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<br />CONDl'rIONS OF PER1'1l'f AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The uQderaigned understands th~t this permit may be subject to "deed restrictionsU which
<br />may be more restrictive than City regulations. 'rhe undersigned al3sumes respollsibil:i. ty for
<br />complignce with any applicable deed restrictions.
<br />B. UNI,ICENSED 'CONTRAC'l'ORS AND CON'l'RACTOR RESPONSIBII,I'I'IES
<br />If the ol'iner has hired a contractor or contractors to undertake work, they nlay be required
<br />to be licensed in accordance Hith state and local regulations, If the contractor is not
<br />licellsed as required by law, both the owner and contractor may be c:.:ited for a miademeanor
<br />violation under I:Itate law. If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply for the intended work, tlley are advised to oontapt the
<br />City of Zephyrhills Building Department, 613-786-6611.
<br />FurtherllioJ::e, if the owner has hired a contractor or oontraotors, he is adviaed to have the
<br />oontraotor(s) sign portions of the "Contractor SectionsU of this application for whicll they
<br />will be responsible. If you, as the owner signs as tile contractor, YQ4 are indicating that
<br />you, lather than the oontractor, are responsible for the wox:k, If the oontraotor wishes
<br />you to siyn as contractor that m<\y be an indication that he is not properly licensed and is
<br />llot entitled to permitting privil~ges in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT ji"'EES AND UTILI'!'\, CONNECTION E'EES
<br />D, CONS'fRUC'fUION l,IEN LAW (CHAP'l'ER '713, FLORIDA S'l'ATUTES, AS AMENDED)
<br />1 oertify 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 Depirtment of Agrioulture
<br />and Consumer Aftain, If the applicaqt is someone other that: the "owner", I cerily that I
<br />have obtainecl a copy of the above described document and promi.se in good faith to deliver
<br />j t to the "owner" prior to oonunencement.
<br />E, CONTRAC'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 applicable laws regulating constnlCtion, zoning, and land
<br />development.
<br />Appliuation is hereby made to obta1.n a penni t to do work and installation as indiaated. I
<br />ce~tify that no Hork or installation has conunenced prior to i.ssuance qf a peulIi t and that
<br />all work wi.ll be performed to meet standards of all laws regUlating oonstruotion, City
<br />codes, zoning regulations, and land development regulati.ons in the juri.sdiction, J also
<br />certify that I understand that the regulations of otller governmental agencies may apply to
<br />the inteuded work, and that it iel my responsibility to identify what aat10nli I Illust take to
<br />be in compliance. Such agencies include but are not limited tOI *Department of
<br />Environmental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Sensttive
<br />Lands, Water/Wastewater 'rreatment
<br />*Southwest li'lorida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waten/ays
<br />*Department of Health Ii Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.B, Environmental frotection Agency-Asbestos abatement
<br />I also certify that, if fill material il:l to be used in Flood Zone ~Au or "A,ete,", it is
<br />undelstood that a drai.nage plan addressing a "compensating volume"'will be submitted Vlhiuh
<br />is prepared by a professional engineer registered in the State of Florida prior to perrnlt
<br />issuance.
<br />A perroit issued shall be construed to be a license to ptoceed with the work and not as
<br />autllority to violate, cancel, alter, or set aside any provisionl:l of the technical codes,
<br />nor sllall issuance of a permit prevent the Building Official from thereafter requiring a
<br />cor~eQtion of errors in plans, cDn~truction! or viol~tions of any code. Every p~Imit
<br />iSfi~~d l:ihall beoome invalid unlen the work authorized by auch permit is cOllunenced w.tthin
<br />six months of iasuance, or if work authorized by the permit is .suspended or abandoflild f9r a
<br />period of si~1 months after the time the work is commenced, One 90 day extenlilion of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be reques~ed
<br />in writing to the Building Official, An approved inspection must be logged during each .s.tx
<br />month period, or the project Hill be considered abandoned.
<br />WAm~ING TO OWNER I YOUR FAILURE TO RECORD A NOTICE Of COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING 'l'WICE FOR IMPROVEMENTS TO YOUR PROPER'ry, IF YOU IN'fEND TO OB'l'AIN ji"IINANGlNq,~9H~UI/r'
<br />WITH YOUR LENDER OR AN A'f''rORNEY BEIfORE RECORDING YOUR NO'I'ICE OF COMMENCEMEN'I', 'JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED 'I'O RECORD AND POST A "NOTICE OF COMMENCEMEN'I'''.
<br />
<br />SIGNA'1'URE: OWNER OR AGEN'r
<br />
<br />SIGNATURE; CONTRACTOR
<br />
<br />S'rA'rE Of E'LORI DA
<br />COUN'rY OF
<br />The foregoing instrument was acknowledged
<br />Before me this ____ day of ___, 1!L-
<br />by.___.
<br />(name of person aclmowledged)
<br />o \tho is personally known to me, or
<br />
<br />Dwho has produoed
<br />(type of identification)
<br />and whal] did Ddid not take an oath,
<br />
<br />STA'I'E OF FLORIDA
<br />COUNTY Of
<br />The foregoing instrument w~s acknpwledged
<br />Before me this ----Jiay of----, 19 _:.....
<br />by ___.
<br />(name of person acknowledged)
<br />o.,ho is peJ::sonally known to me, or
<br />
<br />DHho has produced
<br />(type of identification)
<br />and \</ho Ddid DUd not t.ake all oath
<br />
<br />Signatul'e of person taking acknowledgement
<br />
<br />Signature of perl:lon taking aoknowledgment
<br />
<br />Ha.me typed, j,Jdnted or stamped
<br />
<br />-.--_.._-.--.-~..-~_.~--
<br />Name typed, printed or' l:ltamped
<br />
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