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<br />CONDITION9 or PERMIT An'lDAvrT .3
<br />A. NOTIC~ or DEED RESTRIcTIONS
<br />The underaiqned understands that this permit may be subject to "deed reatrictiorl6" which
<br />may be more restrictive than City regulations. The undersigned assumes responsibility fo~
<br />compU.ance with any applicable deed re:strictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RE5FON3IBILITIES
<br />If the owner has hired D contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with state and local regulations. If the contractor i~ not
<br />l1cen3ed 88 required by lau, both the owner and contractor may be cited for a misdemeanor
<br />v1olat1on under Itate law. It the owner or intended contractor are uncertain 18 to what
<br />licenaing requirements may apply for the intended work, they are advised to contact the
<br />City ot Zephyrhille Building Department, 813-788-6611.
<br />FurtheDmore, if the owner has hired a contractor or contractor&, he is advised to have the
<br />contractor(a) Bign portions of the "Contractor Sectionsh of thi$ application for which they
<br />will be responsible. If you, a5 the owner signs as the contractor, you are indicating that
<br />you, rather than the contractor, a~e responSible for the work. If the contractor wishes
<br />you to sign au contractor that may be an indication that he is not properly licensed and i8
<br />not entitled to pe~tting privilege$ in the City of Zephyrhills.
<br />C. TRANSPORTATION rMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, 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 Guideu prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. It the applicant is someone other that the "owneru, I cerify that I
<br />have obtained a copy ot the above described document and promise in good faith to delive~
<br />it to the ~ownerN prior to commencement.
<br />E. CONTRACTOR'S/OWNER'S AFfIDAVIT
<br />I certify that all the information 1n this application is accurate and that all work will
<br />be done in compliance with all applicable laws r~gul"ting conllltructlon, zoning, and land
<br />development.
<br />Application i. hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no work or installation has commenced prior to issuance of a p@rmit and that
<br />all work will be performed to meet standards of all laws L'equlatinq constt'uction, City
<br />eodeM, zoning rogulations, and land development regulations in the juriadiction. I alao
<br />certify th.t I understand that the regulations of other governmental a~encies 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 llnuted to: *Department of
<br />EnVironmental Requlation-Cypre~~ Bayheads, Wetland Areas and Environm~ntally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />.Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering W~teccour8e8
<br />*Army Corp. of Enqineers-Seawalls, Docks, NaVigable Wat~rways
<br />*Oepartment of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastew.ter Treatment, SeptJc Tanks
<br />*U.S. EnVironmental Protection Agency-Asbestos abatement
<br />I also certify that, if till material is to be used in Flood Zone "AU or "A,etc.H, it is
<br />understood that a drainage plan addressing a "compensating volumQu will be Bubmitted which
<br />iu prepared by a professional englneer reglstered in the State ot Flo~id. prior to permit
<br />laBuance.
<br />A permit i~5ued shall be construed to be a license to proceed with the work and not a$
<br />authority to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a perrtit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Ev~ry perndt
<br />issued shall become invalid unless the work authorized by such permit is commenced within
<br />six month8 of i88uance, or if work authorized by the permit iQ suspended oc abandoned for a
<br />period of six months after the time the work is commencea. One 90 aay extension of time
<br />may be allowed for the permit with fee oharge of $15.00. The exten~ion ~h<<ll be requested
<br />in writ1nq to the Building Official. An approved inspection must be logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER; YOUR FAlLURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />rD..:;;;::ll NOT NEED TO RECORD AJ<D POST A "NOTICE OF C MMENCEKENT",
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<br />SIGNA RE: OWNER OR AGENT
<br />
<br />
<br />STATE OF FLORIDA
<br />cotmT't or
<br />Th. fo..going i~.nt W~Wl.d9~
<br />Bef~th1s~daf: of , l~:jL)
<br />by \ "--\ ' c ,( .
<br />~ (name of person acknowledged)
<br />~who is personally known to me, or
<br />
<br />tttsc 0
<br />
<br />~;~~~YO~FFLORrD1\ Pn..SCD
<br />
<br />The foregoing i s
<br />Betor this
<br />by
<br />
<br />~o
<br />
<br />
<br />Owho hae produced
<br />~ (type of identification)
<br />tJ whoOd1d e:Jd'@Qtake an oath.
<br />
<br />nDiJLJ'{ OC-5-E-
<br />
<br />Signature o~~~rson taking acknowledgement
<br />. .~ 'lo Colleen PIllCll8
<br />,',~..: * My Commluian CC625349
<br />
<br />Name typed,~'r~~;;fnt~J'~"i-dl~2t~Jriped
<br />
<br />o who has pr::oduced .
<br />(type of identification)
<br />an~.Who did Bfi~ OAth
<br />
<br />( . '. "i-- ~~{?--
<br />Signature of'~s8ien~g acknowledgment
<br />*W * My Commllslon cce2a40
<br />~ ~ ExoIIes MlwdI 02. 2001
<br />Name typed/''P'trnted or atamped
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