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<br />CONDITIONS OF PERIVlI'I' AFnDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'rbe unde.Lsigned undel:stands that thls permit lriay be subject to "deed restrictions" which
<br />may be more restrictivd tllan City regulations. The undersigned assumes responsibility for
<br />compliance with .any applicable deed restrictions.
<br />B. UNLICENSED C~NTRACTORS AND CON'l'RAC'I'OR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with state and local regulations. If the contractor is not
<br />licensed as required by law, both the OHner and contractor may be cited for a misdemeanor
<br />violation under state laH. If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 613-766-6611.
<br />Furthermore, if the owner 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 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 wishes
<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 Zephyrhills.
<br />C. TAANSPOR'l'ATION I MPAC'l' FEES AND U'rILI'I'Y CONNECTION FEES
<br />D. CONSTRUc'rUION LIEN LAvJ (CHAP'1'ER 713, FLORIDA STNfu'rES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />li..n LaH - Homeowner's Protection Guide'! prepared by the b'lorida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the \\ovmer", I cerify that I
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />i. t to the "owner" prio.l. to conunencement.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance Hith all applicable laws regulating construction, zoning, and land
<br />dE::velopment.
<br />Application is hereby made to obtain a permit to do work. and installation as jndi.cated. I
<br />certify that no Hork or installdtion has commenced 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 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 to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*A.rmy Corps of Engineers-Seav.alls, Docks, Navigable Waterways
<br />*Department 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,ete.", it is
<br />understood that a drainage plan addressing a "compensating volume" will be submitted Hhich
<br />is prepared by a professional engineer registered in the State of Florida prior Lo permit
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />autho.lity 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 requi.ling a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />iSflued shall become invalid unless the work authorized by such permit is cOllunenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />peniod of six months after the time the work 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 writing to the Building Official. An approved inspection must be logged dUl:ing each si.x
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUW' IN YOUR
<br />PAYING TWICE FOR H1PROVEMENTS TO YOUR PROPERTY. IF YOU INTEND '1'0 OB'l'AIN FINANCING, CONSUL'l'
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'l'. JOBS UNDER
<br />$2/500 IN VALUE DO NOT NEED TO RECORD AND POST A "NO'l'ICE OF COMMENCEMEN'r".
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OE' b~LORI DA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by.
<br />
<br />acknowledged
<br />2Q___
<br />
<br />STA'fE OF FLORIDA
<br />COUNTY OF
<br />'l'he foregoing instrument was acknowleqged
<br />Before me this __day of , ~O -.:........
<br />by
<br />(name of person acknowledged)
<br />[J"ho is personally known to me, or
<br />
<br />Dwho has produced
<br />(type of identification)
<br />and viho Odid DUd not take an oath
<br />
<br />(name of person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />Owho has produced
<br />(type
<br />and whoD did Odid not
<br />
<br />of identification)
<br />take an oath.
<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 or stamped
<br />
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