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<br />COHDI'l'IONS OF PERMI'I' AFE'IDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'he undersigned understands thqt this permit may be subject to "deed restrictions" which
<br />may be more restdctive than City regulations. The undersigned assumes responsibility for
<br />compli,mce with any appli cable deed restrictions.
<br />B. U1H~lCENSEf) 'CON'l'RAC'l'ORS AND CONTRACTOR RESPONSIBII,I'l'IES
<br />If the o\Vner has hired a contractor or contractors to undertake Hork, they may be required
<br />to be licensed in accordance with state and local regulations, If the contractor is Ilot
<br />licensed as required by lav~, both the ovmer and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to wllat
<br />li censing requirements may apply for the intended work, they are advised to contEl,Clt the
<br />City of ZephyrhUh Building Depa1:tment, 613-766-6611,
<br />Furthennon:!, if the owner has hired a contractor or contractors, he i.6 advised to have the
<br />contx.actor (f:l) sign pOl:tions of the "Contractor Sections" of this appU.cation for Hhich they
<br />vllll be n:spollsible. If you, as the owner signs .:is the contractor, YQ\.i are indicating that
<br />you, rather than the contractor, are responsible for the Hark. If the contractor wishes
<br />you to sign as contractor that may be an indication that he is not prope~ly licellsed and is
<br />uot entitled to pennitting privileges in the City of Zephyrhills,
<br />C, 'l'RANSl-'Ok'l'ATJON IMPAC'!, F'EES AND UTUl'I'Y CONNECTION FEES
<br />lJ, CONS'rkIlC'l'UION I,IEN LAW (CHAP'l'ER 713, FLORIDA STA'rUTES, AS AMENDED)
<br />1 certify that I, the applicant, have been provided with a copy ot "Florida's Constrllction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affal1:s. If the appli.cant is someone other that the "owner", I cerity that I
<br />have obtained a copy of the above described document and promise in good faith to delivel:
<br />it to the "owner" prior to conmencement.
<br />ill. CON'l'AAc'!'oR' S/OWNER' S AIrH'IDAVI'l'
<br />I certify that all the information in this application is accurate and tllat all HOl:k will
<br />be done in compliance with all applicable .laws reglll ating constnlCtion, zoning, and land
<br />developmeut.
<br />Applioation is hereby made to obtai.n a permit to do Hork and installation as indicated. I
<br />ci::q:tify that no Hork or installation has conunenced prior to issuance of a permit and that
<br />all wo~k Hill be performed to meet standards of all laws regulating construotion, City
<br />codes, zoning regulations, and land development regulations in the jurisdict1 on. I also
<br />certify that I understand that the regulations of other governmental agenoies may apply to
<br />the intended work, and that it is my responsibility to identify what actions I lllllSt take Lo
<br />be in comp.liance. Such agencies include but are not limited to; *Department of
<br />EnvirolllTlental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sens.Jtive
<br />Lands, Water/Wastewater Treatment
<br />*Soutllwest Florida Water Management District-Wells,Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable WaterHays
<br />*lJepartment of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*II.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill matetial is to be used in Flood Zone "A" or "A, etc.", it is
<br />understood that a dralnage plan addressing a "compensating volume"'wi.ll be submitted Hhich
<br />is prepared by a pl.ofessional engineer registe~ed in the State of Florida pdor to permit
<br />issuance,
<br />A pe1:mit issued shall be construed to be a license to proceed with the work and not as
<br />authority to violate, cancel, alte1-, or set aside any provisions of the technical codes,
<br />nor shall issllance of a permit prevent the Building Official from thereafter requirillg a
<br />cor~ection of errors ill plans, oon~truction, or vio~~tions of any code. 6very p~~mit
<br />is~ued shall beoome invalid unl~ss the \to.rk autho.rized by 5uch permit is cOllulIenoed within
<br />six months of issuance, or if work authorized by the pel:mit is suspended or abandolled t~r a
<br />period ot 6i)> months after the time the work is commenced. One 90 day extenaion of time
<br />may be allowed f01: the permit with fee charge of $15.00, The extellsion shall be ~eqUeated
<br />in wr1 ting to the Buildi.ng Official, An approved inspection must be logged dll:ri!1g each' /:IiK
<br />lllonth period, or the project Hill be considered abandoned,
<br />WARNING '1'0 OWNER: YOUR FAILURE '1'0 RECORD A No'rrCE OF COMMENCEMENT MAY RESUL'l' IN YOUR
<br />PAYING TWICE Ji'OR IMPROVEMENTS TO YOUR PROPER'l'Y, IF YOU IWl'END TO OB'rAIN IfINANqrNlf. ~qN~UI/l'
<br />Wr'l'H YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'I', ,1OBS UNDER
<br />$2,500 IN VALUE DO NO'l' NEED '1'0 RECORD AND POS'!' A "NO'nCE OF COMMENCEMEN'I"'.
<br />
<br />,./~.dt
<br />SlGHA'I:iJRE: --~~~ ./
<br />
<br />CONTAAC"O~-~~
<br />
<br />STA'I'E OF FLORIDA
<br />COUNTY ()l!~
<br />The foregoing instrument w~s aoknowledged
<br />Before me this -----Pay of--, 19....-:-_
<br />by
<br />(name of person acknowledged)
<br />Gho i.s personally known to me, or
<br />
<br />
<br />S'rA'l'lil Olr FIf?(J~~DA
<br />COUNTY OF - c....~___
<br />The f01:egoing instrument was acknowledged
<br />Before me this -Z-__ day of ~~_, ~
<br />b y ~--.--C0 o....>r \ -c....n e.. VV\ O-M.. "'-
<br />r:-/. (name of person acknowl~dged)
<br />~who is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and who[] did [Jdid not take an oath,
<br />
<br />
<br />~~~knOWledgernent
<br />
<br />o Hha has produced _____
<br />(type of identification)
<br />and v,ho rJdid [}Hd not tal.e an oath
<br />
<br />Signature of person taking acknoHledgment
<br />
<br />Hame
<br />
<br />>> JAMUMlIR
<br />, . : -. ~ ~SIWil<&tl e
<br />;i:;. ,"~ ~ES:APril27.200~
<br />-'''.,cfi.\il.. BondId Thnl Notary PubIc UndeIw!ilm
<br />
<br />Name typed, pd nted or stamped
<br />
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