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<br />CONDITIONS OF PERHIT AFFIDAVI'r
<br />A. NOnCE OF' DEED RES'I'RICTIONS
<br />'l'he undersigned understands that tbi::; permit may be subject to "deed restrictions" wll' d,
<br />lllay we mor", l:estrictive than City l:egul ations. The undersigned a I:> I:> ullIes rel::lponl::libility tor
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED COi-JTRAC'1'ORS AND CONTRAC'TOR RESPONSIBILITIES
<br />If the o.mer lias hired a contractor or contractors to undertake work, they may be required
<br />to be licen.:::.ed in accor:dance .Iith state and local regulat.ions. If the contractor is noL
<br />licensed as required wy lenl, both the owner and contractor may be cited for a misdemeanor
<br />violation under ::;tate la.l. If the OHner or intended contractor are uncertain al::l to ..hat
<br />licensing requirements may apply for the intended work, they are advised to contact tile
<br />City of Zephy!:hills Building Department, 813-788-6611.
<br />Furthermore, if the ovmer 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 tht=Y
<br />will be responsible. If you, as the owner signs as the contractor, you 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 tllat he is not properly licensed and is
<br />not entl tIed to permitting privileges in the City of Zephyrhi.lls.
<br />C. 'l'RANSPOR'fA'rION IMPACT fEES AND UTILI'I'Y CONNEC,!'ION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAP'rER 713, r'LORIDA STA'fUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Iflorida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the r'lorida Department of Agd Clll ture
<br />and Consumer' Affairs. If the applicant 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 conunencement.
<br />E. CON'fRACTOR' S/OWNER' S AFFIDAVI'f
<br />I certify tll<lt all the information in this applicati.on is accurate and that <Ill work will
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no work or installation has conooenced prior to issuance of a permit and th<lt
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in tile jurisdiction. 1 also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended wOLk, and that lt is my responsibility to identify what actions I must tClke to
<br />be in compliance. Such agencies include but are not limited to: A'Department of
<br />{!;nvironmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Si;;;:nsitive
<br />Lands, Water/WasteHat<:r 'rreatment
<br />*Southwel::lt Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercoursras
<br />"Arruy Corps of Engilleers-SeaHalls, Docks, Navigable WaterwClY.:l
<br />*Department of Health & Rehabilitative Servicel::l, Environmental Health Unit-Wells,
<br />Wal::ltewater Treatment, Septic Tanks
<br />*U.~. {!;nviron!uental Protection Agency-Asbestos abatement
<br />I al;:;o certify that, if fill material is to be used in Flood Zone "AU or "A, etc.", it is
<br />undr;:rstood that a drainage plan addressing a "compensating volume" will be submitted which
<br />i;:; prepared by a professional engineer registered in the State of Florida prior to permit
<br />iSl:iuance.
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />authori ty to violate, cancel, alter, or' set aside any provisions of the technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, constLuction, or violations of any code. Every permit
<br />issued shall become invalid unless the work authorized by such peL'mit is cOllunenced within
<br />six montlls of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period ot six months after the time the vwrk is corrunenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />in .niting to the Building Official. An approved i.nspection must be logged during each Si:l\
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR E'AILURE TO RECORD A NO'l'ICE OF COMMENCEMEN'l' HAY RESUW' lH YOUR
<br />PAYING TWICE FOR IMPROVEMEN'l'S '1'0 YOUR PROPERTY. IE' YOU IN'1'END '1'0 OB'l'AIN b'INANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEr'ORE RECORDING YOUR NO'rICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO 1'10'1' NEED '1'0 RECORD AND POST A "NOnCE OF COMMENCEMEN'r".
<br />
<br />SIGNATURE: OWNER OR AGEN'I'
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _day of
<br />by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by
<br />
<br />acknovlledged
<br />19_
<br />
<br />acknowledged
<br />19
<br />
<br />(name of person acknowledged)
<br />o who is personally known to llIC:, or
<br />
<br />(name of person acknowlr;:dged)
<br />Oilio is personally known ~n me, or
<br />
<br />of identification)
<br />tal,e an oath.
<br />
<br />Owho has produced
<br />(type of identification)
<br />and ..ho Ddid []did not take em oath
<br />
<br />o who has produced
<br />(type
<br />and whoO did Odid not
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature pf person taklng acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed OL stampr::d
<br />
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