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<br />CONDITIONS OF p'j:;RMJ'l' l~FFIDlWIT
<br />A. ~OTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may ba
<br />may be more restrictive than City cegulations. The
<br />compliance with any applicable deed res t d ction~;.
<br />B. UNLICENSED CONTRACTORS AND CON'['H1\CTOR HF:SPONSIBILl'l'IES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with state and local p2CJul'ltions. i:f: the contractor is not
<br />licensed as required by law, both the o':nel and contractcr rnav be ci ted for a misdemeanoj~
<br />violation under state law. If the 'Jwner or Inten<::ied contractor are uncertain as to what
<br />licensing requirements may apply fCII- the intended vwrk, they ,u_-e advised [,0 cont.act the
<br />City of Zephyrhills Building Cepartment, 813--788--6611.
<br />Furthermore, if the owner has hiLed a contractor or 1::o~,ltracton:, he is advis<~d. to ho3v<: the
<br />contractor(s) sign portions of the "Contractor Sections" of this applica~ion f-::>r which they
<br />will be responsible. I f you, as the owner signs a~; the cont ractor, you a re indicating that
<br />you, rather than the contractor, are responsible for th~ work. If the contcactor wishes
<br />you to sign as contractor that may be an indicaticn that h8 i~3 not prope,>:'ly licens,:,:;d and is
<br />not entitled to permitting privileges in the City Qf Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES Jl.ND UTILITY CONNE(~TION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTEP- ;13, FLORI[).~ 3'!'l\TU'I'ES, A3AMENDED)
<br />I certify that I, the applicant, Ilave been provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection Guide" pI:epared by the Florida Department of Agriculture
<br />and Consumer Affairs'. If the applicant is someone ather that the "owner", I cerify that I
<br />have obtained a copy of the above described document and premise in goad faith to deliver
<br />it to the "owner" prior to commencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the iilformatiol1 in this application is
<br />be done in compliance with all applicable lal<1s regulating
<br />development.
<br />Application is hereby made to obtain a permit to do vlOrk and installation as indicate::!. 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 regu.lations, and land development regulations i~l the jurisdiction. I al ~,o
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is my responsibJ_lity to identify what actions I lllusl: take to
<br />be in compliance. Such agencies :i,llcJude but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayhead13, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/~astewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Wate~ways
<br />*Department of Health & Rehabilital:ive Ser',l:_ces, EnvLc:onmerd>Ll iiealth Unit-vlells,
<br />vvastewater Treatment, Septic 'l'ankt;
<br />*U. S. Environmental Protection Aq~ncy--Asbe.';t:os abatement
<br />I also certify that, if fill material is to be u~,ed in Flood Zonc~ "1'," or "l\,etc.", it is
<br />understood that a drctinag-e plan addressing a "';ompensatiuC) volume" will be submitted which
<br />is prepared by a professional engineer registered in tile state of Florida prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a li(>'.lI~>e to proceed with thr, wOl:k and not i3.S
<br />authority to violate. cancel, alter, or set aside any provisions of t~e 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 Iow;:k aut:hcri:;~ed by such per-mit L3 co!t\menced vdth:i.n
<br />six months of issuance, or if work authorized oy the rermi~ is suspended or "",balldoned for a
<br />period of six months after the t:.imf~ the \.;o,rk is commenced. One 90 day extension of time
<br />may be allowed for the permi t \-Ji th fc'~ ch:'Hc;e of $1',',.00. The extension Elhall be requestEd
<br />in writing to the Building OfLi cial. 1m apprDvedJnspecl:ioIl must be 10gqed during eilch six
<br />month period, or the project ,.ilt be consider,,"ci abandoned.
<br />WARNING TO OWNER: YOUR f'AlLUHE TO RECORD ]\ NOTICE OF COMNENCEi'1j~NT MAY RESULT IN your!.
<br />PAYING TWICE FOR IMPROVE~MEN'~'S TO YOUR PP,'JI'Er\TY. lE" YOU II/TEN!:' TO OBTAIN FINANCING, CONSIJJ;l'
<br />WITH YOUR LENDER OR AN ATTOP.NEY BEFORE RECOEDING YOul';, l'JOTICE ':')1" COM}'lENCEMENT. JOBS UNDi'.~R
<br />$2,500 IN VALUE DO NO'I: NEED TO RECORD l\lE' POST 1\ "i'ID'I'ICE~ OF C()[V)HENCEJ.1El'IT",
<br />
<br />?te~____ ----R-~ -----
<br />
<br />OWNER OR AGENT SIGNJI:nJHE: ,'m1'rPACTOR
<br />
<br />subject to "deed restrictions" '.-.Thich
<br />undersigned assumes respol1sibi lit:y for
<br />
<br />accurate and that all work will
<br />construction, zoning, and land
<br />
<br />SIGNATURE:
<br />
<br />STATE OF FLOP-IDA
<br />COUNTY OF --------------
<br />The foregoing instrument was acl'.nov/ledgec\
<br />Before me this _ day of ____-, 19
<br />by ---------
<br />(name of person acknowledged)
<br />j3'who is personally knoHn to me, Ol~
<br />
<br />2TATE OF FLOrUDl\
<br />COUNTY OF ,-----
<br />The foregoing instr'ument was acknowledged
<br />Befo,te me t.his ___pay of---, 19 ~--
<br />
<br />by
<br />
<br />Il!ame of person acknowledged}
<br />
<br />~lO is personally kno\ooTD to me, or
<br />
<br />_..__._._-_.~_.~.._~--~--_._-_.._-_._-_._--.-
<br />
<br />o who has produced____---------------
<br />(type of identificatjcnl
<br />not ta~e an oath,
<br />
<br />01'11'10 htlS procJuced_____-----------
<br />(type of identification)
<br />2nd wh::-; Deli 'd not take an Oi'\tii
<br />
<br />L~..-
<br />
<br />
<br />ackno\Vledgwent
<br />
<br />
<br />Name t
<br />
<br />eel
<br />~.......':\ C. DESTEFANO '
<br />! :'1 MY COMMISSION # CC 739300
<br />'. .'f EXPIRES: May 4 2002
<br />~P.f..f:I" Bonded Thru NolaIY Pub~ lIndenwlIIaI
<br />
<br />.NarCle
<br />
<br />t.. ' "' d ot stamped
<br />, ~~~'~-;'~...
<br />.tri)"'f~ c. DE STEFANO
<br />~" : MY COMMISSIOH'C-," 7
<br />. E"'" " 39300
<br />~ . .. . ._~:'rIRES: UaY'~ 2002
<br />. -.: -owunuulf9!t'Y",,w,;,',
<br />
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