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<br />CONDI'l'IONS OF PERl'1IT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands th~t this permit may be subject to "deed ,restriotionsR whicll
<br />may be mOJ:e restrictive than City regulations. 'l'he undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED C;ONTRAC'!'ORS AND CONTRACTOR RESPONSIBII,I'l'IES
<br />If the owner lias hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in aocordance with .:itate 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 law. If the owner- or intended contractor are uncertain i2S to Hhat
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building DOlpartment, 813-786-6611.
<br />Furthennon::, if the OHner has hired a contractor or contractors, he Js advLSled to have the
<br />contl::actor (s) si gn por'tions of the "Contractor Sections" of this appli_cation tor which they
<br />.1111 be responsible. If you, as the owner signs as the contractor, YQLj are indicating that
<br />you, i-athei' than the contractor, are responsible for the Hork. If the contI::actor- l"iishes
<br />you to sign as contractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of ZephyrhJlls.
<br />C. 'I'RANSPOR'l'ATION IMPAC'l' FEES AND U'l'ILI'l'Y CONNEC'rION FEES
<br />ll. CONS'I'RUCTUION I,IEN LA~l (CHAprl'ER 713, FLORIDA STATUTES, AS AMENDED)
<br />T cel:tify that I, the appli.oant, have been provided with a oopy of "Florida's Construotion
<br />lien Law - Homeowner's Proteotion GuideR prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applloant is someone other that the "owner", I cerify that I
<br />have obtained a copy of the above described document and promJse in good faith to deliver
<br />j t to the "owner" prlor to COlTUl1encement.
<br />E. CON'I'RAC'l'OR' S/OWNER' S AFFIDAVI'l'
<br />I oertify that all the information in thLs application is accurate and that cdl HorK will
<br />be done in oompliance Hith all applicable laws regulating constr-uction, zoning, and land
<br />development.
<br />Application is hereby made to obtaJn a permit to do work and installation as indicated. I
<br />oer:tify that no Hark or installation has commenced prior to issuance of a permit and that
<br />all work Hill be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the j\lrisdiotion. I also
<br />certify that I undel:stand that the regulations of other governmental agencies may apply to
<br />th.. 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 tOI *Department of
<br />Environmental Regulatlon-Cypress Bayheads, Wetland Areas and Environmentally Sens1_tive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest ~lorida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Alterlng Watercourses
<br />'Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health !Jnlt-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agenoy-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 addresslng a "compensating volume"'wi.l.l be submitted which
<br />is prepared by a professional engineer registered in the State of Florida pdor to penni t
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed Hith 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 thereafter requiring a
<br />oorrection of errors in plans, construction, or violations of any code. Every permit
<br />iSIiUed shall become invalld unless the work authorized by such permit is COllUlIenced within
<br />six months of issuance, or if work authorized by the perm1t is suspended or abandoqed for a
<br />peri ad of sLII months after the time the work is commenced. One 90 day extension of time
<br />may be allowed for the permit Hith fee charge of $15.00. The extens10n shall be reque6ted
<br />in Hriting to the BuildJng Official. An approved i.nspection must be logged during each /:dx
<br />lIlonth period, or the project vdll be cons1dered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE Oh~ COMMENCEMEN'I' MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER'l'Y. IF YOU IN'rEND TO OBTAIN E'INANC:;n-lG, ~qNijUI/I'
<br />Wl'l'H YOUR LENDER OR AH ATTORNEY BEFORE RECORDING YOUR NO'I'ICE OF COMMENCEMEN'I' JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED 'I'D RECORD AND POS'l' A OF COMMENCb-;MEN'llll.
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<br />
<br />Bmo~ )
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<br />SIGNA'l' OWNER OR AGENT
<br />
<br />STA'l'E OF FLORI DA Q .iJ ..I" .\\..J
<br />COUN'rY Db' L-~
<br />'l'he foregoing instrument was acknowledged
<br />BEdore me this.QL~ day of ~ ' ;Ht~u~
<br />by .kLL'Zr4W_(,~ &w...E.L..6/V
<br />. .--{name of person acknowledged)
<br />B'Who is personally known to me, or
<br />
<br />STA'rE OF FLORIDA
<br />COUN'rY OF __
<br />The for-egoing instrument wa~_' a~O~I owl edged
<br />Befor~e thJ~~ PAY of.- I ~~<?3
<br />by ~1\Ie. /11- ~'-4~ . ____
<br />(name of person acHnoHledged)
<br />~ is personally knovm to me, or
<br />
<br />lJ who has produced
<br />(type of identification)
<br />~ Dd.id not take an oath.
<br />
<br />,N! ~ __
<br />
<br />Signatur-e of person taking acknowledgement
<br />
<br />o who has produced____
<br />(type of identification)
<br />and v/ho 0 did DUd not t_<tke an Cia th
<br />
<br />~
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<br />Signature of person taking acknowledgment
<br />
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<br />
<br />Lo{l..;bi.~
<br />Name typed, pLin
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<br />...".......... .
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<br />thlpnll&laion # 00012711'
<br />ElCPires 8/281200I
<br />Bonded through
<br />(8000432-4254) Florida Notary Assn.. Inc.
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