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<br />CONOITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DE!:O RESTRICTIoNS
<br />The undersigned understands that this permit may be subject to ~deed restrictionsU which
<br />may be more restrictive than City regulations. The undersigned aSSWDes responsibility for
<br />compliance with any applicable deed restrictions,
<br />8. 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 a8 required by law, both the owner and contractor may be cited for a Ddsdemeanor
<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 Zephyrhi1ls 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 SectionsN 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 - Homeowne4's Protection Guiden prepared by the Florida Department of Agriculture
<br />and Consumer ALfairs. If the applicant 1s someone other that the "ownerN, I cerity that 1
<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 has commenced prior to issuance of a permit and that
<br />all work will be perfor.med 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 I understand that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is my re5ponsibility 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-Wella, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Wat*~waY$
<br />*Department of Health & Rehabilitative Se~vic.s, E~v1ronmental 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 Zono ~A" or "A,etc.H, it is
<br />understood that a d4ainage plan addressing a ~compensating volumeN will be aubmitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to permdt
<br />issuanee.
<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 per.mit 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 become invalid unless the work authorized by such per.mit is commenced within
<br />six months of issuance, or if work authorized by the penmit is suspended or abandoned for a
<br />period of sig 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 IN'!'!:NO TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UND!R
<br />$2,500 IN Vl\LUJ;: DO NO'r NEED TO RECORD AND POST ~ 'NO'rI:~
<br />
<br />
<br />
<br />'"GNATO"" , OWN"" OR J\GEN'r ~.'~~
<br />
<br />STATE OF FLORIDA STATE OF FLORIDA(~J' _ ..( "
<br />COUNTY OF COUNTY OF . _ a -AG'1
<br />The foregoing 1nst~ument was acknowledged The ~oregoing instrument was~c~wled~ed~~
<br />Before me this ~ day of , l~ Beq6re m~ this ~ of 411':'.7/ , f;$ ~0-
<br />by by\....=A_t../A?.A-7~_ :/J?'7J
<br />(name of person acknowledged) (name of person acknowledged)
<br />CJ who is perlSonally known to me,. or Gho is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and who[:J did Odid not take an oath.
<br />
<br />o who has producedL'! j).(. 4/53- /if 77-.f?j(-O
<br />........>-"~. .(.type of .identificatiOn)
<br />(nd W~/did J~~~d not take an oath
<br />
<br />-- ~;t<IrL l}j A~2j;~
<br />
<br />signat~~~~~~ pers~bmHJe~stcfc~.~oWledgm.ent
<br />~*: :*~ MY COMMISSION # CC89~160 r "'",
<br />-:...~.. :<c:i
<br />
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Name typed, printed or stamped
<br />
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<br />OS9Z'ON
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<br />SillH~^~d3Z jO ^l[~
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<br />zaGZ 'L 'PO
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