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<br />CUNU.L'.I.'-'.ONS OF PERMIT l\.FFlIJAVIT
<br />A, NOTICE OF DEED RESTRICTIONS
<br />'I'he undersigned underl!ltands tl"\at this pet~mJt: may be suhJe(~t .to "deed restrictions" which
<br />may be more restrictive than City regulations. The undersigned assumes resporisibility for _
<br />compliance with any BppllcBble deed rt!str:lcl:ionB.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOH H"~SPONSIBIJ.I'I'IES
<br />If the owner has hlred a contractor OJ: contractors to undertake work, they ntay be required
<br />to be licensed in accordance with state and local regulations. If the contractor is not
<br />licensed as required by law, boUl the owne~ 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 ef Zephyrhills Building Department, 813-788-661l.
<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 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 lndication that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of f.ephyrhills.
<br />C. TRANSPORTA'rION IMPACT FEES AND U'fIlJITY CONNECTION FEES
<br />D, CONSTRUCTUION LIEN LAW (CHAPTER 113, F~ORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy 6f "Florida's Construction
<br />lien Law - Homeowner's Protectlon Gulde" 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 desoribed document and promise in good faith to deliver
<br />it to the "owner" prior to Commencement,
<br />E. CONTR1\.CTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the informatlon in thls application is accurate and that all work will
<br />be done in compliance with all a~pllcclble laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain EI permit to do work and installatIon as indicated. I
<br />certii:y that no work or installation has commenced prior to issuance of a permit and that
<br />all work will be performed to meet st!lndards of all laws regulating construction, City
<br />codes, zoning regulations, and land dE!velopment regulations in the jurisdiction. I also
<br />certify that'I understand that the re~,ulations of other governmental agencies may apply to
<br />the intended work, and that it is my l:espol1sibility 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 BayhElads, Wetland Areas and EnVironmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management DIstrict-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />....Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health Ii RehabilitativEI Services, EnvirOlunental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U. B, Environmental Protection Agency-'Asbestos abatement
<br />I also certify that, if rill material is to be used in Flood Zone "A" or "A, etc.", it is
<br />understood that a drainage plan addrel!llsing a "compensating volume" will be submitted which
<br />is prepared by a professional engineel: registered in the State of Florida prlor to permit
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed wlth the work I!lnd not as
<br />authority to violate, cancel, alter, or set aside any provisions of the teclmical codes,
<br />nOr shall issuance of a permit prevent: the Building offlclal ft:om 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 authorlzed by Buch permit is commenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of six months aftei:: the time the work is commenced, 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. 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 REGORD A NOTICE OF GOMMENCEMENT MAY RESUI.1' IN YOUH
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORI!. RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS. UNDER
<br />$2,500 IN VALU 0 NOT NEED TO RECORD AND POST A "NOTICE OF COMMEN ENT",
<br />
<br />
<br />
<br />STATE OF FLORIDA~
<br />COUNTY 01' . ra{xo
<br />The foregoitlg instrument was acknowledged
<br />Before me ~his ~ day Of. -J~ , ~~
<br />by ~t,7f!R-
<br />_ Jpame of person acknotfledged),
<br />~o is personally known to me, or
<br />
<br />o Hho has produced
<br />(type of identificcltion)
<br />[J.Ma n t take an oath.
<br />~
<br />
<br />STA1'E OF FI,ORIIJA '--:J
<br />COUNTY OF f/a..:?c c)
<br />The foregoing instrument: was I;\cknowl edged
<br />Before me this d 7a..day of ~ , a!P03
<br />by ~ k411 J( hy~.c-
<br />(name of 'person acknowledged)
<br />~is personally known to me, or
<br />
<br />o who. has produced
<br />(type of identification)
<br />d not take an oath
<br />
<br />
<br />
<br />Signature of person taking acknoHledgf!ment
<br />i
<br />"., 't., <:"~~~,,~ I)Quglas-Allen
<br />
<br />Name tYPe:"iI~~i~':~;=8ed
<br />~" ';;~~'I.;'" - i: I :.J '"' I
<br />
<br />S r of person taking acknowledgment
<br />;'6.' Suzanne Douglas-Allen
<br />* *My Comm;SSfOI1 CC87420B
<br />Name ty ~Jt!rn~r~~2~!amped
<br />
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