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<br />JACKS AIR COliDITION
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE O~ DEED RESTRICTIONS
<br />Tbe understgned understands thst th~s permit may be subject to "deed restrictions~ which
<br />may be mOre restrictive than City regUlations. The undersigned assumes responsibility tor
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIl.ITIES
<br />If the owner has hired a contractor or contractora to undertake work, they may be required
<br />to be licensed in accordance with state and local regulations, It 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. If the owner or intended contractor are uncertain aa to what
<br />licensing requirements may apply for the intended wor~, 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 18 advised to have the
<br />contractorls) 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 contractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of Zephyrh111s.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEEs
<br />0, CONSTRUCTUION LIEN lJ\.1f (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'a Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I eerity that I
<br />have obtained a copy of the above described docum2nt 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 w111
<br />be done in compliance with all applicable laws regulating construct10n, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation a5 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 i8 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-^-bestos 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 peDmlt
<br />iSlJuance.
<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 aaide any provisions of the t@chnieal codes,
<br />nor ehall 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 ahall become invalid unless the work authorized by such permit ia commenced within
<br />sIx months of issuance, or if work authoriz@d by the pe~t is suspend@d 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 b@ requested
<br />in writing to the Building Official. An approved inspection must be logged during each six
<br />month period, or the project will b@ 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 Jl.N ATTORNEY BEFORE RECORDING YOUR NOTICI': O~ COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COMMENCEMENT~.
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<br />SIGNATURE: OWNER OR AGENT
<br />
<br />~ t1~J--
<br />SIGN~ : CONT CTOR
<br />
<br />--
<br />
<br />STATE OF FLORIDA ()
<br />COUNTY OF t"rA 4 ()
<br />The foregoing instrument was acknowledged
<br />Before ml} this ,7~ day of ~ ,~2000
<br />by ~_H L~." Cde.~
<br />/ (name of person acknowledged)
<br />~who is personally known to me, or
<br />
<br />STATE OF FLORIDA
<br />COUNTY 01"
<br />The foregoing instrument was acknowledged
<br />Before me It:s 12.~day of ~~ :z.c.,,","
<br />by 6-'r 4:tA ,d ~
<br />/' lname of person acknowledged)
<br />ELho Is personally known to me, or
<br />
<br />~<^S L.<.>
<br />
<br />o who
<br />
<br />o who haa
<br />
<br />
<br />of identification)
<br />take an oath.
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