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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF 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 assume~ responsibility for
<br />compliance with any applicable deed.restriction&.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />I'! the owner has hired a contractor or contractors to undertake work, they m;lY be required
<br />to be licensed in accordance with state and local regulations. If the contX;dC(;UL lB lIot
<br />licensed as required by law, both the owner and contractor,may be 'cit~d for a misdemeanor
<br />violation under state law. If the owner or intended clont,cactor a'r~4ncertain as to what
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-786-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractoc SectionsU of this application for which they
<br />will be responsible. If you, as the owner signs" as the contractor, you are indicating 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 properly licensed and 16
<br />not entitled to permitting pr~vilege6 in the City of Zephyrhill6.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, 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 Guideu prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owneru, I cerify that I
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />it to th@ "ownerU prior to commencement.
<br />E. CONTRACTOR'S/OWNER'5 AFFI~VIT
<br />I certify that all the information 1n this application is accurate And that all work will
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a pe~t to do work and installation 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 performed to meet standards of all laws &egulating construction, City
<br />code6, zoning regulations, and land developmen~ regulations 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 is my responsibility to identify what actions I must take to
<br />be in compliance. Such agencies include but are not limited to: *DepartmenL of
<br />Environmen~al Regulation-Cypress Bayheads, Wetland Areas and E~viro~entally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corpa 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-Asbestos abatement
<br />I a180 certify that, if fill material is to be used, in Flood Zone "A" or "A,etc.", it is
<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 />issuance.
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />authority to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a permit prevent the Building Official from the~eafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become invalid unless the work authorized by $uch penmit is commenced within
<br />six months of issuance, oc if work authorized by the permit is suspended or abandoned for a
<br />period of six months after the time the work is commenced. One 90 day extension of time
<br />may be allowed tor the permit with fee charge of $15.00. The extension ahall be requested
<br />in writing to the Building Official. An approved inspection must be logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY aEFORE RECORDING YOUR N ICE OF COMMENCEMENT. JOBS UNDER
<br />$2.500. VALUE DO NOT EEO TO RECORD IINO POST A "NOTICE F CONMENCirTN.
<br />
<br />
<br />~ ~\ litu~
<br />
<br />OWNER OR ~ CONTRACTOP.
<br />
<br />STATE OF FLORIDA (' Il1J"'. '""(
<br />COUNTY OF ~~ o...~O ~
<br />The foregoing instrument was a?~~wledged
<br />Before~ thi.:5 3.LAlay of lI\.i\ ~ , .~
<br />by ~~~ M. r.~
<br />~ (name of person acknowledged)
<br />~who is personally known to me, or
<br />
<br />
<br />
<br />wledged
<br />, .. ~::s
<br />
<br />~
<br />
<br />(name of person acknowledged)
<br />is personally known to me, or
<br />
<br />Owho has produced
<br />(type of identification)
<br />and W~~ke.an oath
<br />
<br />
<br />signa~u.l:e...~f, person t.akina acknowledgment
<br />~i,<!!\.f~ IllOmos fortner
<br />~~ 00148562 EXPIRES
<br />'. . . - . biir i, JIKl'
<br />Name t ,,,' .,'prua!lIfciHimJRo\'SANitap.edINC
<br />
<br />o who
<br />
<br />
<br />e of identification)
<br />take,an.oath.
<br />
<br />and
<br />
<br />Sign ure ,.c;?.f",person taking acknowledgement
<br />",,<+!\y.fp,t; Thomas Fortner
<br />
<br />JWJ~~_~ EXPIRES
<br />Name typ ,'t;,;.., l.n~E NCE,INC
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