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<br />CONDl'rIONS OE' PERMI'l' AE'b'IDAVIT
<br />A. NOTICE OE' DEED RESTRICTIONS
<br />The undersigned understands th~t this permit may be subject to "deed restrictionsU wbicll
<br />mC:lY be more resLri ati ve than City regulations. 'l'he undersigned assumes responsibili ty for
<br />compliance with any applicable deed reetrictions.
<br />B. UNLICENSED CON'l'RAC'l'ORS AND CONTRACTOR RESPONSIBII,r'I'IES
<br />I f the ovmer has hired a contractor or contractors to undertake work, they may be requir-ed
<br />to btl Ii censed in accordance \"~ith state and local regulations. If the contractor is not
<br />licensed as required by law, both the owner and contractor may be cited for a misdemeanor
<br />violation under state la\f, If the owner or intended contractor are uncertain as to vlhQt
<br />licensing requirements may apply for the intended war:k, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furthermor-e, if the owner has hired a contractor or contractors, he is advlsed to have the
<br />contractor(s) sign portions of the "Contractor SectionsN of this application for which they
<br />will be responsible, If you, as the owner signs as the contractor, YQ~ are indicating that
<br />you, lather than the contractor, ar-e responsible for the work. If the contractor wishes
<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 ZephyrhUls.
<br />C. 'l'RANSPOR'l'A'l'ION IMPAC'l' FEES AND UTILITY CONNECTION FEES
<br />D. CONSrl'RIIC'I'UION LIEN LM~ (CliAP'l'ER 713, FLORIDA STATUTES, AS AMENDED)
<br />j certify tllat 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 "ownerN, I cerify that I
<br />have obti:d.ned a copy of the above described document and promise in good fal th to deliver
<br />it to the "ownerN prior to C0I!U11enCement.
<br />E. CON'l'RAC'l'OR' a/OWNER'S AFFIDAVI'I'
<br />I certtfy that all the informatton in this application is accurate and that all Hark will
<br />be done in compliance with all appllcable laws reg\l1atlng construction, zoning, and land
<br />development.
<br />Application ls hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no \wrk or installatton has conunenced prior to issuance of a permit and that
<br />all work wlll be performed to meet standards of all. laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. J also
<br />certify that I under-stand that the regulations of other governmental agencies way apply to
<br />the intended work, and that it is my responsibility to identify what actions I "rust 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 />Lauds, Water/Waste~vater Treatment
<br />*Soutllwest E'lo~ida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*!Jepartment of Health 6i Rehabilitative Services, Environmental Health Unit-WeLla,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental ~rotection Agency-Asbestos abatement
<br />I also certify that, it fill material is to be used in Flood Zone ~AN or "A,eLc.n, it is
<br />understood that a drainage plan addressing a "compensating volume"'wi.ll be submitted which
<br />is pr:epared by a professional engineer registered in the State of Florida prior to penni L
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />authori l:y to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor sllall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become invalid unleas the work authorized by such permit ia cOllunenced within
<br />SJK months of issuance, or if \vark authorized by the permlt is suspended or abandoqed tor a
<br />period of ail{ months after the time the work is conunenced. One 90 day eKtension of tillle
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be ~~quested
<br />in writing to the Building Offictal. An approved inspection must be logged dnring each.aix
<br />month peri_od, or the project will be considered abandoned.
<br />WAfUUlIG 'I'D OWNER: YOUR FAILURE TO RECORD A No'rrCE OF COMMENCEMENT MAY RESUL'l' IN YOUR
<br />PAYING TWICE li'OR IHPROVEMENTS TO YOUR PROPER'I'Y. IE' YOU IN'l'END TO OB'l'AIN E'INANqINq.\X),N@UI/f
<br />WITH YOUR LENDER OR AN A'1'TORNEY BEFORE RECORDING YOUR NO'l'ICE OF COMMENCEMEN'l'. JOBS UNfHl:R
<br />$2,500 IN VAW!!.: DO NO'r NEED '1'0 RECORD AND POS'l' A "NOTICE OE' COMMENCEMEN'r".
<br />
<br />
<br />
<br />SIGNATURE, OWIIER OR AGE"'- sC:'~TOR
<br />
<br />STA'l'E OF FLORIDA P A ~ cO
<br />COUNTY OF V' ~
<br />'rhe forego.ing inst~ulllent was aoknovJledg~d~, ~
<br />Before me this ~iay of ::S-or1V-€oo-..." ~?...)
<br />by s ~_D,~.I"Or"\
<br />lame of person acknowledged)
<br />o is personally known to me, or
<br />
<br />
<br />S'l'A'I'E Of FLORIDA
<br />COUNTY OF
<br />'J'he foregoing instrument was acknowledged
<br />Before me this __ day of ___, 19_
<br />by_____.
<br />(name of peraon acknowledged)
<br />Owho is personally known to me, or
<br />
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o Hho haa produced ____
<br />(type of identification)
<br />and Hho Ddid [jjid not t.ake an oath
<br />
<br />Owho has produced
<br />(type
<br />and whol] did [)did not
<br />
<br />Signatur:e of person taking acknowledgement
<br />
<br />Signature of person taking acknQwledgm~nt
<br />
<br />Name typed, printed or stamped
<br />
<br />Harne Lyped, printed or stamped
<br />
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