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<br />CONDITIONS OF PEPJ-lIT l-\E'FIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />. The.. undersigned understands that this permit. may be
<br />may be more r~strictive than City regulatIons. The
<br />~mpliance with any applicable deed restrict.~.Qns.
<br />B, UNLICENSED CONTRACTORS AND CONTRJ'.CTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contrc.\ctors to undertake work, they 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 contracto.t, may be cited for a misdemeanor
<br />violation under state law, If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply for the intended work, they are advised to contact 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 indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign as contr~ctor 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, f'LORIDA STATUTES, AS AHENDED)
<br />I certify that I, the applicant, have been provided with i.I copy of "r'lorida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the i'~lorida Department of Agriculture
<br />and Consumer Affairs, If the applicant is someone ether that the "owner", I cerify that I
<br />have obtained a copy of the above descd,bed dOC\E1lent and promise in good faith to deliver
<br />it to the "owner" prior to couunencement.
<br />E, CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />I certify that all the infor~,tion in this aflpl;cation 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 .i.nstallati.on as indicated,
<br />certify that no work or installation has crnm~nced prior to issuance of a permit and that
<br />all work will be performed to meet: standi'trds of all la\v5 regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction, I also
<br />certify that I understand that the regulatio~s of other governmental agencies may apply to
<br />the intended work, and that it is my responsibility to identify what. actions I must take 1',0
<br />be in compliance, Such agencies inclUde but are not li.m! ted to: "'Department of
<br />Environmental Regulation-Cypress Bayheads, vletland A,\:'eas and Environmern:ally Sensitive
<br />Lands, WaterfWastewater 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 & RehabLU.tative Services, Environmental Health Un:L~-~>Jells,
<br />Wastewater Treatment, Septic Tanks
<br />*U, S, Environmental Protection Agenc:y'-A:3best()s aba.ternent
<br />I also certify that, if fill material is to be used in flood Zone "A" or "A,etc.", lC is
<br />understood that a drainage plan add!:essinq a "compensating volume" will be submitted which
<br />is prepared by a professional engineer.: regJ.s\ered in t.-he State of Florida prior to permit
<br />issuance.
<br />A permit issued shall be COilS trued 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 1".1"\(-'. Eu] Iding Official f.rom thereafter' requiring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become invalid unless t,he ,vork authorized by such permit is commenced 'vi thin
<br />six months of issuance, or if work authorized by the pe.rmit is suspended or abandoned for a
<br />period of six months after the time the work is commenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00, The extension shall be requested
<br />in writing to the Building Off,icial. An approved inspection l'lUst be logged dur-Lng each six
<br />month period, or the project will be considered abandoned,
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OE' COMMENC~MENT HAY RESULT IN YOUR
<br />PAYING T~lICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOLT INTEND TO OBTATN FINANCING, CONSULT
<br />WITH YOUR LEI'WEE OR AN ATTORNEY BEFORE RECORDHJG YOUR NOTICE OF COMMENCEMENT. JOBS UNDEH
<br />
<br />
<br />$2, SOD IN 4:/0a:O:RE:_~D AND FaST :~_NO'llC";;:;EM~_~__
<br />
<br />SIGNATURE: m>JNER OR ENT SIGNATURE: CON'I'Rl\.CTOR
<br />
<br />ST,ATE OF FLO. RIDA /). /1 /1 ./)..r-J S'l'ATr~ OF' I"LOHID1\ ~/J/1/O
<br />COUNTY OF , LWL~ . CDUNTY. OF ~._-~~------_...
<br />The foregoing instr~nt was~~1~;0ged Tl~~ f~Te?oin? ~i:1 t~L' e~tr,~~' at ~ ~OO
<br />Before th'is t/l?"d'ay of ~~;1 ~ BE j orl. rr h.ls __ a ~ . _.__
<br />by ,______.___ by --"7 - ----
<br />}((" ( ~ (lame of peL'son Clckno\vIedgedJ
<br />~~WhO ~o is personally known to me, or
<br />
<br />o who has produced_______..._ 0 who has produced__,___.______..____
<br />(type of identification) (eype of jdentification)
<br />'d at take a~ oath. not take an oath
<br />
<br />,~,lIbject to "deed restrict:Lons" Vlhich
<br />undersigned assumes responsibility fer
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<br />I
<br />
<br />
<br />Signature
<br />
<br />
<br />_L.
<br />
<br />
<br />;,jaITle
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<br />
<br />C, DE STEFANO
<br />MY COMMISSION 1/ CC 72930,')
<br />EXPIRES: May 4, 2002
<br />Banded Thru Notary Public UndeIwril8ts
<br />
<br />l~*"~. C. DE STEFANO
<br />. :*~ MY COMMISSION 1/ CC 739300
<br />.,;,1j EXPIRES: May 4, 2002
<br />. ", Banded Thru Notary Public Underwriters
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