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<br />CONDITIONS OF PERl'Hrr AFIl'IDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands th,t this p~rmit may be subject to "deed restriotionsH Wllicb
<br />m~y be more restrictive than City regulations. Tile undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED (;ONTRACTORS AND CONTRACTOR RESPONSIBIJ,I'I'IES
<br />If the OHller has hired a contractor Dr contractors to undertake work, they may be required
<br />to be li CEHlsed in accordance with state and local reglllatlons. If the contri;:lcLor is nut
<br />11 censed as requ.i.red by 101\.." both the ovmer ~nd contraotor Hlay be c1 Led fox: i;:l misdellleallor
<br />violation under state lOll,. If tht:: O\><Iner or intended contractor aLe uncertain as to y/hat
<br />Ii cE:nsing requirement::! may apply for the intended wCHk, they are advised to contact the
<br />City of Zephyrhills Building Department, B13-7B8-6611.
<br />Ifurthermol:e, 1 f the Oyiller has hired a contractor or contractors, he is advlsed to have the
<br />contractor (s) sign portions of the "Contractor Sections" of this application for Hili eh they
<br />will be responsible. If you, as the owner signs as the contractor, YQY are indicating that
<br />you, rather than the contractor, are responsible for the work, If the contractor wishes
<br />you to sign a~ contractor that may be an indication that he is not properly licensed arid is
<br />not entitled to permitting privll~ges in the City of Zephyrhills.
<br />C. 'I'RANSI?OR'l'A'l'ION IMPAC'l' FEES AND U'I'ILI'l'Y CONNECTION FEES
<br />D. CON S'l'R\lC'l'U ION Ll EN LAW (CliAP'l'ER 713, FLORI DA STA'l'UTES, AS AMENDED)
<br />I certify that I, tile applicant, have been provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection GuideH prepared by the Florida Department of Agriculture
<br />and Consumer Affalrs. If the applicant is someone other that the "owner", I cerify that I
<br />Ilave obtained a copy of the above described document and promise in good faith to deliver
<br />j t to the "oHner" pri.or to corrunencement.
<br />El. CONTRAC'l'OR' S/OWNER' S AFFIDAVI'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 regulating construction, zoning, and land
<br />development.
<br />Application i.s hereby made to obtain a permi t to do Hork and installation as indicated, 1
<br />certify that no Iwrk or installation has conunenced prior to issuance of a permit and that
<br />all work will be perfonned to meet standards of all laws regulating c6nstruction, City
<br />codes, zoning regulations, and land development regulations in the juri::!dlction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended Hork, and that it is my responsibility to identify what aotions I mLlst Lake to
<br />be in compliauce. Such agencies include but are not limited to; *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensi.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 Waten/BYs
<br />*iJepartment of Health & Rehabilitative Services, Environmental Health Unit-Wel.ls,
<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,", it is
<br />understood that a drai.nage plan addressing a "compensating volume" 'Hill be submitted Yihich
<br />is prepared by a pr'ofessional engineer registered in thE! State of jj'lorida pdor to permi t
<br />issuance.
<br />A permit: issued shall be construed to be a license to proceed with the work ;:Ind not as
<br />authority to v.i.olate, 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 />correction of errors in plans, oon~truction, or violations of any code, Every permit
<br />isaued ahall become invalid unless the Hark authorized by auch permit is cOllunenced Hithin
<br />si.x months of issuance, or if work authorized by the permi.t 16 suspended or abandoqed for a
<br />period of shl months after the time the work .i.s commenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />ill \'Iri ting to the Buildi.ng Official, An approved inspection must be logged during each si.x
<br />month period, or the project Hill be considered abandoned,
<br />WARNING '1'0 OWNER; YOUR FAILURE TO RECORD A NOTICE OJ!' COMMENCEMENT MAY RESUW' IN YOUR
<br />PAYING TWICE 'fi'OR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN nNANGlNq, ~qN~UI/I'
<br />WITH YOUR LENDER OR AN A'rTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'l', . JOBS UNDER
<br />$~, 500 IN VALlJ&: DO NOT NEED '1'0 RECORD AND POS'l' A "NO/nCE OF COMMENCEMEN'I"'.
<br />
<br />SIGNA'l'URE: OWNER OR AGENT
<br />
<br />SIGNA/I'URE: CONTAAC'l'OR
<br />
<br />S'fAT!!: OF FLORI DA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this ___ day of
<br />by.
<br />
<br />acknowledged
<br />, 19_
<br />
<br />STA'I'E OF' FLORIDA
<br />COtJN'l'Y OF _____
<br />The foregoing instrument HaS aoknowledged
<br />Before me this .-------JJay of------, 19
<br />by _..__
<br />(name of person acknowledged)
<br />Qho :is pell::sona11y known to me, or
<br />
<br />(name of person acknowl~dged)
<br />Dwho is personally known to me, or
<br />
<br />o Hho has produced_.
<br />(type of identification)
<br />and who[] did LJdld not take an oath.
<br />
<br />o who has produced__ _____
<br />(type of identificaUDll)
<br />and Hho Ddid []Jid not take all oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />--_......- ..._.._...~..~_._----~----._-
<br />Name typed, rrinted or stamped
<br />
<br />Name Lyped, printed or stamped
<br />
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