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<br />CONDIT lUNS OF PEHtHT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Th~ und~signed understands that this permit may be
<br />may be more restrictive than City regulations. The
<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 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, 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 "owner", 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 tllis 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 perIni"\: 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 />certi~y,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 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 />*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 "compersating 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 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 becorne 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 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 />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO~O RECORD AND pos'r A "NOTICE OF COMMENCEMENT",
<br />
<br />
<br />P~OR=~~ SI~C'ffj~
<br />
<br />
<br />STATE OF FLORIDA./J STATE OF FLORIDA ~
<br />COUNTY OF ,~ COUNTY OF .A ~
<br />The foregoing instrument was acknowledged The foregoing instrument wa~ck~edge~7
<br />Bef~e me this .;:l.c2--/f:J.ay _Qf ~'tA"-r(_, 1999 Before )~ this fi2=-da'hOf..~J~~, 19 ~
<br />by (")~.I ~k-->~:;J _ 5;e/'/f t1~J'lA"" by ~~ ~ ~ -.JOS_5~//I ~ ~A/}4I(J
<br />(na e of person acknowledged) (nam of person acknowledged) ,.
<br />~ho is personally known to me, or ~o is personally known to me, or
<br />
<br />o who has produced 0 who has produced
<br />(type of identification) (type of identification)
<br />did not take an oath. and who Odid mid not take an oath
<br />, L2--~
<br />
<br />taking acknowledgment
<br />
<br />subject to "deed restrictions" whiCh
<br />undersigned assumes responsibility for
<br />
<br />
<br />
<br />Name
<br />
<br />pe ,
<br />
<br />l~
<br />
<br />IIlfJtU
<br />rinMMtY... pARIIImped
<br />Notary Public. Slat. 01 Florida
<br />My comm. .xpIres Sept. 28, 2002
<br />No. CC789981
<br />
<br />Signatur of pers/tn aking acknowledgement
<br />I.. J ,/
<br />j'1A~'IIlN/U /l-;e,s,
<br />Name ty~d, prin~~~ -r ~~~m~8.
<br />awiv ANN PARISI
<br />..$11\ Notary PublIc, State 01 FJorlda
<br />f My eomm. .xpIres Sept. 28. 2002
<br />No. CC789981
<br />
<br />..
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