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<br />CONDI'rIONS OF PERM!'l' AFFIDAVIT
<br />A. NOT~CE OF DEED RESTRICTIONS
<br />The undersigned understands thqt thia plarmit may be subject to "deed restrictions" which
<br />rnCiY be more restri eti ve than Ci ty regulations. The undersigned assumes responsibili. ty for
<br />oompliCinoe with any applicable deed restrictions.
<br />B. UlnICENSED C:ON'l'RAC'l'ORS AND CON'l'RACTOR RESPONSIBILI'l'IES
<br />I f the O\vner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordarlce with state and local regulations. If the contractor is not
<br />Ii cellsed CIS required by law, both the ovmer and contractor may be ci ted for a Ildsderneclllor
<br />violati on under :otate lenl. I t the oWller' or intended contractor are uncertain as to Vlhat
<br />licensing requirementl:l may apply for the intended work, they are advil:led to contact the
<br />City of Zephyr-hills Building Department, 813-766-6611.
<br />FurtherlnO!:e, if the ovme!: has hired a contractor or contractors, he is advised to have the
<br />contraator(s) sign portions of the "Contractor Sections" of this application for which they
<br />will be responsible. If you, as the owner signs as tile contractor, YQ4 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 pri v.1.leges in the City of Zephyrhl11s.
<br />c. 'l'RANSPOR'l'A'I'ION IMPAC'l' li'EES AND U'l'ILl'I'Y CONNECTION )fEES
<br />D. CONS'l'RllCTUION LIEN LM~ (CllAprpER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, tile 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 Consumer Affairs. If the appl.1.cant is someone other that the "owner", I cerify that I
<br />Ilave obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to commencement.
<br />E. CON'PRAC'l'OR' S/OWNER' S AFFIDAVI'I'
<br />I certify that all the information in this application is accurate arid that all work will
<br />be done in compliance with all appllcable laws regul ating constt'llction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permi.t to do work and installation as indicated. I
<br />certify that no work or installation has conunenced prior to iSl>uance of a permi t 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\lr!sdiction. 1 also
<br />certify th~t I understand that the regulations of otller governmental agencies 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 tal ....Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />....SouthweBt Florida Water Management District-Wells, Cypress Bayheads, WetJand Areas,
<br />Altering Watercourses
<br />*Anny Corps of Engineers--Seawal.ls, Docks, Navigable Waterways
<br />*lJepartlllent of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone ~A" or "A, etc.", it is
<br />understood that a drainage plan addressing a "compensating volume" 'will be submitted which
<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 />author! tY 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 oode. Every permit
<br />issued shall become invalid unless the work authorized by such permit is cOlluenced within
<br />six months of issuance, or if work authorized by the permi.t .1.5 suspended or abandoned for a
<br />period of s1:l, months after the time the work is conunenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requeated
<br />in writing to the Building Official. An approved i.nspection must be logged during each si.x
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: 'tOUR FAILURE '1'0 RECORD A NO'l'ICE Ob~ COMMENCEMENT MAY RESUI!l' IN YOUR
<br />PAYING TWICE H'OR Il1PROVEMENTS TO YOUR PROPERTY. IIf YOU IN'I'END TO OB'l'AIN b'INAN'~INq, ~(lN~UI:I'
<br />WITH YOUR LENDER OR AN A'l"I'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'!'. JOBS UNDER
<br />$2,500 IN VALUE ...!!-C?_ NO~_~D '1'0 RECORD AND POS'l' A "NO'l'ICE OF COMMENCb~MEN'IlfI.
<br />
<br />
<br />~EN"-~ SIGN~~~~~o~ci~
<br />
<br />S'1'A'I'E Of' FLO~
<br />COUNTY Ob" '.SLo
<br />'l'he foregoing ~~ument was acknowledged
<br />Before IHe this I.f" It. L1a..---'-L-_, )19...2!()3
<br />by --LJ/ ILJrlJ4e L L)~ k'F J,q.
<br />(name ot person ackno~ledged)
<br />~o is personally known to me, or
<br />
<br />STA'I'E OF FLORI~~0
<br />COUNTY OF '-~ _ __
<br />The foregoing in;:.~f?t!.nent w~.~nowledged .3
<br />Before me this ~ay of __, ~Q__
<br />by
<br />;:)( (name of person acknowledged)
<br />~ is personCilly known to me, or
<br />
<br />o \'/ho has produced
<br />(type of identlfication)
<br />and ;~~ did []did not take an oath.
<br />
<br />/~A/<-6 A~ A.d~
<br />
<br />~gnature of person taking acknowledgement
<br />
<br />[J viho has produced____.
<br />(type
<br />I
<br />
<br />k?-~:.0/
<br />
<br />
<br />pLinted or sLarnpbd
<br />
<br />
<br />SHIAOEN K DEI. oorro
<br />irlfXlllllE~DlPed
<br />Bonded ThIU NoIely Pldc u..........
<br />
<br />~na:ure 0
<br />
<br />\~~;~d'
<br />
<br />I'lame t
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