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<br />CONDITIONS OF PF.HMIT ^FFID1\VIT
<br />A.'. NO'fICE OF IJEED RESTRIC'l'IONS
<br />'rhe undersigned understands that this permit: mclY be subJect to "deed restrictions" which
<br />may be more restrictive than Clty regulatlons. The undersigned al'lSUllles respOlisibllJty for
<br />compU.ance with any appllcable de,!!'d restd,ctlolls.
<br />B. UNLICENSEIJ CON1'RACTORS AND CON'l'RAC'l'OF: RE:SPONSIBIJ.l'l'IES
<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 regulat:lons. If the contractor is lIot
<br />licensed as required by law, bot~h the owner and contractor may be cited for a misdemeanor
<br />violation under state law. If thl;! owner or intended contractor are uncertain as to what
<br />licensing requirements may apply Eor the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furthermore" if the owner has hirf!d a contractor or contractors, he Is advised to have the
<br />contractor(s) sign portions of the "Contractor Sections" of this application for which they
<br />wll1 be responsible. If you, as l:he owner signs as the contractor, you are indIcating that
<br />you, rather than the contractor, <lre responsible for the work. If the contractor wishes
<br />you to sign al'l contractor that may be an indication that he il'l not properly licensed and 1s
<br />not entitled to permitting privileges in the City of Zephyrhills. .
<br />C. TRANSPORTA'rION 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 Gulde" 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 deliver
<br />it to the "owner" prior to commencement.
<br />E. CONTRACTOn'S/OWNER'S AFFIlJ1\VI'l'
<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 installatlon as indicated. I
<br />certify that no work or installatlon has commenced prior to issuance of a perrnJt and that
<br />all work will be performed to meet: standards of all laws regulating constructlon, City
<br />codes, zonIng regulations, and land development regulatlons in the jurlsdiction. 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: lake 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 1\reas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental lIealth 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 Florlda 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 pe.rmit prevent the Building Official f.rom 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 lf 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 chaJ:.ge of $15.00. 'fhe 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 NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITII YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RE' RD AND POS'f A "NOTICE OF COMMENCF.MENT".
<br />
<br />
<br />SIGNATURE: OWNER 0 GENT SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORID~ STATE OF FLORIDA
<br />COUNTY OF ~6e::.o COUNTY OF
<br />The foregoing instrument was acknowledged The foregoing instrument was acknowledged
<br />Before )De thJ.s -l..!i!!.: day oof.r ~ , ~a:L. Before me this _day of 19
<br />by ~ 'Cu.d/rc ~.Y ~ ~_ by
<br />(name of person ackno"ledged) (name of person acknowledged)
<br />Dwho is personally known to me, or [1ho is personally known to me, or
<br />
<br />\. ~ho has produced F.t V.Q..l.I:::.. tJ .t/2lr 79?-t.5'":23"7-D 0 who has produced
<br />";Z" 1J (type of identification) (type of identificatJon)
<br />a~flli~~di~ ot ik~,l oath. and who Dd:l.d DHd not take an oath
<br />
<br />
<br />Signature of person taking acknowledgment
<br />
<br />
<br />Name
<br />
<br />",,-:;'~'r;:';.. Bobbie Swetland
<br />:~;ti;;": m COM~1ISSI0~1 tCCS9316C ~XPIR~
<br />~ .~l pdn1f.~2,sJlllttnped
<br />"'X;;, ",'t,~ BONDED THRU TROY FAIN INSURANCE, INC
<br />"".11"
<br />
<br />Name typed, prlnted or stamped
<br />
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