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<br />CONDITIONS OF PERMIT AFFIDAVI'P
<br />A, NOTICE OF DEED RESTRICTIONS
<br />'l"he undersigned understands that thio:; permit llIay be subject to "deed restrictions" which
<br />Utay lJe mort: .J.:estrictivo= than City r:egulations. 'l'he unde.J.:signE:d a:o:oumes re:oponsibility for
<br />compliance vd th any applicabl t: deE:d restrictions,
<br />B, UNLICENSED COi~TRAC'1'ORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OHl1o=r has hired a contractor: or contractors to undertake Hark, they may be r:'equired
<br />to be licensed in accordance with state and local regulations, If the contractor is not
<br />licensed al;; required by lav~, both the OHner and contractor may be cited for a misdellleanor
<br />violation under state law, If the owner or intended contractor are uncertain as to ,dlat
<br />licensing requirements may apply for the intended work, they are advised to contact tIle
<br />City of Zephyrhills Building Department, 813-788-6611,
<br />Furthermore, if the o,mer has hir:ed a contractor or contractors, he is advised to }1Clve the
<br />contractor{s} sign portions of thE: "Contractor Sections" of this application tor whicll th~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 that he is not properly licensed and 1s
<br />not entitled to permitting privileges in the City of l.ephyrhills.
<br />C, '1'RANSPOR'l'A'rION H1PACT IfEES AND UTILI'!'Y CONNECTION FEES
<br />D, CONSTRUCTUION LIEN LAW {CHAPTER 713, nORIDA STA'fUTES, AS AMENDED}
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />lien LaH - HomeoHner's Protection Guide" prepared by the l!'lorida Department of Agriculture
<br />i:tnd Consumer Affairs. If the applicant is someone other that the "o,merfl, 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 "own"H'" prior to conunencement,
<br />E. CONTRACTOR' S/OWNER' S Aji'FIDAVI"P
<br />I certify that all the information in this application is accurate and that all Hork Hill
<br />be done in compliance ./ith all applicable laHs regulating construction, zoning, and land
<br />d~velopmellt.
<br />Application is hereby made to obtain a permlt to do Hork and installation as indicated. I
<br />certify that no vlOrk or installation has cOlllmenced 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 jurisdiction, I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended 'lOrk, 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 to: ~'Depal-tment of
<br />~nvironmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Land~, Wate~/Wastewater Treatment
<br />*Southwe~t Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engiueers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />WasteHater Treatment, Septic Tanks
<br />*U,9, 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" Hill be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to pe~mit
<br />issuance,
<br />A permit isslled shall be construed to be a license to proceed with the Hork and not as
<br />authority to violate, caucel, alter, or:" set aside auy 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, construct~on, or violations of any code. Every perlnit
<br />issued shall become invalid unless the work authorized by such permit is conunenced within
<br />aiK months of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of siK months after the time the work is commenced. One 90 day extension of time
<br />may be alloHed for the permit with fee charge of $15,00. '1'he extension shall bo; requested
<br />in vniting to tho; Building Official, An approved inspection must be Jogged during each six
<br />month period, or the project will be considered abandoned.
<br />~'lARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEN'1' MAY RESUW' IN YOUR
<br />PAYING TWICE FOR IMPROVEMEN'l'S '1"0 YOUR PROPERTY. If YOU INTEND TO OB'rAIN ji'INANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEfORE RECORDING YOUR NOTICE OF COMMENCEMENT, ,JOBS UNDER
<br />$2,500 IN VALUE DO 1'10'1' NEED "1'0 RECORD AND POST A "NOTICE OF COMMENCEMEN"f".
<br />
<br />SIGNATURE: OWNER OR AGEI'J'I'
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />acknovlledged
<br />19_
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF'
<br />The foregoing instrument was acknoHledged
<br />Before me this _day of---, 19
<br />by
<br />{name of person acknowledged}
<br />C1ho is personally known to me, or
<br />
<br />STA'rE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument Has
<br />Before me this _ day of
<br />by
<br />
<br />(name of person acknowledged)
<br />Dwho is personally knoHn to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />OHho has produced
<br />{type of identificatiou}
<br />and Hbo 0 did [J:li d not ta ke an oa th
<br />
<br />o who has produced
<br />{type
<br />and "hoD did Odid not
<br />
<br />Signature of person taking acknoHledgement
<br />
<br />Signature of person taking acknoHledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or" stamped
<br />
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