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<br />CONDITI0NS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject ,to "deed rest:l:lclioIlS" whIch .
<br />may be lUOre restrictive than City regulations. The undersigned assumes responsibility for
<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 licens'ed in accordance with state and local regulatious. If the contractor is not
<br />licensed as required by 18W, 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 contracto~ wishes
<br />you to sign as contractor that may be an indication that he Is not: proper.ly licensed and ls
<br />not entitled to permitting privileges in the City of 7,ephyrhllls.
<br />C. TRJ\NSPOR'fA'fION IMPACT FEES ANn U'f!},J'fY CONNECTION FEES
<br />D. CONS'fRuc'rUION LIEN 1.J\W (CHAPTER 713, FLORIDA S'fATUTES, AS AMENDEIl)
<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", T cerlfy 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 AFlIDAVIT
<br />1 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 performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulatlons in the Jur,t sd.i.ctlon. I also
<br />certify that '1 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 Lo
<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 Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />"'u. s. EnvJ.ronmenta1 Protection Agency-Asbestos aoatement
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A,ete.", ,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 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 become invalid unless the work authorIzed by Buch perml t 1s cononeneed wi tltl n
<br />six months of issuance, or if work authorized by the perrott 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 Officlal.. An approved inspection must be logged durlng each six
<br />month period, or the project will be considered abandoned.
<br />WARNING 'I'O OWNER: YOUR FAII,URE 'fO RECORD A NOTICE OF COMMENCEMENT MAY RESUL1' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN NfTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NE.., ''0 R CORD AND POST A "N~OMM"'C~T.. ~ /
<br />
<br />--~~
<br />
<br />~NATURE: CONTRACTOR
<br />
<br />~~~~~Y O~F FLORID~:""""'I-~~~ <-)
<br />The foregoing instrument was aC,lowledged
<br />:;fore 3~M}dZ2L , ~2qo~
<br />
<br />(name of person acknowledged)
<br />[Lho is personally known to me, or
<br />
<br />~hO has producedR 7J. (. tJf-PiJ -79?-t..!J--:;5?-t
<br />" , ,ype of identification)
<br />and~!~d d n take an oa h
<br />
<br />I
<br />
<br />
<br />was~knowledged
<br />t 't/, ~~
<br />
<br />(name of person ackno~ledged)
<br />Dwho is personally known to me, or
<br />
<br />~ho has produced F'D L 1A)4;20-797b5'-,i/:iZ-
<br />'. (type of identification)
<br />a,,~aH w~., ld 1r1,A;" id" no otto ;,take an,;;;tOath
<br />
<br />( 7~~J ~~/.f_~-L~'
<br />~ ,
<br />Signat4f~~f~ persdDb~~dacknow1edgement
<br />!..//!;;.'\f: MY COMMISSION # CC893160 EXPIRES
<br />h:.~.~j February 22, 2004
<br />......~i:;,.f.PW...... Rrwm:nT~I:lIITP()\lF."AINW~IJPANrj: iNr
<br />Name type(i', printed or stamped
<br />
<br />
<br />Name
<br />
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