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<br />CONDITIONS Of PERMIT AFFIDAVIT <br />A. NOTICE or DEED RESTRICTIONS <br />The undersigned understands that this perMit may be subject to ~deed restrictions. which <br />may be more restrictive than City regulations. The undersigned assumes responsibility for <br />compliance with any applicable deed restrictions. <br />a. UNLICENSED CONTRACTORS AND CONTMCTOR 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 />licens.d a. required by law, both the owner and contractor ..y be clted tor a misdemeanor <br />violation under state law. It the owner or intended contractor are uncertain as to what <br />licensinq requir...nts ..y apply for th. intended work, they ar. advised to contact the <br />City of Zephyrbills Building Departm.nt, 813-788-6611. <br />~urthermore, if the owner has bired a contractor or contractors, he is advised to have the <br />contractorls) sign portions of the .Contractor Sections. of this application for which they <br />w111 be responsible. If you, as the owner signs a. the contractor, you are indicatin9 that <br />you, rather than the contractor, are responsible for the work. If the contractor wishes <br />you to s1gn a. contractor that may be an indication that he is not properly 11censed and is <br />not entltled to pe~tting priVileges 1n the City of Zephyrhills. <br />C. TRANSPORTATION IMPACT P'EI!:S ANI) UTILITY CONN~ION FEES <br />D. CONSTRUCT11ION LIEN LAW (CHAPTER 713, FLORIDA STATU'l'!S, AS NtENDED) <br />I cert1ty that I, the applicant, have been provided With a copy of ~Florida's Construction <br />11en Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture <br />and ConSUMer Aftaira. It the applicant is someone other that the ~owner", I cerify that I <br />haVe obtained a copy of the above described document and promise 1n good faith to de11ver <br />it to the .owner" prior to coemencement. <br />E. CONTRACTOR'S/OWNtR'S AFfIDAVIT <br />I certify that all the information in this application 1a accurata and that all work will <br />be done in compliance with all applicable laws regulating construction, zonln9, and land <br />development. <br />Application 1s hereby made to obtain a pe~t to do work and install.tion 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 perfo~d to ..et standards of all laws regulat1ng construction, City <br />codes, Zoning regulations, and land development regulatlons 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 1s .y reapons1bility to i4ent1fy What actions I must take to <br />be in compliance. Such agenclea include but are not 1~te4 to: .DepartmeDt of <br />Environmental Regulation-Cypreaa Bayheads, Wetland Areas and Environmentally Sensitive <br />Landa, Water/.aatewater Treatment <br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Area., <br />Altering Watercourse. <br />*Axmy 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. Environmental Protection Agency-~bestos abatement <br />I also certity that, if fill ..ter1al is to be used 1n Flood Zone .A. or ~A,etc.N, it 1s <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 />iaauance. <br />A permit issued shall be construed to be a license to proceed with the work and not aa <br />authority to violate, cancel, alter, or set aslde any provisions of the technical codes, <br />nor shall is.uance ot a permit prevent tha BUilding Off1cial from thereatter requir1ng a <br />correction of errors in plans, construction, or violationa ot any code. Every permit <br />issued shall become invalid unlea. the work authorized by auch pe~t is commenced within <br />six months of issuance, or if work authorize4 by the pe~t is auspended or abandoned for a <br />period of six months atter the time the work is commenced. Ofte 90 day extension of t~me <br />may be allowed for the permi~ With fee charqe of $15.00. The extension ahall be requested <br />in writing to the Building Official. An approved inspectlon muat be logged during each six <br />month period, or the project will be considered abandoned. <br />WARNING TO OWNER: YOUR FAILURE TO UCORD A NOTICE Of' COMHENCEHEIn" HlI.Y RESULT <br />PAYING TWICE FOR IHPROVDCENTS TO YOUR PROPERTY. IF YOU END TO OBT FIN <br />WITH YOUR LI!:NDER OR AN ATTORNEY Bl!:f'Ol'! I\tCORDING YOUR NICE 0 C <br />$2,500 IN UE DO NOT NEED TO RECORD AND POST A "NOT E OF <br /> <br />lZ <br /> <br /> <br />....., <br />-...., <br /> <br /> <br />5i nature of person <br /> <br />'t~-- ~u~~~ "~':~n 1 <br />JUUE A. TAYUlIt <br />My~ r:r~ lOl ON <br />~ IJo.:Lf: <br /> <br /> <br />STATE OF rLORIDA~ <br />COUNTY OF <br />The tore going l~~ent w~~n ledged <br />~~fore ?,i~~a~~~~3 <br /> <br />o(..i (n.... of person acknowledged) <br />~ is personally known to me, or <br /> <br />Owho has produced <- <br />~~type of identificacion) <br />and did ~d not cake an oa <br /> <br />o who <br /> <br />... <br /> <br /> <br />Na_ <br /> <br />re ot p.reon tak1ng ac owledqment <br /> <br />\.ld/1 A- 'n,Lf )lJr <br />typed. printed or stampe <br /> <br />SlllHHAHd3Z ;0 A11~ <br /> <br /> <br />JULIE A. TAYLOR <br />~~. 2119105 <br />L ttq. llQ 9Oil204: p 8 ^ <br />-.- I J OlIlIrUL <br /> <br />.081:1 <br /> <br />d <br /> <br />:.....:a.......o <- <br />