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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 fc
<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 may be require
<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 misdemeanoI
<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 th
<br />eont~actor(s) sign portions of the ~Contractor Sections" of this application for which th
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating th
<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
<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)
<br />I certify that I, the applicant, have been provided with a copy of ~Florida's Constructiol
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculturt
<br />and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify that:
<br />have obtained a copy of the above described aocument 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, zonin~, and land
<br />development.
<br />~plication is hereby made to obtain a permit to do work and installation as indicated. ]
<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 tc
<br />the intended work, and that it is my responsibility to identify what actions I must take t
<br />be in compliance. Such agencies include but are rtot 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. Every permit
<br />issued shall become invalid unless the work authorized by such permit is commenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for
<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 Official. An approved inspection must be logged durih~ each si,
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT ~Y RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUL1
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />
<br />
<br />$2~:1i1 ; NDD TO RECORD AND POST A "~F ;;rENTO.
<br />
<br />SIGNATURE: . """Eli o.Y~ sr~ CONTRAC~
<br />
<br />STATE OF FLORIDA f)A r STATE OF FLORIDA A)/Ir
<br />COUNTY OF T~e.J) COUNTY OF r?u (J)
<br />The foregoing inst~~ent was acknowledged The foregoing instrument was acknowledge9
<br />Before me this ~day of mO-t-1_~ta) Before \Ile this ~day of YY\OJ~ ' J..9'~
<br />by ~ ()(lI.11 S' tD=..l.J.lln..d- by . &J4.DC--e. ~.. i-h ~
<br />lz(, (name of person acknOWledged) ~ (name of person acknowledged)
<br />~Who is personally known to me, or r-uo is personally known to me; or
<br />
<br />o who has produced 0 who has produced
<br />(type of identification) (type of identification)
<br />an~t1'oDdid 't{did not take an oath. and"'" Ddid ';land ,no,!! take " n oath
<br />
<br />~17J.tlil)cI AlJtJ/l1/J II} ~iN
<br />
<br />Signature of person taking acknowledgement Signature of person taking acknowledgment
<br />".,~~~ Dana M. Ward
<br />m4~" Dana M. Ward t:f ~:S MY COMMISSION # CC821-410 EXPIRES
<br />: . . ; MYCElMMl99leNl call4~ E).l'll<t:> Name typed.i:.. . mt...,.IE
<br />Name type ~ inted o.13uJfN~e "~P'."..,. !QD
<br />. '~iif..i\i." . BONDED THRU TIIov FAIN INSURANC~ INC.
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