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<br />CONDITIONS OF PERMIT AFFIDAVI'l'
<br />
<br />A. NOnCE OF' DEED RESTRICTIONS
<br />'l"he under::>igned understands that Un::; penni l lIl:tY be ;:)ubjcct to "dced restriction::>" wh'lch
<br />way l.Je more restricti.vc::: than City r"=9111 ations. 'l'he undersigned aotiSllllleS re::>ponsibility tor
<br />compliance Hi t1l any applicabl e deed r:estricLions.
<br />B. UNLICENSED CONTRAC'l'ORS AND CONTHAC'l'OR RESPONSIBII,I'l'IES
<br />If the OWIH::r has hin::d a contracto.l: or contractoroti to undertake work, they may be r'equired
<br />to be licensed in accordance Hith state and local regulations. If the contractor i::> not
<br />licensed a::; required by lavl, both tbe owner and contractor may be cited for' a misdemeanor
<br />violation under ::;tate laH, If the owner or intended contractor are uncertain a::; to ~~hat
<br />licellsing requirements may apply for the intended work, they are advised to contact tile
<br />City of Zephyr:hills Building Department, 813-788-6611.
<br />Furthermore, if the o~mer has hi.t:ed a contractor or contractors, he is advis;;;d to have the
<br />contractor (s) l:iign portions of t:he "Contractor Sections" of this application for Vlhieh they
<br />will be respon~ible. If you, as the oVlner signs as the contractor, you are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor Vlislres
<br />you to sign al:i contractor that may be an indication that he is not properly licensed and i::;
<br />not entitled to permitting privileges in the City of L'.ephyrhill::;.
<br />C. 'l'RANSPOR'l'ATlON IMPACT fEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAP'rER 713, f'LORIDA S'l'A'l'UTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's ConstrlJction
<br />lien Liiw - Homeowner's Protection Guide" prepared by the l!'lorida Departrneut of Agricul.ture
<br />and Conl:iumer Affairs. If the applicant i~ someone other that the "o~mer" I I cerify that J
<br />have obtai ned a copy of the above described document and promi.se in good faith to deli v;;;r
<br />it to the "oHner" prior to conunencement.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'f
<br />I certify that all the information in this application is accurate and that all Vlork will
<br />be don;;; in compliance ~dth all applicable laws regulating conl:itruction, zoning, and land
<br />development,
<br />Application is hereby made to obtain a permi t to do \wrk and installation as indicated. I
<br />certi fy that no Hark Ol: inl:itallation has cOllunenced priol:o to issuance of a permit aud that
<br />all Hork will be performed to meet standards of all laws regulating constructioll, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. 1 al::;o
<br />ccrtify that I understand that the r;;;gulations of other governmental agencies may dpply to
<br />the intended ~JO.lk, and that it is my responsibility to i.dentify what aclions I must take to
<br />be in compl iance. Such agencies include but are not limited to: 'A-Depar'tment of
<br />~nvironmental Regulation-Cypress Bayheads, Wetland Areas and Environmelltally S~nl:iitive
<br />Landl:i, Wdter/WasteVlater 'Preatment
<br />*Southwel:it Florida Water Management District-Wells, Cypress Bayheadl:i, Wetland Area::;,
<br />Altering Watercourses
<br />*Anny Corps of Engineerl:i-SeaHalls, DOcks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.5. Environmental Protection Agency-Asbestos abatement
<br />I alotio certify that, if fill material is to be used ill Flood Zone "A" or "A,etc.", it is
<br />undi::::rstood that a dr'ainagi:::: plan addressing a "compensating volume" Hill be otiubmitled Hhich
<br />is pr'epared by a professional engineer registered in the state of Iflorida prior to permit
<br />jSotiuance.
<br />A permi t is.::med 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 tlr;;; technical codes,
<br />nor shall issuance of a permi.t prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construct!on, or violations of any code. Every permit
<br />!:;;sued shall become invalid unless the work authorized by such per'mit is cOllunenced within
<br />six months of i.ssuance, or if work authorized by the penni t is suspended or abandoned for a
<br />period ot six month::; after the time the work il:i conunenced. One 90 day extension of time
<br />may be alloVled tor the permit with fee charge of $15.00. The extension shall be requested
<br />in vniting to the building Official. An approved inspection must b;;; logged dllring each six
<br />month period, or the project Vlill be considered abandoned.
<br />WARNING 'ro OWNER: YOUR E'AUURE TO RECORD A NOTICE OF' COI'1HENCEMEN'1' MAY RESUW' HI YOUR
<br />PAYING TWICE FOR IMPROVEMEN'l"S '1'0 YOUR PROPERTY. H' YOU INTEND '1'0 OB'rAIN v'lNANCJNG, CONSUl/I'
<br />WITH YOUR LENDER OR AN ATTORNEY BElfORE RECORDING YOUR NO/fICE Of COMMENCEMEN'I'. JOBS UNDER
<br />$2,500 IN VALUE DO 1'10'1' NEED '1'0 RECORD AND POST A "NOnCE OF COMMENCEMENT".
<br />
<br />./&
<br />...,.,-~ .- .-
<br />
<br />L- ..../
<br />
<br />SIGNATURE: OWNER OR AGEN'I'
<br />
<br />~..../,../..A"
<br />-..--- .... .
<br />:/
<br />
<br />S I GNA'rURE:
<br />
<br />CONTRACTOR
<br />
<br />S'fATE OF FLORI DA
<br />COUN'l'Y OE'
<br />The foregoing i.nstrument was
<br />Before me this _ day of
<br />by
<br />
<br />a cknovll edged
<br />19_
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this ._day of
<br />by
<br />
<br />acknoVlI;;;dged
<br />19
<br />
<br />(name of person acknowledged)
<br />o Vlho is personally known to me, or
<br />
<br />(name of person acknowl;;;dgedl
<br />DJho is personally known to me, or
<br />
<br />Owho ha::; produced
<br />(type
<br />and ~lhoD did Ddid not
<br />
<br />o who has produced ___.__
<br />(type of idenLJfication)
<br />and ..ho Ddid O:Ii d not take dll oath
<br />
<br />of identification)
<br />tal,e an oath.
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of perl:ion taking ac)moVlledgment
<br />
<br />Name typed, pri nted OJ: stampcd
<br />
<br />NamE; typed, printed or stamped
<br />
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