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<br />JUL-19-00
<br />
<br />07:33 PM
<br />
<br />813 536
<br />
<br />0617
<br />
<br />P.05
<br />
<br />B0B NElolSOME
<br />CONDITIONS Vli P~RMIT AFFIDAVIT
<br />A, NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be
<br />may he more restrictive than City regulations. The
<br />compliance with any applicable deed restrictions.
<br />B. UNLXCENSED CONTRACTORS AND CONTRACTOR RESPONSIDILITIES
<br />If the Owner has hired a contractor or contractors to undertake work, they mllY be required
<br />to be licensed in accordance with stftte and local regulations. If the contractor is not
<br />l~cens~d as required by law. both the Owner and contractor may be cited for a misdemeanor
<br />VJ.olatlon undel.' state law. If the owner or intended contractor are uncertain aB to what
<br />licenslnil requirements may apply for the intended Work. they are advised to contact th"
<br />City of Zephyrhills BUildinq Department, 813-788-6611.
<br />Furthermore, if the cwner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) Sign portioll's of the "Contractor Sections" of this application tor 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 .hgn as contractor that may be an indication that he is not properly l1cens..d and is
<br />not entitled to permitting priVileges in the City of Zephyrhills.
<br />C. TRANSPORTA.TION IMPACT FEES AND UTILI'rY 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 Construction
<br />lien Law - HOmeowner's Protection GuideN prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I eerify that I
<br />have obtained a copy of the above described dOcument and promise in good faith to delh'er
<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, ~oning, and land
<br />development.
<br />",pplication .1S hereby made to obtain a permit to do work and installation as i.ndicated. I
<br />certify that no work or installation h..s comrnenc..d prior to issuance of a permt.t 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 jUri8d1ction. I also
<br />certify that I understand that the regulations of other governmental agenc1es may apply to
<br />the j tltended work, and that it is my responsibility to identify what actions! mlJst take to
<br />be in compliance. Such agencies include but are not limited to, .Department of
<br />Environmental Regulation-Cypress Bayheaus, Wetland Areas and ~nvirolunentally Sensitive
<br />Landa, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland ArRas,
<br />Altering Watercourses
<br />.Army Corps of Rngineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative SerVices, Environmental Health Unit-Wells,
<br />Wastew..ter 'rreatment, Septic 'ranks
<br />*U,S, Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in FlOOd Zone "An or "A,etc.H, it i$
<br />understood that a drainage plan addressing a "compensating vo!urneN will be submitted which
<br />15 prepar..d by a profeSsional engineer registered .in the State of E'l.orida prior to p<lrmit
<br />issuance.
<br />A permit issued shall be constru"tj 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 perfnit prevent the BUilding Official from thereafter requiring ~
<br />correction of errors in plans, construction, or violations of any code. Every penmit
<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 a
<br />period of six months after tho! time the work is COlnmenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be reques~ed
<br />in writing to the B'lilding Official. An approved inspection must be logged during each six
<br />month period, or the project will be conSidered abandoned.
<br />W~RNING ~O 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 E'INANCING, CONi3UL'r
<br />WITH YOUR LENDER OR AN ATTORNF.Y BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "N01'ICE OF COHMiNCEHENT".
<br />
<br />!lr/M /;/4-
<br />
<br />SIGN URE: OWNER OR AGENT
<br />
<br />llubject to "deed ~estrict:ions" which
<br />undersigned assumes responsibility tor
<br />
<br />SIGNATURE:
<br />
<br />CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />'rhe foregoing instrument Will. acknowledged
<br />Before me ttl1s_ day of , 19_
<br />by
<br />(name of person acknOWledged)
<br />Dwho is personally known to me, or
<br />
<br />Dwho has Produced OL jfSI/'~5~lotS(.lr
<br />(type of identification)
<br />!lnd whoDdid Odid not take an oath.
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me th1s -----Pay of
<br />by
<br />
<br /><lckncwledgec.l
<br />, 19....:.....
<br />
<br />(name of person acknowle~ged)
<br />(Nho is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and who Ddid Oiid not take an oath
<br />
<br />Siqnaturo of ~erBon t~kihO acknowl~d~oment
<br />
<br />S~9"At:U."9 Qf p..raOh tak:L.n9 acknow1ecl9ft\t:ll,t
<br />
<br />Name typed, prInted or stamped
<br />
<br />Name typed, printed or stamped
<br />
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