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<br />CONDITIONS OF PERNIT AFF''::;JAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />rr~he under:signed understands thqt lb.l.s p~rmit lOay b,;; subject to "deed restr:lctions" \~hjeb
<br />may be more l.estrictive than City r'=9uldtions. '1'.:1'= und=1:si9ned assumes responsibili ty for:
<br />compliance with any applicable deed restrictions,
<br />B. UNLICENSED CON'l'RAC'l'ORS AND CON'l'Rl\CTOR RESPONS 1 BILl'l'IES
<br />If the owner has hired a contractor ,Jr contractcJl:s to undertake work, they may be requit'ed
<br />to I.H:l licellsed in accordance with stelte and loea] regulations. If tbe (~ontractor is not
<br />licensed as required by Ia\J, both the o\mer and contractor may be cited for: a mii:Odemeallor
<br />violation under state law. If the owner: or intended contr:actor: ar:e uncertain as to wllat
<br />li censing requirements may apply for the intended wcnk, they are advised to contact the
<br />city of Zephyrhills Building Department, 813-768--6611.
<br />Furthermore, it the owner has hil:ed a contractor or contracto'rs, he tis advised to have the
<br />contractor(s) sign portions of the "Contractor Sections" of this application far which they
<br />.Jill be tesponsible. If you, as the ol-met. s.igns CiS the contractor, YQLI are lndioating 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 pr:operly lic61lsed and is
<br />not entitled to permitting privil~ges in the City of Zephyrhills.
<br />C. 'l'RANSPOR'l'A'rION IMPACT fEES AND UTILITY CONNECTION E'EES
<br />D. cONS'rRIICTUION LIEN LAv~ (CHAP'l'ER 713, FLORIDA STA'l'U'I'ES, AS AMENDED)
<br />I certify that I, tile 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 obti:iineci a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" pri.or to cOllUllencement,
<br />E, CON'I'RAc'roR' S/OWNER' S AFFIDAVI'r
<br />1 certify that all the information in this application is accurate and that all work will
<br />be done in compliance wi th all appli.cable laws regul ating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtaln a permit to do work and installation as indicated. I
<br />certify that no work or installatlon has cOllunenced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />aode,s, zoning regulations, and land development regulations .in the jurisdiction. ] also
<br />certify that I understand that the regulations of other governmental agend.es may apply to
<br />the intended wot'k, and that it is my responsibility to identi.fy what actions I lllllst take to
<br />be in compliance, Such agencies include but are not limited to: *Department of
<br />Environmental Regulation-Cypress bayheads, Wetland Areas and Environment.ally Bens-itive
<br />IJands, Water/WasteHater Treatment
<br />* Southwest li'lorida Water Management District-Wells, Cypress Bayheads, Wet1 and Ar:eas,
<br />Altering Wat~rcourses
<br />*Anuy Corps of Engineers-SeawallS, Docks, Navigable WaterVlays
<br />*lJepat.tment of Health & Rehabilitative Services, Envir:onmental Health Unit-Wells,
<br />Wastewater Treatment, septic 'l'anks
<br />*11,8. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone qA" or "A,etc.", it is
<br />understood that a dralnage plan addressing a "compensating volume" 'will be sulJmitted Vlhich
<br />is prepared by a professional engineer registered in the, State of Florida prior to pewl1t
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />authority to v101ate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall lssuance of a permlt prevent the Building Official from thereafter requlri.ng a
<br />correction of errors ill plans, construction, or violations of any code. Every permit
<br />issued shall become invalid unless the work authorized by such permit is oOllunenced within
<br />SiK months of issuance, or if work authorized by the permit is suspended or abandoqed far a
<br />period of si:x months after the time the work is conunenced. One 90 day extension of t11116
<br />may be allowed for the permit with fee charge of $15.00, The extension shall be tequested
<br />in wrlting to the Buildlng official, An approved inspection must be logged during each j;ii:x
<br />month period, or the ptoject Vlill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAIIJURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUW' IN YOUR
<br />PAYING TWICE j!'OR IMPROVEMENTS TO YOUR PROPERTY. IE' YOU INTEND TO OS'I'AIN li'INANqINq, ~qN~UI,'I'
<br />WITH YOUR LH:NDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'I'. ,106S Ui'WER
<br />$2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMEN'lllt,
<br />
<br />____~ R, /; JJ dJ 0.;rJJ Li.--
<br />
<br />SIGNA'l'URE~ AGENT
<br />
<br />SIGNd~.,drJ1 t{..~r: )
<br />
<br />~~~~~y O~1!' FLORIDA ..:e~$_~__._
<br />The foregoing i.l1ft~urnent w~acknowledged
<br />~~for~ this ~ j ol-~~~ :..-~U3
<br />
<br />(nam of person acknowledged)
<br />~o is personally known to me, or
<br />
<br />o Vlho has
<br />
<br />STA'rE OF B'LORIDA
<br />COUNTY OF -~~~_._-
<br />The foregoing instrument was acknowledged
<br />Befor~~ . thiJil ~I ~.,. day of -=,p}:) ,':1,03
<br />by __~::::x h.~,b~r
<br />(name of person acknowl,dged)
<br />~ who is personally known to me, or
<br />
<br />o who has produced
<br />(type
<br />o
<br />
<br />dentlflcationl
<br />t e an oath.
<br />
<br />~L
<br />
<br />9 acknowledgement
<br />
<br />
<br />
<br />___. ___..'.~:.~c _~hirt!.Y_AI!cICkfL_,_______.___._______.__
<br />l~i~-lIle typed,' .~ped
<br />,,,,..xpires August 30.2003
<br />
<br />Hame
<br />
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