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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. . NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to ~deed restrictions" which
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they ~Y; be requ~r~d
<br />to be licensed in accordance with state and local regulations. If the contractor is not
<br />licensed as required by law, both the owner and contractor may be cited for a misdemeanor
<br />violation under state law. I f the owner or intended contractor are uncertain as "to' 'what' "
<br />licensing requirements may apply for the intended work, they are advised to cont~ct the ,
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have,/the
<br />contractor(s) sign portions of the ~Contractor Sections" of this application for which they
<br />will be responsible. If you, as the owner signs as the contractor, you are indi9ating that
<br />you, rather than the contractor, are responsible for the work. 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 Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED 1
<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 deliver
<br />it to the ~owner" prior to commencement.
<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 done in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is 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 permit'and that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies 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 limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<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, Navigable Waterways
<br />*Department 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 ~A" or ~A, etc.", it', is
<br />understood that a drainage plan addressing a ~compensating volume" will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to 'permit
<br />issuance.
<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 codes,
<br />,nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Everyitpermit':' ,,' f
<br />issued shall become invalid unless the work authorized by such permit is commencedwithiri
<br />six months of issuance, or if work authorized by the permit is suspended or abandon~d f.~r a
<br />period of six months after the time the work is commenced. One 90 day extension of;\ttime!
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />in writing to the Building Official. An approved inspection must be logged during-leach1'six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE 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 />$2,500 IN v: #;1!/}!!"ECORD AND POST A "NctrI~OMMEND:". ..
<br />
<br />
<br />
<br />OWNER OR "" T -S&RE' CONTRACTOR ~
<br />~ :;;,l\,....,.~' 1;~
<br />
<br />
<br />ATE OF FL01'l,IDA
<br />COUNTY OF 1//).5 (' 0
<br />The foregoing. instrument was acknowledged
<br />Before me this ....:i!fi.-~ay of Oe-T~bl;;.---;e, 1~
<br />by ~A M E..$ 13 / ~G )-1 A J-I -.zr
<br />(name of person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF -PASCO
<br />The foregoing instrument was ac~nowledged
<br />Before me this ~day of f)C,Dr:e:", ,.~;,tL
<br />by 12/e.i-1 A/2..'D DELAF,GW::> t.
<br />(name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />Dwho has produced
<br />(type of identification)
<br />and who Ddid [}:iid not take an oath"""
<br />
<br />Si~r~~e~o~ ~a~::::knOWledgment
<br />
<br />'Jll who has produced FL 7/tel '/t:::.k:S )....Jt,
<br />'1j;&..;'25"- Y9'8'"~7 t>-?~.g7pe of identification1
<br />and whoD did ~id not take an oath.
<br />
<br />6c~
<br />taking acknowledgement
<br />
<br />
<br />KtllJl LGi"CJL) J. 13R/J W Ai
<br />.
<br />Name typ
<br />
<br />~~y~ KATHLEEN J BROWN
<br />OJ!. . MY COMMISSION /I CC 82~469
<br />"""OFf\."" EXPIRES: ~/12/2003
<br />1~8(X)..3-NOTARY F'll N1":tta~,'''' Servi,:;e So B!;nding Co.
<br />
<br />kf.l T7-I LE12~ ,I. BfZovt/",J
<br />Name ty :.
<br />;:.::", KATHLEEN J BROWN
<br />OJ!..1 MY COMMISSION II cc 82~9
<br />"""Dn~cl'i" EXPIRES: ~/12l2003
<br />1-fllX).3-NOT AAY Fie, Notwy Service & l30nding Co,
<br />
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