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<br />CONDI'l'IONS OF PERNl'I' AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The~Jundersigned understands thijt this permit may be subject to "deed restrictions" wbich
<br />maY be more restrictive tllan City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRAC'l'ORS AND CON'l'RACTOR RESPONSIBILI'I'IES
<br />If the ownel- has hired a contractor or contractors to undertake \-lork, they may be required
<br />to be licensed in accordance Hith state and local regulations. If the contractor is not
<br />Ii oensed as required !Jy la\-l, both the ovmer and contractor may be cited for a misdemeanor
<br />violation under state 101\'. If the owner or intended contractor are uncertain as to \lhQt
<br />licensing requirementl':l may apply for the intended work, they are advised to contact the
<br />Ci ty of Zephyrhi1ls Building Department, 813--768-6611.
<br />Furtberlllor:-e, if the owner. has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor Sections" of this application for which they
<br />vdJ 1 bt= respol1si ble. If YOll, as the 0\1I1e1. signs <IS the contractor, you are indicating that
<br />you, rather- thQl1 the contractor, are responsible for the Hork. I f the contractor' \vishes
<br />you to siyn at:! contractor that m",y be an indication that he is not properly .licensed and is
<br />Hot entitled to permitting privi.leges in the City of Zephyrhi.lls.
<br />C. 'I'RANi:lI:'OR'l'A'rION IMPACT Li'EEi:l AND UTILITY CONNECTION !!'EES
<br />D. CONS'I'RIIC'l'UION LIEN LAW (CIlAP'I'ER 713, FLORIDA STA'rUTES, AS AMENDED)
<br />I certi.fy that I, lhe appli.cant, have been provided with a copy of "Florida's Constrllction
<br />lien I.aw - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is sOllleone 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 />it to the "owner" prior to cormnencement.
<br />E, CON'I'RAC'l'OR' a/OWNER'S AFFIDAVI'l'
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance with all appli_cable laws regulating construction, zoning, and land
<br />development.
<br />Application i.s hereby made to obtain a permi t to do work and installation as indicated. I
<br />certify that no work or installation has conunenced prior to issuance of a peunit. and that
<br />all work will be performed to meet standards of all laHs regulating construotion, City
<br />codes, zoning regulations, and land development regul aU ons in the j llrisdicti on. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is my responsibility to identi.fy what actions I must take to
<br />be in complialw6. Slwh agencies include but are not limited tOI *Department of
<br />Envirollll!ental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />LQnds, Water/Wastewater 'I'reatlllent
<br />*soutllwest ilorida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />"Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*j)epat-tment of Health lie Rehabilitative Services, EnvironrnentaJ. Health Unit-Wells,
<br />Wa8tewater Treatment, Septic 'l'anks
<br />*U.S. Environmental I?rotection Agency-Asbestos abatement
<br />1 also certify that, if fill material is to be used in Flood Zone ~A" or "A,etc.", it is
<br />llnderstood that a drainage plan addressing a "compensating volume" 'wi1.l be submitted which
<br />is prepared by a plOfessional engineer registered in the. state of ff'lodda pri.or to permi. t
<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 provi.sions of tile technical codes,
<br />nor shall issuance of a permit prevent the Building Off,icial from thereafter:- requi.dng i:l
<br />oor~ection of errors in plans, con~truction, or violations of any oode. Every permit
<br />is!,iUed shall become invali.d unless the Hork authorized by such permit is cOllullenced Hithin
<br />si}{ months of isslli:lnce, or if work authorized by the permi_t is suspended or abandolled for a
<br />period of si>t months after the time the work is conunenced. One 90 day e}{tension of time
<br />may be allowed for the permit with fee charge of $15.00. The exterlsion l':lhal1 be requested
<br />ill writi.ng to the Buildi.ng Official. An approved inspection must be logged during each six
<br />month pel:iod, or the project Hill be considered abandoned.
<br />WARNING '1'0 OWNER: YOUR FAHURE TO RECORD A NOTICE OF COMMENCEMEN'I' MAY RESUL'l' IN YOUR
<br />PAYING 'l'WICE FOR IMPROVEMENTS 'I'O YOUR I?ROPERTY. IF YOU IN'l'END TO OB'rAIN li'INAtH:;INq,~qN~UI/l'
<br />WI'!'B YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO'I'ICE OF COMMENCEMEN'I'. ;fOBS UNDER
<br />$2,50() IN VAW!!: no NOT NEED 'I'O RECORD AND POS'l' A "NO'I'ICE OF COMMENCEMEN'l'''.
<br />
<br />S T GHA'l'lJRE I OWN ER OR AGEN'I'
<br />
<br />SIGNA'l'URE: CONTRAC'l'OR
<br />
<br />S'l'A'l'E OF FLORI DA
<br />COUNTY OF-
<br />The foregoing instrument was acknowledged
<br />Before me this ____ day of 19_
<br />by__
<br />(name of person acknOWledged)
<br />Dwho is personally known to me, or
<br />
<br />STA'I'E OF nORIDA
<br />COUWry OF
<br />The foregoing instrument was acknowledged
<br />Before me this _------slay of--------, 19 __:__
<br />by __"__
<br />(name of person acknowledged)
<br />[1ho is personally knovm to me, or
<br />
<br />D who has produced
<br />(type
<br />and who!] did []di_d not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced _________
<br />(type of identification)
<br />and \,ho Ddid DUd not take all oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Si.gnature of person taki.ng acknowledgment
<br />
<br />Nclllle typed, pdnted or stamped
<br />
<br />Harne typed, printed or stamped
<br />
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