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Bob Youmans 788-5262 06/01/2000 08:20:07 AM P.2 CONDlTIOII'S OF PERMIT AFFIDAVIT A. NO'l'ICI!: OF DEED RESTRICTIONS The undersigned understands that this pe~t may be subject to ~deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for complianoe with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may' be required to be licensed in accordance with state and local .-eguiations. If the contrac:tor is not licensed as required by law, both the owner and contractor may be cited for a Misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-788-6611. Furthermore, if tbe owner has hired a contractor or contractors, he is advised to have the contractor Is) Sign portions of the "Contractor Sections. of this application for which they will be responsible. If you, as the owner siqns as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to slgn as contractor that may be an indication that he is not properly licensed and is not entitled to permittinq privileqes in the City of Zepbyrhills. C - TRANSPORTATIOH IMPACT FEES AND UTILITY CONNECTION FI!:ES D. CONSTRUCTUIOH LIEN LAJI' (CHAPTER 713, FLORIDA. STATUTES, AS AM!:NDI!:D) I certify that I, the applicant, have been provided with a copy of ftFlorida's Construction lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the .owner", I cerify that I have obtained a copy of tbe above described document and pronise in good faith to deliver it to tbe .owner" prior to commencement. E. CONTRACTOR'S/OWNER'S AYFlDA.VIT I certify that all the information in this application 1. accurate and that all work will be done in coropliance with all applicable laws requlating construction, zoning, and land development. Application is hereby made to obtain a perMit to do work and installation as indicated. I certify that no work or installation ha. commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws requlating construction, City codes, zoning regulations, and land development .-egulations in the juriediction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I ~st take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads. Wetland Areas and EnvirOnMentally Sensitive Lands, Water/Wastewater Treat-mellt *Southwest Florida lIater Management District-Wells, Cypress Bllyheads. Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health ~ Rehabilitative Services, Environmental Health Unit-Wells, .aatewater Treatment. Septic Tanks *U.S. Environmental Protection Agency-Asbestos abat~nt I also certify that, if fill material is to be used in Flood Zone ~A" or -A,etc.w, it is understood that a drainage plan addressing a ftcompensating volume- will be submitted which is prepared by a professional engineer registered in the state of Florida prior to permit .1..uance. A permit issued shall be construed to be a license to proceed with t~e work and not as authority to violate, cancal. alter, or set aside any provisions of the technical codes, nor shall issuance of a permit pravent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pe~t issued ahall bec~ invalid unless the work authorized by such pe.-.dt i. commenced within six months of issuance, or if work authorized by the permit is suspended or abandOned for .. period of six months after the time the work is commenced. One 90 day exteneion of time may be allowed for the pe~t with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEHT MAY RESULT 1M YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, OClIISULT WITH YOUR. LENDER OR AN ATTORNEY BEFORE RECORDINC YOUR NOTIC OF COMMENCEMENT. JOBS UlfDZR $2,500 IN VALue DO NOT NEED TO RECORD AND POST A -NOTICE 3IGNATURE: OWNER Ok AGENT STATE Of' FLORIDA COUNTY OF The foregolng instrument was acknowledged Before me this _ day of ,2000 by \n~ of person aeknowledgedl o who is personally known to me. or o who bas produced ttype of identification) and whoO did Odid not take an o..th. Siqnature of person taking acknowledgement Name typed, printed oc stamped STATE OF no COUNTY OF The foregoing instrument was acknowledqed Before llIe this -Pay of . 1000 by T C"T.AVTON .T'J;"UX:IW<<; (n_ of person acknowledgedl lCIho is personally known to me, or o who bas produced ~type of identific.lluni and who [Jdid ~id not take an oath ~~('~ ,~. Signature of person taking ac owledcJ-nt CS\e...\ \0... L. ~...~ Name typed, printed or stamped ---. STELlA L. DAVIS COMMISSION' CC917752 EXPIIES JUN 10 ~ IONlID 1tIlClUlIH au ~CDNIIH'I 11