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<br />CONDITIONS OF' PERJvll'I' AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'I'he undersigned understands that Lhis permlt may be subject to "deed restr.ictiolls" Hhich
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CON'I'RACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor o.r contractors to undertake work, they may 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 misdemeanor
<br />violation under state law. If the owner or intended contr:actor are uncertain as to what
<br />Licensing I:equirements may apply for the intended wode, they are advised to contact the
<br />city of Zephyrhills Building Department, 813-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor Sections" 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 responstble for the 'dark. If the contractor wishes
<br />you to sign as contractor that may be an indication that he is not properly licellsed and is
<br />not entt tled to permi tUng privileges in the City of Zephyrhills.
<br />C. 'I'RANSPOR'!'A'l'ION I MPAC'l' FEES AND U'rILI'rY CONNECTION FEES
<br />D. CONS'l'RUC'1'UION IJIEN LAW (CHAPTER 713, FLORIDA STA'l'UTES, AS AMENDED)
<br />I certify that I, the applicant, llave been provided with a copy of "Florida's Construction
<br />lien Law - llomeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and ConslImer 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. CON'!'RAC'l'OR' S/OWNER' S AFFIDAVIT
<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 regulating constrllction, zoning, and land
<br />developmellt.
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no work or installation has commenced prior to issuance of a permlt and that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, zonJng regulations, and land development 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: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensttive
<br />l,ands, Water/Wastewater '1'reatment
<br />*Southwest ff'lorida Water Management District-Wells, Cypress Baybeads, Wetland Areas,
<br />Altering Watercourses
<br />"'Anny Corps of Engineers-Seawalls, Docks, Navigable WaterHays
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Enviromnental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.N, it is
<br />understood tllat a drainage plan addressing a "compensating volume" will be submitted Hhich
<br />is prepared by a professional engineer registered in the state of Florida prior to permit
<br />issuance.
<br />A permit issued sllall 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 tecllnical 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 beoome invalid unless the work authorized by such permit is conunenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of six months afte.t: the time the work is commenced. One 90 day extension of U.llIe
<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. An approved inspection must be logged during each six
<br />month perlod, or the project will be considered abandoned.
<br />WARNING '!'O OWNF.,R: YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMEN'l' MAY RESUL'l' IN YOUR
<br />PAYING 'I'WICE FOR IMPROVEMEN'I'S '1'0 YOUR PROPERTY. IF YOU IN'I'END 'I'O OBTAIN FINANCING, CONSUL'!'
<br />WITH YOUR LE:NDER OR 1\N AT'l'ORNEY BEFORE RECORDING YOUR NonCE OF COMNENCEMENT. ,TaBS UNDER
<br />$2,500 IN VALUE: DO 1'10'1' NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMEN'r".
<br />
<br />_~U~c\ ~___ ___ ~.~p~
<br />
<br />Sl.GNA'l'UREl OWNEn~ . GENT SIGHATURE, CON1'RACTOff~=-~
<br />
<br />s'rATE OF E'LORIDA '. ... . STATE OF FLORIDA /~
<br />COUN'l'Y OF ____~:../~cJt-, e<;:/ COUNTY OF T a-~/ __.__
<br />The foregoing inst:.ument was acknowledged ,_. The foregoing inat;;'ft}ent was~!lowledged
<br />Before; me Y1is ~c./ l?"da. 0 7JJ~ ' n..2t-t, 5 Before me~is ~day. of- -----------;~-, ~':;'=3
<br />by_ __~_. cJ... by .Q.......~a. . 7~pC; __._
<br />_(name of person / knowledged) (name of perso~cknowledged)
<br />~o 1s personally known to me, or lDHr6- is personally known to me, or
<br />
<br />[] who has produced 0 who has produced_.._____
<br />.__-- ~typevf identification) ......-._...-..............Jl, (type of -)dentification)
<br />and 1iJh~[] dlSl KJ)lfid( not , akE;. a~l th./ and who Odid ~id Ir. t t(a)l:e an. oath
<br />\. ~ ,j /} " '_ (/ I ~;/ '1. ,r c // (
<br />__..!.__~~~.- \ ,y:) ~L A4(jv _ ':/~J~.L-<~~/j~0~AA.LA:.
<br />Signature of person taking acknowledg~ment Signature of person taking acknowledgment
<br />..~V.f~~ Bobbie Swetland
<br />__ _ _ ___ _____._.__________ ~;.Al;~ MY COM~:~:ON # CC893160 EXPIRES ._______ .__._.
<br />Hame typed, prJnted or stamped "':f.,9f;.i~~" BONDEOTHRU~~71:~~~~, printed or stamped
<br />
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