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<br />C:ONDI'l'IONS Of:!' PERl'4I'I' AFlfIDAVIT
<br />A.. NO'r!CE OF DEED RES'l'RIC'rIONS
<br />The undersigned understands thijt thi~ permit may be subject to "deed restriationsU wllich
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />oompliance with any applicable deed restri~~ions.
<br />B. UNl,ICl!lNSEP !CON'I'RAC'l'ORS AND CON'l'HACTOR RESPONSIBII.I'l'IHlS
<br />If the o\>!uer has hired a contractor or contractors to undertake work, they may l)e required
<br />to be Iicellsed in accordance wlLh state and local regulati.ons, If the contractor is IlOt.:
<br />licensed as required lJy lal~, both the OIIDer and contractor may be cited for a mllidellleanor
<br />violation under stat.. laH. If the owner- or intended contractor are ullcertain as to Hhat
<br />licensing requirem.;nts may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />J!'\u:therlno1:e, it the owner has hir'ed a contractor or contraotor6, he 1.6 advised to have the
<br />Gontractor(s) sign portions of the "Contractor Section6U of this application for whicll they
<br />Hill be responsible. If your as the owner signs /is the contractor, YQ\,\ are indioating that
<br />you, lather than the contractor, are responsible for the Hork, If the contractor; wishes
<br />you to si\:ln as c..:ontractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privlleges in the City of Zephyrhills.
<br />C. 'l'RANSPOR'l'A'rION IMPAC'l' FEES AND UTII,I'l'Y CONNECTION I!'EEB
<br />LJ. CONS'rRllC'rUION LIEN LAvl (CHAPTER '713/ FLORIDA S'rA'rUTES, AS AMENDED)
<br />I oertify that I, the applicant, have been provided with a copy of "Florida/s Constrllction
<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 "owner", I cerify that I
<br />have obtaineq a copy of the above described document and promise in good faith to deli vet.
<br />it to the "ownerU prior to conunencement.
<br />E, CON'rRAC'I'OR' S/OWNER' S AFFIDAVI'!'
<br />I certify that all the information in this application is accur.'ate and that all ylOrk will
<br />be dOlle in compliance with all app11cable laws regulat1ng construction, zon1ng, and land
<br />development.
<br />Application is hereby made to obtaln a permlt to do work and installation as indicated, I
<br />ce~tify that no work or installation has comnenced 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 I understand that the regulations of other governmental agencies may apply to
<br />the intended wotk, and that it h my responsibility to identify what actions I must take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />EnvirOlllllental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally SenaJ.tive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Jj'lorida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Depar;tlllent of Health.. Rehabilitative Services, Environmental Health !Jnit-Wel.ls,
<br />Wastewater Treatment, Septic Tanks
<br />.!J.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 drainage plan addressing a "compensating volume" 'will be subluitted Hhiah
<br />is prepared by a professional engineer registered in tlle State of florida prior to permit
<br />issuanoe,
<br />A permit issued shall be construed to be a license to proceed Hith 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 req~iring a
<br />correction of errors in plans, gon~truction, or violations of any code, Every permit
<br />issued shall become invalid unless the work authorized by such permit is cOllullenced Hithin
<br />six months of issuance, or if work authorized by the permit is suspended or abandoqed f~n a
<br />period of six months after the time the work is commenced, One 90 day extension of tlllle
<br />may be allowed tor the permit with fee charge of $15.00, The extellsion shall be requea~ed
<br />ill writing to the Buildi.ng Official. An approved i.nspection must be logged during each six
<br />month period, or the pl:oject Hill be considered abandoned.
<br />WARlHNG 'ra OWNIDR: YOUR fAILURE '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RESUW' IN YOUR
<br />PAYING TWICE li'OR IMPROVEMEN'l'S TO YOUR PROPERTY. IF '.lOll IN'rEND TO OB'!'AIN J!'INANqINq,\X)NijUW'
<br />Wr'l'H YOUR LENDER OR AN A'f'I'ORNEY BEF'ORE RECORDING YOUR NOTICE; OF' COMMENCEMIilN'l', JOBS UNDER
<br />$2,500 IN VAW&J DO NOT N&JED TO RECORD AND POST A "NO'I'ICE OF COMMENCEMEN'l"'.
<br />
<br />SIGNA'l'URE: OWNER OR AGENT
<br />
<br />SIGNA'I'URE: CONTRAC'l'OR
<br />
<br />S'l'A'rE OF FLORIDA
<br />COUNTY OF
<br />'l'he 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 />STATE OF FLORIDA
<br />cOUN'rY OF
<br />'rhe foregoing instrument was acknollledged
<br />Bef.H'e me this _--Jiay of-~-, IS _.:....
<br />
<br />by
<br />
<br />(name of person aoknowledged)
<br />Qha .is per'sanally known to me, or
<br />
<br />Dwho has produced
<br />(type
<br />and who[] did []did not
<br />
<br />of identification)
<br />take an oath,
<br />
<br />o Hho has produced _____
<br />(type of identifioation)
<br />and Ilho Ddid DUd not t.ake all oath
<br />
<br />Signature of person taking acknoHledgement
<br />
<br />Signature of person taking acknOWledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Nam.. typed, printed or stampt::d
<br />
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