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<br />CUNVITI0NS OF PERMIT AFFIDAVIT
<br />A. NOTIC~ OF DEED RBSTRICTIONS
<br />The und~rsigned understands t~at this permit may be subject:,to "deed restrictions" which
<br />"lnay be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTAACTOR 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 contraotor is not
<br />licensed as required by law, both the owner and contraotor may be oited for a mdsdemeanor
<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 Becttons" of this application for which they
<br />will be responsible. If you, as the owner signs as the contrillctor, 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 pe.rnrl.tting pr1~ileges in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEEB AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, ABAHENDED)
<br />'1 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 "owner", I cerify that I
<br />bave 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 AFI"IDAVlT
<br />I certify that all the information in this application is accurate and that all work will
<br />be ~one in compliance with allap'plicable laws regUlating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a peDmlt to do work and installation as indicated. I
<br />certify that no work or installation has oommenced prior to issuance of a peDmlt 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 "1 understand that the regulations of other gove~ntal 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 Di_trict-Wells, Cyp.ress 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 ~ill material is to be used in Flood Zone "AN or "A,etc.N, it is
<br />understood that a drainage plan addressin9 a "compensating volume" will be submitted which
<br />is prepared by a professional engineer registered in the Stste of Florida prior to permdt
<br />issuance.
<br />A permdt issued shall be construed to be a license to proceed with' the work and not 8S
<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. Everypermdt
<br />issued shall beoome invalid unless the work authorized by such pe~t is oommenced 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 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 OWNERz YOUR FAILURI!l TO RB<;:ORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />fAYING TWICB FOR IMI?ROVEHENTS TO YOUR fROfERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTOIUIEY BEI'O~ RECORDING YOUR NOTICE OF COMMENCBMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT""
<br />
<br />
<br />.~R~OWIlB~~\\ ~~~ C<HlT~'
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<br />
<br />STATE OF FLORIDA
<br />COUNTY OF 7A~C.D
<br />The foregoing instrument was acknowledged
<br />Before me this~. day of H 4,,/ , ~:2..
<br />by L el2.n....V\ n~ N ~AK.
<br />(name of person aoknowledged)
<br />'[('who is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and whoO did goid not take an oath"
<br />
<br />~1I~,[t.jJ;<~ () (-8 L-~ .'
<br />
<br />Signature of pelson taking acknowledgement
<br />I< A T1-I L EE; IJ v::13 120 ~.hJ .
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF '. '?A...<:.,c ,p........
<br />The foregoing instr~ent was acknowledged
<br />Before me this ~ay of 1-1 4 Y , ..:1.D~ 2-
<br />by Lee.. DA.-.. '" e H V'a. k
<br />(name of person acknowledged)
<br />E(ho is personally known to me, or
<br />
<br />Dwho'has produced
<br />. (type of identification)
<br />and who Ddid DUd not take an oath
<br />
<br />'-j~-U4U ~.'A~ .
<br />Signatu~e of pe son taking acknowledgment
<br />K AT1-t" LG.:EN --:r. J3f<.o w tJ ..,'
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