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<br />CONDI'rIONS OF PERNI'l' AFFIDAVIT
<br />A. NOTICE Of DEED RESTRICTIONS
<br />The undersigned understands thijt this permit may be subject to "deed restrictionsU which _
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliiHlce with any applicable deed restricti.ons.
<br />B, UNI,ICENSED 'CON'I'RAC'l'ORS AND CONTRACTOR RESPONSIBII,I'I'IES
<br />I f the O\vner has hired a contractor or contractors to undertake work, they nlay be required
<br />to be U censed in accordarlCe with state and local regulations. If the contracl:or is not
<br />licellsed as required !Jy law, botb the owner and contractor may be cdted for a misdemeanor
<br />violation under state law. If the owner 01: intended contractor are llllcel:l:ain as to what
<br />]j censing requi rement.!:l may apply for the intE:!nded work, they arE:! advised to contapt the
<br />City of Ze~hyrhills Building Department, 813-788-6611,
<br />Furth_HlnO!-e, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor-Is) sign portions of the "Contractor Sections" of this application for whiell they
<br />.lill be Lesponsible, If you, as the owner signs as the contracto!:" YQI,! are indioating that
<br />you, lather than the oontractor, are responsible for the work. If the contractor wishes
<br />you to sign as contractor: that mi:lY be an indication that he is not p!'operly 11 censed and is
<br />not entitled to ptHmitting privileges in the City of Zephyr-hUla.
<br />c. TAANSl>OR'l'A'rION IMPAC'!' jJ"'EES AND U'I'ILI'I'Y CONNECTION FEES
<br />D. cONS'rRlIc'ruION LIEN LAW (CHAP'l'ER '713, FLORIDA S'l'ATUTES, AS AMENDED)
<br />1 certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consume:r Affaiu. If the applicant is SOllleone othe:r that the "owner", I ce:rify that I
<br />llave obtained a copy of the above described ~ocument and promise in good faith to delive:r
<br />it to the "owner" prior to conunencement.
<br />E. CONTRAC'l'OR' a/OWNER'S AfFIDAVI'I'
<br />I certify that all the information in this application is accurate and tllat all work will
<br />be done in compliance with all applicable laws regulating constnlctioll, zoning, and land
<br />development,
<br />Applioation is hereby made to obtain a permjt to do work and installation as indicated. I
<br />ce~tify that no work or installation has conunenced 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 j\lrisdiction. I also
<br />certify that I understand that thl;: :regulations of other governmental agenaJet;l may apply to
<br />the intended work, and that it is my responsibility to identify what actions I must take to
<br />be in compliance, Such agencies include but are not limited tOI *Department of
<br />Envi:ronmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally 8ensttive
<br />Lands, Wate:r/Wastewater Treatment
<br />*Southwest jj'lorida Water Management District-Wells, Cypress Bayheads, Wet.land Areas,
<br />Altering Wate:rcourses
<br />'Army Corps of Engilleers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health IX Rehabil.itative Services, Environmental Health UnJt-Wells,
<br />Wastewater 'I'reatment, Septic 'l'anks
<br />'U.S, Envi:ronmental i:rotection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone ~Au or "A,ete,", it is
<br />unde!stood that a drai.nage plan addressing a "compensating volume" 'wiLL be submitted whioh
<br />is prepared by a professional engineer registered in tile State of florida prior to pennlt
<br />Jl:Jsuance.
<br />A per-mit 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 the technical codes,
<br />nor shall issuance of a permit prevent the Building Of{icial from thereafter requiring a
<br />co:r~ection pf errors in plans, construction, or violations of any code, Every permit
<br />i.s/JUc;ld shall become invalid unless th~ Hork authorized by such pe:rmi t is oOllunenaed within
<br />.six months of issuance, or if Hark authorized by the permit is suspended or aballdoqed f~r a
<br />period of six months after the tilue the work: is conunenced' One 90 day exteneion of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be reques~ed
<br />ill writing to the Building Official, An approved inspectJon mUllIt be logged during each six
<br />month period, or the pr'oj ect will be considered abandoned,
<br />WARNING TO OWNER: YOUR FAIWRE TO RECORD A NO'rrCE OF COMMENCEMENT MAY RESUW' IN YOUR
<br />PAYING '!'WJCE FOR IMPROVEMENTS TO YOUR PROiER'I'Y. IE' YOU IWI'END TO OB'l'AIN FINANGIN(j,~qNijUL'I'
<br />Wl'l'H YOUR LENDER OR AN ATTORNEY BEIfORE RECORDING YOUR NO'l'ICE OF COMMENCEMEN'I', . JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED 'I'O RECORD AND POST A "NO'I'ICE OF COMMENCEMEN'I"I.
<br />
<br />)j'~' ~l'O"
<br />
<br />
<br />STA'l'E OF FLORIDA
<br />CO\1N'l'Y OF
<br />'l'he fo:regoing instrument WqS acknowledged
<br />Before me this ._--pay of-----, 19 _..:..._
<br />
<br />by __._________._
<br />(name of person acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />SlGNA'l'URE: OWNER OR AGEN'I'
<br />
<br />~
<br />
<br />STA'n Of FLORI DA
<br />COUNTY OE'-
<br />The foregoing instrument was acknowledged
<br />Before me this ___ day of ______, 19_
<br />by _______._
<br />(llame of person acknowl~dged)
<br />Owho is personally known to me, o:r
<br />
<br />o who has produced
<br />(type
<br />and who[J did []did not
<br />
<br />o .~ho has produced _____
<br />(type of identification)
<br />and ~~ho Ddid [}.Ud not t,ake all oath
<br />
<br />of identificatJon)
<br />take an oath.
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking aoknowledgment
<br />
<br />Hcune typed, printed or stamped
<br />
<br />Harne typed, printed or stampt:H.l
<br />
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