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<br />CONDI'l'IONS OF PERM!'f AE'FIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands th~t this perndt may be subject to "deed restriotionsU whicl!
<br />n~y be more restriotive than City regulations. The undersigned assumes responsibility for
<br />complicmce with any applicable deed restrictions.
<br />B. UlnlcENSED (~ON'l'RAC'l'ORS AND CON'l'RACTOR RESPONSIBII,I'l'IES
<br />If the OImer has hired a contractor or contractors to undertake work, they Il\ay be required
<br />Lo be U censed in accordance Hith state and local regulat1ons. If Lhe \Jontractor 1s not
<br />lioensed as requ1red by laH, both the ovmer and contractor may be cited for a misdemeanor
<br />violation under state lail. If the owner or intended contractor are uncertain as to vlhat
<br />li clansing requi rementfl may apply for the intended work, they are advised to contact the
<br />city of Zephyrhills Building Department, 813-788-6611.
<br />r~urther!nore, if the ovmer has hired a contractor or contractors, he is advised to have the
<br />oontractor (s) sign portions of the "Contraotor Sections" of this appli.cation for whi oh they
<br />will be responsible. If you, as the owner signs as the contractor, YQl.l are indicating that
<br />you, l-ather than the contractor, are responsible for the work. If the contractot' Hishes
<br />you to 61gn as contractor that may be an 1nd1cation that he is not properly licellsed and 1s
<br />not entitled to permitting privil~ges in the city of Zephyrhills.
<br />c:. 'I'RANSl?OR'l'ATION IMPAC'l' FEES AND lJ'l'HI'I'Y CONNECTION FEES
<br />D. CONS'rRllc'rUION MEN LA\i~ (CliAprrER 713, FLORIDA S'l'ATUTES, AS AMENDED)
<br />T cert1fy that 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 "ownerU, I cerify that I
<br />llave obtained a copy of the above described document and prom1se in good fa1th to deliver
<br />it to the "owner" prior to commencement.
<br />E:. CON'rRAC'roR' S/OWNER' S AFE'IDAVI'l'
<br />I certify that all the informat1on in this application is accurate and tllat all work will
<br />be done in compliance with all appUcable laws regul aUng construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and 1nstallation as indicated. 1
<br />certi fy that no Hork or installati.on has cornrnenced prior to issuance of a penn1 t and that
<br />all work Hill be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. T 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 identify what actions I must take Lo
<br />be in compliance. Such agencies include but are not limited tOI "'Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensj_ti ve
<br />Lands, WOlLer/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />"'Ann)' Corps of Engineers.-Seawalls, Docks, Navigable Waten~aYfl
<br />"'DepartmenL of Health & Rehabilitative Services, Environmental HealL:h Unit-Wells,
<br />Wastewater Treatment, septic Tanks
<br />*U.S. Environmental J?rotectlon Agency-Asbestos abatement
<br />1 also certify that, if f111 material is to be used in Flood Zone ~Au or "A, etc.", it 15
<br />undel:stood that a drainage plan addressing a "compensating volume" 'will be submitted Hhich
<br />is prepared by a professional engineer registered in the state of Florida prior to permit
<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 provisions of Lhe technical codes,
<br />nor shall 1ssuance of a perm1t prevent the Building Official from thereafter requiring a
<br />correction of errors ill plans, construction, or violations of any code. Every permit
<br />issu(:ld I;>ha11 become invalid unless the Hork authorized by such perm1t is oOllulIenced Hithin
<br />six months of issuance, or 1f work authorized by the permit is suspended or ahandoqed for a
<br />period of si.. months after the time the work is commenced. One 90 day extens10n of time
<br />may he alloHed for the permit with fee charge of $15.00. The extension ~hall be requested
<br />in writing to the Build1ng Official. An approved inspection must be logged dur1ng each SiK
<br />Inonth period, or the project will be considered abandoned.
<br />WARNING '1'0 OWNER: YOUR FAILURE TO RECORD A NOTICE Or~ COMMENCEMEN'l' MAY RESUW' IN YOUR
<br />PAYING TWICE FOR IMJ?ROVEMEN'l'S TO YOUR PROJ?ERTY. IF YOU IN'l'END TO OBTAIN r~INA.NqINC~, \_::{.m~UI:r
<br />WITH YOUR LENDER OR AN A'l'TORNEY BEFORE RECORDING YOUR NO'l'ICE OF COMMENCEMEN'l'. JOBS UNllER
<br />$2,50n IN VALUE: no NO'l' NEED '1'0 RECORD AND POS'l' A "NonCE OF COMMENCEMEN'l'''.
<br />
<br />__.__._______________n
<br />
<br />SIGNA'l'URE: OWNER OR AGENT
<br />
<br />S I GNA'I'URE : CONTRACTOR
<br />
<br />acknowledged
<br />, 19~
<br />
<br />STATE OF FLORIDA
<br />COuNTY OF ---
<br />The foregoing 1nstrument WliS aoknowledged
<br />Before me th1s --SJay of.---, 19
<br />by
<br />(name of person acknowledged)
<br />Qho is personally knOi-m to me, or
<br />
<br />STATE OF FLORIDA
<br />COUN'l'Y OF
<br />The foreg01ng instrument was
<br />Before me thia __ day of
<br />by~
<br />
<br />(name of person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />o who has produced
<br />(type
<br />and who[] d1d Odid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced__________
<br />(type of 1dentificationl
<br />and v~ho Ddid OUd not t.ake an oath
<br />
<br />Signature of person taking acknoHledgement
<br />
<br />Signature of person taking acknoHledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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