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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 restr1ctions# 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 accordanoe 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 />licen3ing 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 SectionsH 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 Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, ~ 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 Depaxtment of AgriCUlture
<br />and Consumer Affairs. It the applicant is s~eone 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 haa commenced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating construction, Clty
<br />codes, zoning xegulations, and land development regulations in the jurisdiction. I also
<br />certify tha~ 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 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 />*A~y 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 ~AH or ~A,etc.", it is
<br />understood that a drainage plan addressing a ucompensatlng volumeH 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 >~hall 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 pe~t
<br />issued shall become invalid unless the work authoxized by such permit is commenced within
<br />six months of issuance, or if work auchorized 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 perlnit with fee charge of $15.00. The extension shall be requested
<br />in writing to the Building Official. An approved inspection must be logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NO'rrCE 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 8EFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENcEMENT*.
<br />
<br />~a4.
<br />
<br />SIGNA.TURE: OWNER OR AGENT
<br />
<br />~~
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF f'W\ -e...l..A.,~
<br />The foregoing instrument was aCknowledged
<br />Before me this ~ day of 9-e..b.. , acil()()()
<br />by DA V \ U iA) - .4-LlA'lIl
<br />~ ~(n~e of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />STATE OF FLORIDA P
<br />COUNTY OF \ n e... u.....~
<br />The foregoing instrument was acknowledged
<br />Before me this ....l..!.e-day of 9<.h ,. ';<{)/JD
<br />by Vfl1J\ 0 I") A-LU" 111
<br />~ ~(name of person acknowledged)
<br />~ is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and whoO did Odid not take an oath.
<br />
<br />0um'JIJJ ~ 0~f}A.)
<br />
<br />Signature of person taking acknowledgement
<br />
<br />o who has produced
<br />(type of identification)
<br />and who 0 did Q:;iid not take an oath
<br />
<br />91 {I t:h lrJ41 (J ~ ~o.JuwllD
<br />Signature of person tak~ng acknowledgment
<br />JUDITH C. JOHNSON
<br />:r I.) V \ l\t n. J""t:l t+nlVDtar:p P"hli~> Stale 9f Flerid8
<br />Name typed, pnnted o:tMys~.eelcp. Dec. 6, 2002
<br />Comm. No. CC795071
<br />
<br />(f \) )) I \1rl-
<br />Name typed,
<br />
<br />(' ~ (f4)itY1~6 VI JUDITH C. JOHNSON
<br />pr1m:.ed or .6tamp~atary Public. State of Florida
<br />My comm. expo Dec. 6, 2002
<br />Comm. No CC795071
<br />
<br />,..,~...., It II I II ,-..., 11"'\ l' I'"
<br />
<br />UI I"" , . ., I ""., ," . n ~ I
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