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<br />CONDITIONS OF PERlIIJIT AFFIDAVIT
<br />A.. NO'rrCE OF' DEED RES'I'RICTIONS
<br />'1'he underbigned understands that th1;:; penni L Hlay be subj eet to "deed rebtrictions" whi eh
<br />nlay be more restrictive than City r'egulations. The uod<:u:signed assumes respon::':libili,ty for
<br />compliance vlith any applicabl e deed r'est:ricLions.
<br />B. UNIJICENSED COi~TRAC'I'ORS AND CONTRACTOR RESPONSIBILI'l'IES
<br />I f the ovmer has hired a contractor or contractors to undertake work, they may be r'equirli:d
<br />to be licensed in accordallce with state and local regulations. If the contractor ib not
<br />licensed cH; required by lalrl, both the ovmer' and contractor lnay be cited for a misdellleculOr
<br />violation under state lalrL If the o\mer or intended contractor are uncertain as to \Ihat
<br />licensing requirementb may apply for the intended work, they are advised to contact tile
<br />City of Zephydlills 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 whicll they
<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 that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of ~ephyrhills.
<br />C. 'l'RANSI:'OR'l'A'I'lON H1PACT I!'EES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAP'1'ER '713, r'LORIDA S'I'A'1'UTES, AS AMENDED)
<br />I 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 r'lorida Department of Agri culture
<br />and Consumer Affairs. If the applicant i5 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 c1\;.liver
<br />it to the "owner" prior' to COllunellcement.
<br />E. CONTRACTOR' S/m'mER' S AFFIDAVl'r
<br />I certify that all tile information in this application is accurate and that all work will
<br />be done in compliance vl1th 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 Hork or inbtallation halO cOlmnenced 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 jurisdicti on. 1 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 ldentify what actions I must take to
<br />be in compliance. Such agencies include but are not llmited to: ""Department of
<br />~nvironmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitlve
<br />Lands, Water/Wastewater Treatment
<br />*Southwebt Florida Water Management District-W~lls, Cypress Bayheads, Wetland Ar~as,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Service::;, Environmental Health Unit-Wells,
<br />Wast~wat~r Treatment, Septic Tanks
<br />*U.S. ~nvironlnental Protection Agency-Asbestos abat~ment
<br />I a1::;0 certify that, if fill material is to be used in Flood Zone "Ail or "At etc.", it ls
<br />understood that a drainage plan addressing a "compensating volume" will be submitted which
<br />is rnepared by a professional engineer registered in the State of E'] orida prior: to pennit
<br />i s.::mance.
<br />A permit lasued shall be construed to be a license to proqeed with the work and not as
<br />authority to violate, cancel, alter, or set aside any provisions of tile technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />i:;;sued shall become invalid unless the work authorized by such per'mit is conunenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for' a
<br />pe,dod of six months Ctfter the time the v/Ork i::; corrunenced. One 90 dCtY extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />in v~riting to the Building Official. An approved inspection must be logged dm:ing each six
<br />month period, or the project Hill be considered abandoned.
<br />WARNING C1'o OWNER: YOUH FAILURr; TO RECORD A NO'1'ICE OF COlvJMENCEMEN'l' MAY HESUL'I' IN YOUR
<br />PAYING TWICE FOR IMPROVENEN'l'S TO YOUR PROPERTY. IE' YOU IN'1'END '1'0 OB'rAIN l!'INANCING, CONSUL'!'
<br />WITH YOUR LENDER OR AN ATTORNEY BEE'ORE RECORDING YOUR NOTICE OF COMMENC~MENT. JOBS UNDER
<br />$2,500 IN VALUE DO NO'1' NEED '1'0 RECORD AND POST A "NO'rICE OF COMMENCEJvJEN'r".
<br />
<br />SIGNATURE: OWNER OR AGEN'I'
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />BcrATE OF' FLORIDA
<br />COUNTY OE'
<br />The furegoing instrument was
<br />Before me this __ day of
<br />by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The forego1ng instrument was
<br />Before me this __day of
<br />by
<br />
<br />acknoHledged
<br />,19_
<br />
<br />acknowledged
<br />, "l9
<br />
<br />(name of person acknowledged)
<br />o who is personally known to me, or
<br />
<br />(name of person acknoHledged)
<br />O,ho is personally known to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Dwho has produced
<br />(type of idenlificatioll)
<br />and Hho Ddid D:hd not take an oath
<br />
<br />Dwho has produced
<br />(type
<br />and whoD did Ddid not
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />NamE: typed, printed Ot stamped
<br />
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