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<br />CONllI'rIONS OF PERNl'r AFb'IDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'he undersigned understands thqt this permit may be subject to "deed restr.i.ntions" which
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNIJICENSED CON'I'RAC'l'ORS AND CON'l'HACTOR RESPONSIBII,I'l'IES
<br />If the owner has hired a cOlltractor 01.' contractors to undertake work, they lIlay be required
<br />to be 11 censed in accordallce ~d.t.h state and local regulations. If the contractol.": i5 not.
<br />licensed as required by lav~, both the OHner and contractor may be c1 ted for a mi.ademeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to wllat
<br />li cens.i.llg requirements may apply for the intE:mded work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-766-6611.
<br />FurtherlllOre, 1 f the ovmer has hil:ed a contractor or contractors, he is advised to have the
<br />coutlactor (s) sign portions of the "Contractor Sections" of this appli.cation for \-Ihich they
<br />villI be responsible. If you, as the ovmer signs <\S the contractor, YQ4 are indicating that
<br />you, .rather than the contractor, al'e responsible for the \-lark. If the contl'actor wishes
<br />you to sign as contractor that may be an indication that he is not properly licellsed and is
<br />Ilot entitled to permitting privil~ges in the City of Zephyrhills.
<br />C. 'I'RANSPOR'l'ATION IMPAC'l' FEES AND UTILITY CONNECTION FEES
<br />D. cONS'rRIlCTUION LIEN LA~J (CHAP'l'ER 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 Guide" prepared by the Florida Depal.tment of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to commencement.
<br />E. CONTkAC'I'OR' S/OWNER' S AfFIDAVI'l'
<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 regul aUng construction, zoning, and land
<br />development.
<br />Application is hereby made to obtaln a permlt to do work and installation as indicated. I
<br />certify that no vwrk or installation has conunenced prior to issuance of a permit and that
<br />all work vlill be performed to meet standards of all laws regulatlng construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies Inay 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; "'Department of
<br />Envi rOIIn!ental Regulation-Cypress Bayheads, Wetland Areal> and Environment.ally Sensitive
<br />Lands, Water/WasteHater Treatment
<br />*Soutllweat ~lorida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*llepartment of Health & Rehabilitative Services, Environmental. Health Unit-Wells,
<br />Wastewater ']lreatment, Septic ']'anks
<br />*ll.S. Environmental Protection Agency-Asbestos abatement
<br />I also 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 pdol' to penult
<br />Issuance.
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />authority to vJolate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor allall issuance of a permlt prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, con~truction, or violations of any code. Every pa!mit
<br />iSsUed lOha 11 become invalid unless the \-lark authorized by such permit is cOllunenced within
<br />six Inonths of issuance, or if work authorized by the permi.t is suspellded or abandolled for a
<br />period of sb\ months after the time the work is conunenced. One 90 day extension of tlme
<br />lIlay be allowed for the permit with fee charge of $15.~O. The extensi.on shall be ~equested
<br />ill wri ting to the Building Official. An approved inspection must be logged during each tdK
<br />month period, or the project Vlill be considered abandoned.
<br />WARNING '1'0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUL'I' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER'I'Y. IE' YOU INTEND TO OB'I'AIN E'INANt:;INC~,~qN@UI/l'
<br />WITH YOUR LENDER OR AN A'l"rORNEY BEFORE RECORDING YOUR NOTICE OF COMlvtENcEMEN'I'. ,maS UNDER
<br />$2 500 IN VAWf!: DO NUl' NEED 'I'O RECORD AND POS,], A "NonCE OF COtvtMENCEMEN'I"'.
<br />
<br />__'G~~ C?1-.~v&~
<br />
<br />STGNA'I'URE: OWNER OR AGENT SIGNA'fURE: CONTRACTOR "
<br />
<br />STA'rHl OF FLORIDA n
<br />COUNTY OF ~C 0
<br />'J'he foregoing instrument wa/.tPcICl1otvledged
<br />:~fore ~~t~~: ~.tty of LiJ___, _~a?~
<br />
<br />~ame of person ackno~ledged)
<br />F-rWho is personally known to me, or
<br />
<br />STA'I'E OF l!'LORIDA
<br />COUNTY OF
<br />The foregoing instrument wait;,ot}:owledged
<br />:~fore A~~y-~~f lC -,i=tI~~
<br />
<br />(name of person acknowledged)
<br />~is personally knovm to me, or
<br />
<br />Htsco
<br />
<br />o who has produced
<br />._.~ (type
<br />L.:rdid not
<br />
<br />
<br />o Vlho has produced . ______
<br />LSYpe of identification)
<br />81fd 13~ath_.___.
<br />
<br />
<br />Si person taking acknowledgment
<br />,,'~';';';,~u';'" Suzanne Bahr
<br />Name typed, p~~t~.t1i~r~*8~I~~JJ
<br />
<br />,,{~ OFf~O~~}' Bonded Thru'
<br />"'"", Atlantic Bonding Co., Inc.
<br />
<br />
<br />
<br />person taking acknowledgement
<br />"II"", Suzanne Bahr
<br />'~"':~Y'~~~" Commission #D0I57131 '__'__
<br />rix:r~~~ ~KpjM~li, 2006
<br />''5.' . .~- ed Th
<br />~";~~OFf~O~-:":' ~ond. ru
<br />'.""", Atlantic BondmgCo..lnc.
<br />
<br />s
<br />
<br />l'lame typed,
<br />
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