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<br />CONDI'rIONS OF PERM!'!' AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'rh'l:: undersigned understands thCjt thi.:i perro.it may be subject to "deed restriotions" which
<br />may be more restrictive than City regulations. Tile undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UlnICENSED (~ON'l'RAC'l'ORS AND CONTRACTOR RESPONSIBII.I'I'IES
<br />If the D\'/ner has hired a contractor or contractors to undertake work, they nlay be required
<br />to be licensed in accordance with state and local regulations. If the contractor is Ilot
<br />licensed as required by law, both the ovmer and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to wllat
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />city of Zephyrhills Building Department, 813-766-6611.
<br />t~urtherlllor-e, if the ovmer has hired a contractor or oontractors, he ls advised to have the
<br />contractor(s) sign portions of the "Contractor Sections" of thls applioation for which they
<br />vll11 be respon.sible. If you, as the owner signs as the contractor, YQLi are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor wislles
<br />you to sign as contractor that may be an indication that he is not properly licellsed and 16
<br />llot entitled to permitting prlvil~ges in the city of Zephyrhills.
<br />c. 'I'RANSPOR'l'A'rION IMPAC'l' FEES AND U'!'UI'l'Y CONNEc'rrcm t~EES
<br />D. CONS'l'RIIC'rUION IJIEN LAv~ (CHAP'I'ER 713, FLORIDA STATUTES, AS AMENDED)
<br />T certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's Proteotion Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the appllcant is someone other that the "owner", 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 "owner" prior to commencement.
<br />E. CONTRAC'l'OR' S/OWNER' S AFFIDAVJ'l'
<br />I certify tllat all the informatlon in thls appllcatlon is accurate and that all work will
<br />be done in compliance wlth all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtaln a permit to do work and installat10n as indicated. 1
<br />certify that no vwrk or installation has commenced prior to lssuance of a permit and that
<br />all work wlll be performed to meet standards of all laws regulating construction, City
<br />codes, zoning reyulatlons, and land development regulations in the jurisdiction. ] also
<br />oertify that I understand that the regulations of otller governmental agencies may apply to
<br />the intended wor'k, and that it is my responsibility to ident1fy what actions I must take to
<br />be ln compliance. Suoh agencles include but are not limited tOI *Department of
<br />Envlrollluental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Bensltive
<br />Lands, Water/Wastewater Treatment
<br />*Southwe6t E'lorida Water Management District-Wells, Cypress Bayheads, Wet.1and Areas,
<br />Altering Watercourses
<br />*Army Corps of Englneers-8eawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabl1ltative Services, Environmental. Health Unit-Wetls,
<br />Wastewater Treatment, Septic Tanks
<br />*U.8. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, lf flll material ls to be used in Flood Zone ~A" or "A, etc.", it is
<br />understood that a drainage plan addressing a "compensating volume" 'will be submitted Vlhioh
<br />is pn;pared by a professional engineer registered in the State of Florida pd.or to penllJt
<br />issuance,
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />authority to vlolate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall lssuance of a permlt prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, con~truction, or viOlations of any code. Every permit
<br />is~ued shall become invalid unless the work authorized by such permit is oouuuenced within
<br />six months of lssllance, or lf work authorized by the permlt is suspended or abandoqed for a
<br />period of alx months after the time the work ls conunenced' One 90 day eKtenslon of time
<br />may be allowed for tlle permit with fee charge of $15.00. The extension ~hall be requeated
<br />in \ui ting to the Buildlng Offlcial. An approved inspection must be logged during eaoh ai K
<br />month period, or the project vdll be considered abandoned.
<br />WAfUHNG '1'0 OWNERI YOUR FAILURE '1'0 RECORD A NOTICE OE' COMMENCEMEN'l' MAY RESUW' IN YOUR
<br />PAYING TWICE li'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN'rEND TO OB'rAIN E'INANqING, ~qN~UI/I'
<br />WITH YOUR LENDER OR AN A'l"rORNEY BEFORE RECORDING YOUR NO'l'ICE OF COMMENCEMEN'I'. ,JOBS UNDER
<br />$2,500 IN VALIH.: DO NO'1' NEED '1'0 RECORD AND POS'l' A \\NO'l'ICE OF COMMENCEMEN'I"I.
<br />
<br />SlGNA'l'UREI OWNER OR AGENT
<br />
<br />SIGNA'I'UREI CONTRACTOR
<br />
<br />S'I'ATE OF FLORI DA
<br />COUN'l'Y OF
<br />The foregoing instrument was acknowledged
<br />Before me this ___ day of ____., 19~
<br />by__
<br />(name of persull acknowledged)
<br />Owho is personally known to me, or
<br />
<br />8TA'l'E OF E'LORIDA
<br />COUN'rY OF
<br />'rhe foregoing instrument w~s acknowledged
<br />Before me tills _----Pay of.-----, 19 .__~_
<br />by
<br />(name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced___ ____
<br />(type of identlflcation)
<br />and who Ddid [}jid not t.al,e all ()iilth
<br />
<br />o \'/ho has produced
<br />(type
<br />alld wholJ dld 0 dld not
<br />
<br />Signatur-e of person taklng acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed
<br />
<br />or stamped
<br />
<br />N~me typed, printed or stamped
<br />
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