<br />AJtering Watercourses
<br />"Army Corps of Engineers-Seawalls, Docks, Navigable WatenJays
<br />*Depar.tmenL of Health & Rehabilitative Services, Environmental Health Hnit-Wells,
<br />Wastewater. Treatment, Septic Tanks
<br />*U.S. Environmental ~rotection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone ~A" or "A,etc,U, it is
<br />understood that a drainage plan addressing a "compensating volume"'wi.ll 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 codee,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors ill plans, construotion, or violations of any code, Every permit
<br />iSl!ued shall become invalid unless the work authorized by such permit is oOllunencf;id within
<br />six months of issuance, or if work authorized by the permit is suspended or abandol!ed for a
<br />period of six months after the time the Hork is oommenced. One 90 day extension of tillle
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be reques~ed
<br />in writing to the Buildlng Official. An approved inspection must be logged during each SlK
<br />month period, or the project vdll be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE '1'0 RECORD A NonCE OF COMMENCEMENT MAY RESUL'l' IN YOUR
<br />PAYING 'rWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OB'l'AIN E'INANc.:;INC~1 ~QN~UIJr
<br />WI'!'H YOUR LENDER OR AN A'l'TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'l', JOBS UNfJER
<br />$2, SOO IN VALUE DO NO'l' NEED TO RECORD AND POS'l' A "NOTICE OF COMMENCEMEN'}lII,
<br />
<br />SI8NA'l'URE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STA'I'E OF FLORIDA
<br />COUNTY OF
<br />'l'he foregoing instrument w~s acknoVll edged
<br />Before me this -----Slay of.-..-_u_-, 19
<br />by
<br />
<br />S'rA'fE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument Has acknoHledged
<br />Befotc Hie this __ day of , 19_
<br />by _____
<br />(name of person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />(name of person aoknowledged)
<br />Qho is personally knoHn to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced__
<br />(type of identifioation)
<br />and v/ho Ddid DUd not t,ake all oath
<br />
<br />o Hho has produced
<br />(type
<br />and who[] did [J di.d not
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />HOlme typed, printed or stamped
<br />
<br />Name t:yped, printed or. stamped
<br />
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