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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 restrictionsH which
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<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 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 contractor 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 the:
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating thai
<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 i:
<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 Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the ~ownerH, I cerify that I
<br />have obtained a copy of the above described document 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, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as 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 is my responsibility to identify what actions I must take tc
<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-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 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~ requeste~
<br />in writing to the Building Official. An approved inspection must be logged durlng each SlX
<br />month period, or the project will be 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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENTH.
<br />
<br />)::\ 17 ~
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<br />SIGNATU~~OWNER OR AGENT
<br />
<br />A Ll~
<br />
<br />SIGNATURE:~NTRACTOR
<br />
<br />STATE OF FLORI DA PAS
<br />COUNTY OF ~
<br />The foregoing instrument was acknowledged
<br />Before~;e thiS* day of~I/GJ1: r , ~~
<br />by fl.u6-/: . /+-?J3&l-
<br />(name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />STATE OF FLORID~A-S
<br />COUNTY 0 F C. 0
<br />The foregoing instrument waJk~cknoWledged
<br />Before me 'thiS ~day. of . cJS r , __ '2boo
<br />by {lu'-~' ;4f/J&L-
<br />_~ (name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />and whoO did
<br />
<br />B~VcE
<br />
<br />Owho has produced
<br />(type
<br />ctttlid no t
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Owho has produced
<br />(~e of identification)
<br />and who Odid ~d not take an oath
<br />
<br />RlZl./VE A-, A $ff~L
<br />
<br />A. A 5661--
<br />
<br />Signature of person taking acknowledgement
<br />
<br />~ A. cw.uQ
<br />
<br />Name type.d, prinr~L'l~~~ed~. _.~'.'
<br />~;r' My Co~s~on -e, .. n. "j
<br />tll; Expires June 22, ,:,,02
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<br />
<br />Signature of
<br />
<br />Name typed,
<br />
<br />person taking acknowledgment
<br />
<br />~AA~
<br />pri~B~ st~48671
<br />~ *tIo'1 com""
<br />~..I Expires June 22. 2002
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