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<br />CONlH'.I.'10NS OF PERMIT AFI!'lDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands t~at tIIds perml t: may besuhlect.to "deed restrictions" which.
<br />may be more restrictive than City ~egulal:ions. The undersigned assumes resporisibility for
<br />compliance with any applicable deed resLricl:iolls.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RE:SPONSIBLJ.Il'IES
<br />If the owner has hired a contractojr or contractors to ulldertake work, they hlay 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 owner and contractor may be cited for a mLsdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to what
<br />licenSing requirements may apply for the intended work, they are advised to contact the
<br />City af Zephyrhills BUilding Department, 813-788-6611.
<br />Furthermore, if the owner has hired a contract:or or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor Sections" of this application for which they
<br />will be responsible. If you, as the OWher 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 is
<br />not entitled to permitting privileges ill the City of ZephyrhUls.
<br />C. TRANSPORTA'fION IMPACT FEES AND UTII.!'ry CONNECTION FEES
<br />O. CONSTRUCTUION LIEN LAW (CHAPTER 713, Fl,ORIDA 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 Department 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 conunencement.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />I certify that all the information in this application is accurate Blld 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 obtaln a permit to do work and installation as J.ndicated. I
<br />certiJ:y that: no work or installation has conunenced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, zon.ing regulations, and land development regulations in the jurISdiction. I also
<br />certify that'l understand that the regulations of other goverrunental agencIes may apply to
<br />the intended work, and that it is my responsibility to ident.ify what actions I must take to
<br />be in compliance. Such agencies .include but are not limited to: *Department of
<br />Environmental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cyp~ess Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of EngineerS-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative SerVices, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.s. Envirorunental Protection Agency-Asbestos abatement
<br />I also certify that, if ~ill 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 Florlda prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a llcense to proceed with. the work find not as
<br />authority to Violate, cancel, alter, or set aside any provlsions of the technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requirIng a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become invalid unless the Hork authorized by such permit is COIIBnenced within
<br />six months of issuance, or if work authorized by the permlt is suspended or abandoned for a
<br />period of six months aftei: the time the work Is cormnenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />in writing to the Building Official. J\n approved inspection must be logged during each six
<br />month periOd, or the project will be considered abandoned.
<br />WARNING 'I'O OWNERs YOUR FAlI.URE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUI.'I' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN1'END TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO OT NEED TO RECORD AND POS'f A "NOTICE OF COMMENCEM
<br />
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<br />SIGNATURE:
<br />
<br />
<br />'"
<br />
<br />STATE OF FLORIDA-T)/'"l/C",. "'.
<br />COUNTY 01' Y ~ U .
<br />The foregoing instrument was acknowledged
<br />Before me this~. dpy of ~IJ 11'" . _, :J.tW.J
<br />by " 1.1.cA.~~-
<br />_ lname o. f person acknowledged).
<br />If:I1:i1iO is personally ~no~~t1Amrr .o~
<br />
<br />Owho has produced ~
<br />(typ identification)
<br />and whoD did Qd1:"d n a th .
<br />
<br />STATE OF FI.ORIIJA ----:J
<br />COUNTY OF 1-:4-.4 c ()
<br />The foregoing instrument was acknowledged
<br />
<br />:;[ore me th.is <--cj~~ya~;j c~:: ' aB7~
<br />
<br />(name of person acknowledged)
<br />9niO is p.rsonally IkFo{'i:'! to .... or
<br />
<br />Dwho has produc~~~
<br />. (ype of identification)
<br />not take an oath
<br />
<br />Signature of person taking acknowled~llWM)~uglas-A\len SJ-gnature of person takin acknowledgment
<br />,..~..,~ ~ Slon CC87420 .,..,:,:.... Suzanne Douglas-Allen
<br />~ :L.>. .. comm1s 3 . ,L.j.~
<br />*"fii:I *",y Qctobef 25, 200 * *My CommiSSIon CC874208
<br />.., expire" - 'or: . iii
<br />Name typed, printed or stamped .~"..".. Name e cr,xPf9f::r:fl~5a203stalnped
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