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<br />CONDI'llIONB OF pE.RMI'r AFFlDAVIT <br />A. NO'!'ICE Ol!' DEED RESTRIC'froNB <br />~he uMdersigned understands that this permit may be subject to "deed restrictionsH which <br />may be more restrictive than City regulations. The llnd~rslgned assumes responsibility for <br />complianoe Hith any applicable deed restrictions. <br />B. UNLICENSED CON'fRACTORB AND CON'l'RAC'l'OR REBPONSIBILI'l'US <br />If; the oHner has hired a contractor or contractors to unjertake work, they Jrtay be required <br />I to be licensed in accordance with state and local regulcitJons. If the contractor is not <br />licensed as required by law, both the owner and contractor may be ai.ted for a misdemeanor <br />violation Ullder state law. If the owner or intended contractor are uncertain as to what <br />licensing requirement.s may apply for the intended Hark, they are advlsed to contact the <br />City of Zephyrhills Buildlng Department, B13-788-6611. <br />Furthermore, if the owner has hired a contractor or conl:r:aotors, he is advi,sed to have the <br />oontractor(s) sign portions of the "Contractor SectionsU of this application for which they <br />wl1l be responslble. If you, as the owner signs as the contractor, you are indicating tlJat <br />you, rather than the contractor, are responsible for thl! work. If the contractor wishes <br />you to slgn 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. TRANSPORTNfION IMPACT FEES AND UTILITY CONNECTION FEES <br />D. CONS'l'RUC'fUION I,IEN LAW (CHAP'l'ER 713, FLORIDA S'rA'rUTES, AS AMENDED) <br />I certify that I, the applicant, have been provi~ed with a copy of "Florida's Construction <br />l111n Law - Homeowner's Protection Gulde/l prepared by the Florida Department of Agriculture <br />and Consumer Affairs. If the applicant is someone otller that the \lowner", I ced.fy 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 cOl1U1\enaement. <br />E. CON'l'RAC'I'OR' S/OWNER' S AFH'IDAVI'r <br />I certify that all the information in thls application is accurate and that all work will <br />be done in oompliance wlth all applioable laws regulating construction, zoning, and land <br />development. <br />AppHcation is hereby m~de to obtain a permit to do work and installation as lndioated. I <br />certify that no work or installation has cOl1U1\enced prior to issuance of a permit and that <br />all work will be performed to meet stan~ards of all laws regulating tlonstruction, City <br />codes, zoning regulations, and land development regulations in the jurisd.tction. I also <br />certify tllat'l understand that the regulations of other governmental agenoies may apply to <br />the intended work, and that it is my rfjlsponsibility to identify what actions I must take to <br />be in oompliance. Such agencies include but are not limited to: *Department of <br />Environmental RegUlation-Cypress Bayheads, Wetland Areal5l and Environmentally Sensitive <br />Lands, Water/Wastewater Treatment <br />*Southwest FloriQa Water Management District-Wella, CYPEess Bayheads, Wetland Areas, <br />Altering Watercourses <br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways <br />*Department of Health & Rehabilitative Services, Environmental Health Unlt-Wells, <br />Wastewater Treatment, Septic Tanks <br />*U.S. Environmental li'rot.otian 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 whlch <br />is prepared j>y a professional engineer registered in the State of Florida prior to permit <br />issuanoe. <br />A permit lssued shall be construed to be a license to proceed with ~he work and not as <br />authority to vl01ate, oancel, 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 erron in plans, construotioJlI or violations of any aode, IIIvery permit <br />luued shall beoome invalid unless the work authorized by such permit is conunenced within <br />SiK months of issuanoe, or if work authorized by the permit is suspended or abandoned for a <br />period of liix months after the time the work is cOl1U1\enced,. One 90 day extension of thlle <br />may be allowed for the permit with fee charge of $15.00. The extension ahall be requested <br />in writing to the Building Offioial. An approved inspection must be logged during each six <br />month period, or the project will be aonsidered abandoned. <br />WARNING '1'0 OWNERI YOUR FAIWRE TO RECORD A NO'I'ICE OF COMMENCEMENT MAY RESUUl' IN YOUR <br />PAYING 'rWICE B'OR IMPROVEMEN'fS TO YOUR PROIi'ER'fY. IF YOU IH'l'END 'l'0 OB'l'AtN FINANCING, CONSUL'I' <br />W1'1'1I YOUR I.ENDER OR AN A'l"l'ORNEY BEFORE RECORDING YOUR No'rICE OF COMMENCEMEN'l'. JOBS UNDER <br />$2,500 IN VAI,UE DO NO'l' NEED '1'0 RECORD AND POS'l' A "NO 1 CE OF COMMENCEMEN'I"'. <br /> <br />~J2 'j ;/ tlfL~ <br /> <br />~GNAT~ OWNER OR AGENT <br /> <br /> <br />Jd!-4ff- <br /> <br />S'fA'rE OF FI,ORIUA 0 <br />COUN'l'Y OF r a7CO <br />'J'he foregoing instrument was~acknowledged <br />asfore ~s k~ day of -LJovec.c.J,u; ~o~ <br />by , lAe.-rA~ <br />(name of person acknowledged) <br />[J l.,ho is personally known to me, or <br />/ <br />121 who has produaedV L--. ' <br />(type of identification) <br />Ddid not ta e <br /> <br /> <br /> <br />BTA'l'E OF FLORIDA 8 <br />COUN'fY OF a5Cn <br />The foregoing instrument wa~a~i8dged <br />Before me thia &;; ~ay of t:..J.OJ~r, ]::I.;loP:)- <br />by ,c:.,~ tJ le Y\. <br />(name of person aoknowledged) <br />[1ho is personally known to me, or <br />/ <br />EJ who has produced }).! -' . <br />~ (type of identlfioaUonl <br />and who ld Oi:: tr~ <br /> <br /> <br />signa ure ~ taking acknowledgment I <br /> <br />81 of person taking acknowledgement <br /> <br />~\'ltl'" Suzanne Bahr <br />, ~y p~, <br />. ~'R.~.,.. .i~ eo . HmNDf>l51131 <br />Name typed, pdn~~~:;?E_''"Nov 15,2006 <br />',,";.p0;;;'~~ Bonded Thru <br />"'" "",\ Atlantic Bonding Co" Inc. <br /> <br />Name <br /> <br />