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<br />OONblTIOMB OF PERMIT ~rIDAVIT
<br />A. NOTICE OF DBBD RESTIUCTIONS
<br />The und~rsigu.d understanda that this permit ~y be subject to ~deed restrict10nsw which
<br />may b. more restrictive than City regulations. The underaiguad assumes reaponsibi~ity for
<br />complianoe with any app~oable deed r..trictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR'RESPONSIBILITIB5
<br />It the owner haa hired a contractor or cODtractors to undertake work, they may be required
<br />to be licensed in aooordance with seate and looal revulatione. If the contractor is not
<br />lioensed as required by law, both the owner and contractor may be cited for a misd~eanor
<br />violation under state law. It the O~er or intended contractor are uncertain ss to What
<br />licen.ill9' requireu.nts llIilY apply tor the intel'l<:t.c:1 work, they are advised to contact the
<br />City of Zephyrhi11s Building Department, 813-788-6611.
<br />Furthe~re, it the owner haa hired . contractor or contractors, he ia adVised to have the
<br />contractor (a} aign portions of the ~Coneractor SeotionsN of this applioation for which they
<br />will be responsible. It you, .s the owner 8ign5 aa the oontractor, YGU are indioat~g tbat
<br />you, rather than the oontractor, are respo~ibLe for the work. It the contractor Wishea
<br />you to sign a. contractor tbat IlIil.Y be an indication that he is not properly licenlled and ill
<br />not entitled to pe~tting privileges in the City of Zephyrhills.
<br />C. TllANSPORTATION IMPACT P'EEB AND UTILITY COlmECTION !'BES
<br />,D. CONS'l'RUCTI1ION LID LAJf (CHAl'1'ER 713, !'!.ORIDA STATUTES, AS AMKNDlro)
<br />I oertiry that I, the appli~nt, have been provided with a oopY of .Flor~da's Construction
<br />lien Law - Homeowner'a Protection GuideN prepared by the Florida Depar~nt of Agriculture
<br />and Cons~r Affairll. If the applicant ia someone other that the ~ownerN, I cerity that I
<br />have obtaineq a oopY of the aDove described document and promise in good faith to deliver
<br />it to the .ownerN prior to commenc~nt.
<br />E. CONTRACTOR'S/OWNIR'S AFFIDAVIT
<br />I certify that all the informa~ion in this appli~tion is accurate and that all work will
<br />be done in compliance with all applicable laws requlating construction, zoning, and land
<br />devel.o~t.
<br />Application is hereby made to obtain a permit to do work and installation a. indicated. I
<br />certify that no work or installation has commenced prior to i55uance of II permit and that
<br />all work will be perfoalled to meet standaJ:d. of all lawe requl.ting construction, City
<br />code., zonin~ requlations, and land develo~nt regulations in the juri.diction. I also
<br />certify th.t t understand that the requlations of other gover~ntal agencies may apply to
<br />the intended work, and that it is my responsibility to identity what actions I auat take to
<br />be in compliance. Such agenciell inclUde but are not l1DQted to; *Depa~nt of
<br />Bnviro~nt&l Regulation-Cypress Bayhellds, Wetland Areas and inviro~tally SensitiVe
<br />Lands, Water/Wastewater Treatment
<br />*SoutAwe5t Florida Water Hana~ement District-welI5, Cypress Bayh..ds, Wetland Areas,
<br />Altering Wateroour...
<br />*ALmy Corps of Engineera-Seawalls, Docks, Navigable Waterways
<br />.Depa~t of Health 6 Rehabilitative Services, Environm.ntal Health Unit-Wells,
<br />Wastewater Treatment, S.~tic Tanks
<br />*U.5. Environmental Protection AgenoY-Aabestos abatement
<br />'I also certiry that, if fill ~teri.l is to bo u.ed in FlOOd Zone .Aw Or ~A,eto.w, it is
<br />understood that a drainage plan addre..ing a ~c~ana.ting volumeH will b. submitted which
<br />is prepared by a professioDal engineer regietered in the Stat. of Florida prior to p~r.mit
<br />issuance.
<br />A permit issued shall be ~onstrued to be a license to proceed with the work .nd not as
<br />authority to viOlate, cancel, alter, or set .sid. an~ provision. of tho technical COdes,
<br />nor shall issuance of . pe~t prevent the Building Offioial trQm ther..tter requiring a
<br />correction of errors in plans, construction, or violatio~s ot any code. Ever~ pe~t
<br />issued shall beoome invalid unless the work authorized by such pe~t is oommenced within
<br />six months ot issuance, or if work authoriZeQ by the permit i. suspen4ad or ab~doD.d for a
<br />period of six months atter the time the Work is CQJlllll8Dc:ed. One 90 day extension of 't~
<br />~y be allowed for the pe~t with tee charge ot $15.00. The extension shall be requellted
<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 />WARNINIi TO 0WHl!lR: YOUR i'AILlIM TO RECORD A NOTICE OF C(MID/CZMEHT MllY R&SlJ'LT IN YOUR
<br />PAYING TWICE roR IHPROVBHENTs TO YOUR PROPERTY. II!' YOU INTEND TO OBTAIN !'INANClNl#, CONSULT
<br />WITH YOURLBNDBJ\ OR AN ATTORNEY BEFORE RECORDING YOUR NOTICS OF COHMINCDmNT. JOIl UNDER
<br />$2,500 IN VALUE 00 NOT NEiID TO RECORD AND POST A ~NOncE OF c
<br />
<br />
<br />SIG!fA'l'URE I 0I0HlI;:R OR AGmrr
<br />
<br />STATE OF FLORIDA
<br />COUNTY 0/1'
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by
<br />
<br />acknowledged
<br />.1L-
<br />
<br />
<br />(name ot person acknowledged)
<br />o who ia peraonally known to me, or
<br />
<br />o who ha5 produced
<br />(type
<br />and whoD did Ddid not
<br />
<br />of identification)
<br />tslee an oath.
<br />
<br />..Ii!f1.ho (name ot person acknowledged)
<br />~ is personally known 'to me, or
<br />
<br />o who has produced
<br />(type of id~tifioation)
<br />.nd Nho Ddid OUd not take an oltth
<br />
<br />..c
<br />
<br />Siqnature of person taking acknowledgement
<br />
<br />
<br />taking. ".....",. edgmen!: Eric D. Stanton
<br />. :~ MY COMMISSION # DD085640 EXPIRES
<br />. . anuary 2~ 2006
<br />BONDED THRU TROY FAIN INSURANCf. INC.
<br />
<br />Name typed, printed or stamped
<br />
<br />8 'd
<br />
<br />86tlON
<br />
<br />SllIH~AHd3Z iO AIIJ
<br />
<br />~m:6 ZUOZ '8I'H~
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