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<br />CONDI'J.'IONS OF PERMI'!' AFFIDAVIT
<br />A. NOnCE Ol!' DEED RESTRICTIONS
<br />'l'he, undeJ.:signed understands that thi:i permit may be subjeot to "deed restrictions" whloh
<br />may be more restriotive than City regulations. The underslgned assmnes responsibility for
<br />oompliance with any applicable deedcestl:ictionfl.
<br />B. UNLICENSED CON'fRACTORB AND CON'l'Ri\CTOFl RESPONSIBHI'I'IEB
<br />If the owner has hired a contractor or contractors to undertake work, they ~ay be required
<br />I to be licensed in acoordance witll state and local regulations. If the contraotor is not
<br />licensed as required by law, both tile owner and contractor may be cited for a misdemeanor
<br />violation under state law. If the o\mer or intended contractor are uncertain as to what
<br />licensing requirements may apply for the intended \'iodc, they are advised to contact the
<br />City of Zephyrhills Building Department, 613-768-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advi.sed to have the
<br />oontraotor(s) sign portions of the "Contractor Sections" of this application for which they
<br />will be responsible. If you, as the owner signs ~s the contraotor, you are indioating tllat
<br />you, rather than the contractor, are responsible for the'work. If the contractor wishes
<br />you to slgn as contractor that may be an indicat10n that he 113 not properly licensed and is
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C. TRANSPOWrNrroN IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUC'rUION I,IEN LAW (CHAP'l'ER 713, FLORIDA S'l'A'rUTES, 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 E'lorida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I oed.fy that I
<br />have obtailled a oopy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to conunencement.
<br />E. CON'l'RAC'l'OR' S/OWNER' S AFFIDAVIT
<br />I certify that all the information in this applioatloIl is accurate and that all work will
<br />be done in oompliance with all applioable laws regulating construction, zoning, and land
<br />development.
<br />AppHcation is hereby ma.de to obtain a permit to do work and installation as indioated. I
<br />certify that no work or installation has commenoed 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 lalld development regulations in the jurisdiction. I also
<br />certify tllatI understand that the regulations of other governmental agenoies may apply to
<br />the lntended work, and that it is IllY ~,sponsibility to identify what actions I lIIust take to
<br />be in compliance. Such agencies inolude but are not limited tOI *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Bouthwest Florida Water Management District-Wells, CYPEess Bayheads, Wetland Areas,
<br />Altering Wateroourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />""Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Waatewater 'rreatment, Septic 'fanka
<br />*U. S. Envlronmental I?rotttotion Agency-ASbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A,ete.N, it is
<br />understood that a drainage plan addressing a "compensating volume" will be submitted which
<br />is prepared IJY 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 ~he work and not as
<br />authority to violate, oancel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiriJlg a
<br />correction of errors in plans, oonstruotion, or vio~ations of any oode. Every permit
<br />iuued shall beoome invalid unless the wor:k authorized by suoh permit is oOllullenoed within
<br />aiH month. of issuance, or if work allthor1zed by the permit is suspended or abandoned for a
<br />period of slx months after the time the work is commenced.. One 90 day extension of thlle
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />in writing to the Building Offioial. An approved inspeotion must be logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING '1'0 OWNERI YOUR li'AILURE TO RECORD A NO'!'IeE OF COMMENCEMEN'1' MAY RESUJ.'l' IN YOUR
<br />PAYING 'rWICE ll'OR IMPROVEMENTS TO YOUR PROI?ER'fY. IF YOU IN'l'END TO OB'l'AIN FINANCING, CONS U L'l'
<br />Wl'l'1I 'fOUR I.ENDER OR AN A'r'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'l'. ,JOB8 UNDER
<br />$2,500 IN VAI,UE DO NO'1' NEED '1'0 RECORD AND POS'l' A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />~~
<br />WNER OR AGENT
<br />
<br />
<br />fj'l'A'l'E OF Il'I,ORII.lA i)A"""C '
<br />COUNTY OF L ~I c
<br />'l'he foregoing instrument was aokn~wledged
<br />eaton lIIe this ~_ day of cx.To(3~~1L , ~Z-
<br />by ~~ [? bFj,'E
<br />. . .-lname of person aoknowledged)
<br />r~o is personally knowri to m~, or
<br />
<br />[Jwho has produced
<br />(type of identification)
<br />and who!] did [3tl1ci not take an oath.
<br />
<br />--~~
<br />
<br />Signature of person taking aoknowledgement
<br />
<br />STA'1'E OF FLORIDA D
<br />COUN'!'Y OF rASe c
<br />'l'he foregoing instrument was.aak,.Jlowledged
<br />Before mJ'o this ~. a~ of (Y fJtV:R.. , .. 2dJL
<br />by (j;?{2t;~ !?>CrI'?L- .
<br />(name of person aoknowledged)
<br />~ is personally known to me, or
<br />
<br />and who Ddid
<br />
<br />~~ II.
<br />
<br />o who has produoed
<br />(type of identifioation)
<br />(Jd1Cr not take an oath
<br />
<br />~
<br />
<br />Signature of person taking acknowledgment'
<br />
<br />S(2Jc.(. 11-, IJ 515E'-
<br />Name typed, printed or stamped
<br />~J\. Bruce A AIbeI
<br />. ?If. j My CommiIIIon 00116710
<br />\; Of...' ExpiIwI June 22. 2006
<br />
<br />__S reV Lt~~_. /},5oP L _ .___
<br />Name typed, printed or stamped
<br />0: BlUctAAlbeI
<br />\.'7:.) ="~x~j710
<br />
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