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<br />CONDITIONS OF PEPMIT AFFIDAVIT
<br />1\. NO'fICE OF DEED RESTRIC'I'IONS
<br />- The bndersigned understands thijt this p~rmit may be subject to "deed restrictions" "hich.
<br />may be more re~triative than City regulations. The llndarsigned assumes responsibility for
<br />compliance with any applicable deed re:::;triction~.
<br />B. UNLICENSED. (:ON'l'RAC'l'ORS AND CON'l'RACTOR RESPONS IBII,['l'IES
<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 />licensed as required by law, both the ovmer and contractor may be cited for a misdemeanor
<br />violation under state laH. If the owner or intended contractor are uncertain as to ~~Iat
<br />li censing requi rements may apply for the intended work, they are advised to contaot the
<br />City of Zephyrhills Building Department, 613-788-6611.
<br />Furtherlnol'e, if the owner has hired a contractor or contractors, he is advised to have the
<br />contraotor(s) sign portions of the "Contractor Sections" of this application for wllich they
<br />will be responsible. If you, as the owner signs as the contractor, YQ4 are indicating that
<br />you, rather than the contrac~or, ~re responsible for the work. If the contractor wislles
<br />you to sign as contractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privil~ges in the city of Zephyrhills.
<br />C. 'I'RANSPOR'rA'nON IMI?AC'l' JrEES AND UTILITY CONNECTION jj"'EES
<br />D. CONSTRllc'rUlON IJIEN LAW (CHAI?'l'ER '713, FLORIDA S'rATUTES, AS AMENDED)
<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", I cerify that I
<br />llave obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to conunencement.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'r
<br />I 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 constI-uction, zoning, and land
<br />deVi?lopment.
<br />Applioation is hereby made to obtain a permit to do work and installation as indicated. I
<br />ce+tify that no Vlork or installation has conunenced prior to issuance of a permit and that
<br />all work Hill be performed to meet standards of all laws regulating construotion, City
<br />codes, zoning regulations, and land development regulations in the jllrisdiction. I also
<br />certify that I understand that th~ regulations of other governmental agencies may apply to
<br />the intended work, and that it is my responsibility to identify what aationa I must take to
<br />be in compliance. Such agencies include but are not limited tOl *Department of
<br />Environmental Regulation-Cypreas Bayheads, Wetland Areas and Environmentally 8ens.j.tive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Jrlorida Water Management District-Wells, Cypress Bayheads~ Wetland Areas,
<br />Altering Watercourses
<br />.Anny Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Ilepartlllent of Health Ii< Rehabilitative Services, Environmental Health \Jnit-Wel1~,
<br />Wastewater Treatment, Septic Tanks
<br />*11.3. Environmental Protection Agency-Asbestos abatement
<br />I al~o certify that, if fill material is to be used in Flood Zone qA" or "A, etc.", it is
<br />under.etaod that a drai.nage plan addressing a "compensating volume"'will be submitted which
<br />is prepared by a professional engine~r registered in the State of rlorida prior to permit
<br />ililliluance.
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />authority to vi.olate, 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 />cor,rection of errors in plans, oDn~tructionr or vio~ations of any code. Every p~'U:mit
<br />is~u~d shall become invalid unless the work authorized by such permit is couw~nced within
<br />six months of issuance, or if Hork authorized by the peJ:mit is suspended or abandoned for a
<br />period of six months after the time the work is oonunenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15,00. The extension shall be reques~ed
<br />i n ~yritin9 to the Building Offioial. An approved inspection must be logged during eaoh r:dx
<br />month period, or the project will be considered abandoned. .
<br />WARNING TO OWNERI YOUR ILURE TO RECORD A NOTICE or COMMENCEMENT MAY RESULT IN YOUR
<br />I.' G '1' . E FOR IMP EM TS TO YOUR PROPERTY. IF yOU INTEND TO OB'rAIN FINANgn'lq, .~QN~UL'I'
<br />]:'1'}i YOUR L 'NDER 0 AN All" ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'I'. JOBS UNDER
<br />, ,500 IN Will DO NOT N D TO RECORD AND POS'l' A "NO'1" OF COMMENCEMEN'"/
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<br />S'rA'rE OF rLORI DA /J~nJ A
<br />COUN'ry Or' L~..'/6J.../
<br />'l'he foregoing in~.i:;:ument ~J~,/-c)moHledged
<br />BefOjlf~ me thi.l\sl\*~ day of ~ ~ ,"lIf2:tP3
<br />by k'trlA.L Ll ~_
<br />~ame of person aoknoWledged)
<br />~ho is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />id take an oath.
<br />
<br />
<br />;J~~
<br />
<br />c 110WI~~
<br />
<br />Dwho has produced
<br />(t.ypli.. of iden~.ifioation)
<br />
<br />agdl1J/::MJehkO au oath
<br />
<br />Signature of person taking acknowledgment
<br />
<br />
<br />...~~:I~""" R. Mgrk Willett
<br />ll~-l~e tYi~'~~~~M't<6lfjlMl.S~r-wt~i.iEXPlRES
<br />;~','"@f December 8, 1003
<br />..~tiif..~~' BONDED THRU TROY FAIN INSURANCE, INC
<br />
<br />Name t,,~1;"'" printidv1@1'~Wilttamped
<br />f..: :~ t';1Y COMMISSION # CC880695 EXPIRES
<br />~. ~j December 8, 2003
<br />'. , ... BONDED THR\J TROYFAIN INSUR~CE, INC
<br />
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