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<br />CONDITIONS OF PE:R1V/IT AE'FIDAVI'r
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'he undersigned understands that thi::; permit Illay be subject to "deed restrictions" which
<br />way Le mort: .l:estrictive than City r:t:gll] ations. 'I'ht: undersigned a::;sumes re::;ponslbility for
<br />compliance with any applicable deed restrict-ions.
<br />a. UNLICENSED COj~TRAC'l'ORS AND CON'l'RAC'I'OR RESPONSIBII,I'l'IES
<br />I f the ovmer lias hired a contractor or contractor::; to undertake Hork, they may be r:eguired
<br />to be licen5ed in accordance witll state and local regulations. If the contractor il:i not
<br />licensed a::; required Ly lavJ, both the OHner and contractor may be cited for a misdemeanor
<br />violation unde:r state lavl. If the ovmer or intended contractor are uncertain as to Hhat
<br />licensing requirements may apply for the intended work, they are advised to contact tlle
<br />City of Zephyrhills Building Department, 813-188-6611.
<br />Furthermore, if the ovmer has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of t.!le "Contractor Sections" of this application for Hhich they
<br />Hill be responsible. If you, as the OHner signs as the contractor, you ar~ indicating that
<br />you, rather than the contractor, are r~sponsibl~ for the Hork. 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 ~ephydli.lls.
<br />C. 'l'RANSPOR'rATION IlvIPAC'l' lrEES AND UTILITY CONNEC'I'ION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAP'rER 713, InORIDA Srl'A'EUTES, AS AMENDE:D)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />lien Lom - Homeowner's Protection Guide" pr~pared by the J!'lorida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "oHner", 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 "oHn~r" prior to co~nencement.
<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 don<:: in compliance Hith all applicable laHs regulating construction, zon1ng, and land
<br />development.
<br />Appli,cation is hereby made to obtain a permit to do Hark and installation as indicated. I
<br />certi fy that no vwrk or inl:itallation has cOllunenced prior to issuance of a permi t and that
<br />all Hork Hill be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdictioll. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended ~Jork, and that it is my responsibility to identify what actions I must t<ike to
<br />be in compliance. Such agencies include but are not limited to: A'Department of
<br />~nvironmental Regulation-Cypress Bayheads, Wetland Areas and Environll~ntally Sensitive
<br />Lands, WC:lter/WasteHater Treatment
<br />*SouthHest Florida W<iter Management District-W~lls, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Anay Corps of Engilleer::o-SeaHalls, DOcks, Navigable WatenJay::;
<br />.Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Tr~atm~nt, 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 "AU or "A,etc.", i.t is
<br />understood that a dr-ainage plan addressing a "compensating volume" \-Jill be submitted Hhich
<br />is prepared by a professional engineer registered in the State of Florida prior to perm1t
<br />is:ouance.
<br />A permit issued sh<ill be con::otrued to be a license to proceed Hith the Hark and not as
<br />authority to violate, c<incel, alter, or set aside any provisions of tile technical codes,
<br />nor shall issuance of a permi t prevent the Building Offi.cial from th<::r<::after reqlliring a
<br />correction of errors in plans, construct~on, or violations of any code. Every permit
<br />issued shall become invalid unless the Hork authorized by such per:mit is cOlluneuced Hithin
<br />fiix monU!.::, of iSfiuance, or if work authorized by the permit is suspended or abC:lndoned for a
<br />period of six months after the time the vlOrk is conunenced. One 90 day extension of time::
<br />may be alloHed for the permit \-Jith fee cllarge of $15.00. The extension shall be requefited
<br />in vJIiting to the Building Official. An approved inspection must be logged during each six
<br />month period, or the project Hill be considered abandoned.
<br />WARNING TO OWNER: YOUH E'AILDRE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUW' IN YOUR
<br />PAYING 'l'WICE FOR IMPROVEMEN'l'S '1'0 YOUR PROPERTY. IE' YOU INTEND '1'0 OB'1'AIN b'INANCING, CONSUl/I'
<br />WI'l'H YOUR LENDER OR AN A'rTORNEY BElfORE RECORDING YOUR NOTICE OF COMMENCEMENT. ,JOBS UNDE:R
<br />$2,500 IN VALlIE: DO NUl' NEED '1'0 R~CORD AND POST A "NO'rICE OF COMMENCEMEN'r".
<br />
<br />SIGNATURE: OWNER OR AGEN'I'
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument Has acknoHledged
<br />Before me this _ day of ____, 19__
<br />by
<br />(name of person acknowledged)
<br />D Hho is personally known to me, or
<br />
<br />STATE OF FLORIDA
<br />COUNTY OE'
<br />The foregoing instrument Has acknowh:dged
<br />Before me this ---1iay of----, 19
<br />by
<br />(name of person acknoHledged)
<br />O~o is personally known to me, or
<br />
<br />Dwho has produced
<br />(type
<br />and whon did Ddid not
<br />
<br />of identification)
<br />take C:ln oath.
<br />
<br />DHho has produced
<br />(type of identi ficatJoll)
<br />and Hho Ddid (]jid not take an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknovlll:::dgment
<br />
<br />Name typed, pri nt~d or stamp<::d
<br />
<br />Name typed, printed or stamped
<br />
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