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<br />CONDITIONS OF PERNI'I' AFFIDAVI'r
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'he undersigned understands that tin:; penni t: lnay be subj ect to "deed restrictions" wId eh
<br />way Le mon, restrictive than Ci ty t.e~JlIJ a tions. The undersigned assumes l:esponsibi li ty tor
<br />compliance with any applicabJe deed restric~ions.
<br />B. UNLIC~NSED COi>JTRAC'l'ORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ovmer has hin::d a contractor or contractor::; to undertake work, they may be l:equir.::d
<br />to be licensed in accordance with state and local regulations. If the contractor is not
<br />license:d a.::; required by laH, both the OHner and contractor may be cited for a lIIisdemt::i:HlOr
<br />violation under state law. If the oHner or intended contractor are uncertain as to wllat
<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 ovmer has hil.:ed a contractor or contractors, he is advised to have the
<br />contractor (s) sign portions of t:he "Contractor Sections" of this application tor Hhich they
<br />will be respon~ible. If you, as the owner signs as the contractor, you are indicating that
<br />you, rather than the contractor, are responsible for the Hark. If the contractor Histl~s
<br />you to sign as contractor that may be an indication tllat he is not properly licensed and is
<br />not entitled to permitting privileges in the City of ~ephyrhills.
<br />c. 'l'RANSPOR'I'A'I'lON IMPACT fEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAP'rER 713, nORIDA STA'I'UTES, AS AMENDED)
<br />I certify that I, the 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 applicant is someone other that the "owner", I cerify that I
<br />have obtained a copy of the above described document and promise in good faith to dellver
<br />it to the "ovmel:" prior to COllunencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all Hark will
<br />be done in compliance I.lith all applicable laws regulating construction, zoning, and land
<br />devt::lopment.
<br />Application is hereby made to obtain a permit to do Hork and installation as indicated. I
<br />certi fy that no work or installation has cOllunenced prior to issuance of a penni t and that
<br />all Hork will be performed to meet standards of all laws regulating constrllction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended vwrk, and that it is my responsibility to identify what actionl:> I must t.ake to
<br />be in compliance. Such agencies include but are not limited to: *Depiu:tment of
<br />~nvironmental Regulation-Cypress Bayheads, Wetland Areas and Environn~lltally Sensitive
<br />Land::;, Water/Waste~Jater 'rreatment
<br />*Southwe::;t Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, DOcks, Navigable WaterHays
<br />*Department of Health & Rellabilitative Services, Environmental Health Unit-Wells,
<br />WasteHater Treatment, Septic Tanks
<br />'.r.-U. S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used ill Flood Zone "A" or "A, etc.", it is
<br />understood that a drainage plan addressing a "compensating volume" v,ill be submitted Hhich
<br />is prepared by a professional engineer registered in the state of Florida prior to perndt
<br />is::iuance.
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />authority to violate, cancel, alter, or. set aside any provisions of the technical code/:>,
<br />nor shall issuance of a permlt prevent the Building Official from thereafter. reqlliring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />il:>sued shall become invalid unless the work authorized by such permit is couunenced within
<br />six montlls of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of six monthl::l after the time the Hark is conuuenced. One 90 day extension of time
<br />may be alloHed for the permit with fee charge of $15.00. 'rhe extension shall be requested
<br />in viri ting to the Building Official. An approved inspection must be ] ogged during each six
<br />month period, or the project Hill be considered abandoned.
<br />WARNING 'I'D OWNER: YOUR FAILUR~ TO RECORD A NOTICE OF COMMENCEMENT HAY RESUW' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS '1'0 YOUR PROPERTY. IF YOU IN'l'END '1'0 OB'rAIN lnNANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BElfORE RECORDING YOUR NOnCE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALliE DO NOT NEED '1'0 RECORD AND poser A \\NO'rrCE OF COMMENCENENT".
<br />
<br />SIGNATURE: OWNER OR AGEN'I'
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF'
<br />The foregoing instrument Has
<br />Before me this __ day of
<br />by
<br />
<br />acknovrledged
<br />,19_
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Before me this _day of---, 19
<br />by
<br />(name of person acknoHledged)
<br />[1ho is personally known to me, or
<br />
<br />(name of person acknoHledged)
<br />o Hho is personally known to me, or
<br />
<br />o who has produced
<br />(type
<br />and v,hoO did Ddid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />DHho has produced
<br />(type of identification)
<br />and v,ho Odid [J:iid not take all oatil
<br />
<br />Signature of person taking acknoHledgement
<br />
<br />Signature of perl::lon taking acknowledgment
<br />
<br />Name typed, pd nted or stamped
<br />
<br />Name typed, printed or stamped
<br />
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