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<br />CONDI'rIONS OF PERl>1I'L' AlnnDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands thijt this p~rm1t may be subject to "deed restriotions" which <br />IUi:lY be mure ~estrictive than City regulations. 'rlle undend gned assumes responsibility for <br />compliance wi th any appli cable deed restricti.ons. <br />B. UNLICENSED 'CON'l'RAC'l'ORS AND CON'l'RAC'I'OR RESPONSIBILITIES <br />1 f the o\'mer has hired a oontractor OJ: contractors to undertake work, they ll\ay be required <br />to be 11 ceBsed in accordance \~ith state and local regulations. If the oontractor is not <br />J ioensedas requ.i..t:ed by law, both the Dvmer and contractor: IlIay be cited for a misdemeanor <br />violation under state law. If the owner or intended contractor are uncert:ain as to vlhat <br />licensillg requirementl:l may apply for the intended work, they are advised to oontaot the <br />City of Zephyrhills BuUd.i.ng Department, 613-788-6611. <br />Furlhennore, if the owner bas hir:ed a contractor or contractors, he is advised to have the <br />contracto~(s) sign portions of the "Contractor SectionsH of this application for whicll they <br />villI be r.esponsible. If you, as the owner signs as the contractor, YQl\ are indioating that <br />you, ~ather than the contractor, are responsible for.- the wot:k. If the contractor wishes <br />you to sign OIl> uOlltractor that may be an indication that he is not properly Licensed and is <br />not elltitled to permitting privileges in the City of Zephyrhilll:l. <br />c. 'l'RANSi:'OR'l'A'rION IMi:'AC'l' IrEES AND U'PILITY CONNECTION ~'EES <br />lJ. CONS'fRlIC'l'UION lJIEN lAW (CHAP'l'ER '713, FLORIDA S'l'ATU'nS, AS AMENDED) <br />I cer.tify that I, the applicant, have been provided "'lith a copy of "Florida's Construotion <br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture <br />and Consumer Affai.t:s. If the applicant is someone other that the "ownerH, I cerify th/:lt I <br />tlave obt/:lined a copy of the above described document and promise in good faith to deliver <br />it to the "ownerH prior to conunencement. <br />E. CON'rRAc'rOR' a/OWNER'S AJ!'li'IDAVI'l' <br />I certify that all the information in this application is accurate and that illl work will <br />be done in compliance with all applicable laws regulating constrllct1on, zoning, and land <br />devE;llopment. <br />Applioation is hereby made to obtain a permit to do work and installation as illdioatlild. I <br />ce~tify that no Hork or installation has conunenced prior to issuance of a permit and that <br />all work w.i.ll be performed to meet standards of all laws regulating construotion, City <br />codes, zoning regulations, and land development regulations in tile jurisdiction. I /:lleo <br />certify that I understand that the regulations of otller governmental agenoies m/:lY apply to <br />the intended Hark, and that it is my responsibility to identify what actioue I must take to <br />be in oompliance. Such agencies inolude but are not limited to; *Department of <br />Environmental Regulation-Cyprees Bayheads, Wetland Areas and Environmentally Sensttive <br />Lands, Water/Wastewater Treatment <br />*Southwest florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, <br />Altering Watercourses <br />~Army Corps of Engineers-Seawalls, Docks, Nav~gable Waterways <br />*lJepartlllenl 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 ~AH or "A,ate.N, it is <br />unde.t:stood that a drainage plan addressing a "compensating volumeN'will be submitted whioh <br />is prepared by a professional engine~r registered in the State of Florida pr10r to permit <br />jasuance. <br />A permit issued shall be construed to be a license to proceed with the work and not as <br />authority to violate, c/:lnoel, alter, or set aside any provisions of the teclmiual codes, <br />nor shall issuance of a permit prevent the Building of:J;icial from thereafter requiring a <br />co~~ection of errors in plans, construction, or violations of any code. Every p~'mit <br />issu(;ld sh/:lll become invalid unless the Hork authorized by such permit ia cOllunenced within <br />six months of issuance, or if \>Iork authorized by the permit is suspended or: abanctolledfor a <br />period of sil\ months after the time the work is commenced. One 90 day extension of time <br />may be allowed for the permit with fee charge of $15.00. 'rhe extension shall be requea~ed <br />in writing to the Building Official. An approved in5peation must be logged during each sjx <br />month period, or the project Hill be considered abandoned. <br />WARNING 'fO OWNERI YOUR FAILURE 'fO RECORD A NonCE OJ!' COMMENCEMENT MAY RESUL'!' IN YOUR <br />i:'AYING TWICE IfOR IMI?ROVEMENTS TO YOUR PROPER'ry. IF YOU IN'rEND TO OB'rAIN lJ'INANqINq, .{::qUijUL'l' <br />WITH YOUR LENDER OR AN A'l'TORNEY 8Eli'ORE RECORDING YOUR NO'l'ICE OF COMMENCEMEN'l'. ,1OBS UNDER <br />.2,501l IN VA~U~R'CDRU AND PDS" A "NO'l'(CE OF "OMMENC""EN'r", <br /> <br /> <br />SIGNA'fURE: CONTRACTOR <br /> <br />STA'n OF FLORID~ <br />COUNTY OF .. ~ C n <br />The foregoing instrument was <br />Before me this __ day of <br />by_ <br /> <br />o who has produced <br />(type <br />and who[] did Ddid not <br /> <br />STA'l'E OF nORIDA <br />COUNTY OJ!' <br />The foregoing instrument w~s aoknowledged <br />Before me this _-Pay of----, 19 __:._ <br />by <br />(name of person acknowledged) <br />C1ho is personally known to me, or <br /> <br />o Hho has produced ____ <br />(type of identifioation) <br />and Hho Ddid DUd not t.ake all oath <br /> <br />acknowledged <br />,19_ <br /> <br />(name of person acknowledged) <br />Dwho is personally known to me, or <br /> <br />of identification) <br />take an oath. <br /> <br />Signature of per50n taking aoknowledgement <br /> <br />Signature of person taking acknowledgment <br /> <br />Name typed, pri.nted or: stamped <br /> <br />Name t:yped, pr:inted or. stamped <br />