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<br />
<br />Bob Youmans
<br />
<br />
<br />788-5262
<br />
<br />07/09/1909 1(lols:36 AH
<br />
<br />P.2
<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. No'rlCE OF DEED RES'['RICTIONS
<br />Th" undersigned und"rstands that thls pl!rmit may be subject to "deed restrictions" which
<br />may be more rl!strictive than City r"qulations. 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, Lhl!Y may be required
<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 tor ~ misdemeanor
<br />violation undl!r state law, If the owner or intl!ndl!d contractor are uncertain as to what
<br />licl!nsing requirements may apply for the intended work, they are advised to contact the
<br />Cl ty of Zephyrhills Building Department, 613-'786-661l.
<br />Furth"rmore, if the owner has hired a COlltractor 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 contr~ctor, you are indicating 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 properir 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 LI&~ LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "FJor1da's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs, If th" 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 accurnte und that all work will
<br />be done in compliance with all applicable laws r"9ulating construction, zoning, and land
<br />developnu'llt.
<br />Application i.. hereby made to obtain a permit to do work and lnstallatiol1 as indicated. r
<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 p;tandards ot all laws regulating con,9~,ruc'-ion. C.lty
<br />codes, zoning rl!gulations, and land development regulations in the jurisd.lCLlon. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />th" intended work, and that it is my responsIbility to identify what Clctions I must ta~e to
<br />be in compliance. Such agencies include but are not limited to: 'Department of
<br />Envil"onmental ReguL.tion-CypresA Bayheads, Wetland Areas and Environmentally S~nsitive
<br />Lands, Water/Wastewater Trealtnellt
<br />*Southwest Florida Wat"r 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 ~rotection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be us"d in Flood Zone "An or "A, etc. ", it is
<br />understood that a drainage plan addrl!ssing a "compensating volume" will he submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to perrn.1.t
<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. Every permit
<br />issued shall become invalid unless the work authorized by such permit is comro~nced within
<br />six months of issuance, or rk authorized by the permit is suspended or abandoned for a
<br />period of six months after the work is commenced. One 90 day ""tellsion of time
<br />may be allowed for thl! per el! charge of $15.00, 'rhe extension shall be requested
<br />in writing to the Buildtng 0 An approved inspection must be logged during each six
<br />month period, or the project sidered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE A NOTICE OF COMMEIKEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO RTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BE~ ING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />
<br />"'ZJAWE 00 NOT NEEO TO RECO", A ""iJi:, ;;;~_
<br />
<br />SIGNATURE: SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA \VIr! VII IIV'.
<br />COUNTy OF _ VJL.u.Lu
<br />The foregoing instrument was acknowledgei~
<br />Befor m" t i ay of "~I , 19::Ll.
<br />by
<br />
<br />
<br />o who has produced
<br />(type
<br />and whoo did ~did not
<br />
<br />~ho is personally
<br />
<br />Owho has produced
<br />{type of i.deIlLj ficaLluld
<br />and who odid ~id not take an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Sign~ture of person t~king acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, prInted or stan~ed
<br />
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