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<br />CO;~D"lT!ONS OF PERIYJIT AFFIDA'JIT
<br />
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that th:Ls pi:::rmit Iflay be .sub:iect to "deed restrictions" which
<br />m~y be more restrictive tllan City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions,
<br />B. UNLICENSED c'ONTRACTORS AND CON'l'HAC'l'OR RESPONSIBII,ITIE:S
<br />If the owner has hired a contractor or contractors to \lndertake work, they may be required
<br />to be licensed in accordance ~.jith state and loc~l regulations. If the contracLol: is not
<br />licensed as required by law, both the o~mer and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertairl as to what
<br />licensing requirements may apply for the intended work, 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 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 in the City of Zcphyrhills.
<br />C. 'rRANSPOR'rA'rrON JlI1PAC'l' FEES Al'lD U'rILI'I'Y CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAvJ (CHAPTER 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 Department of Agri~llture
<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 COIlunencement.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'f
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance ~.jith all applicable laws regulating constructioll, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no ~wr:k 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, zoning regulations, and land development regulations in the jurisdlction. 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 Sensitive
<br />Lands, Water/Wastewater 'l'reatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Anny Corps of Engineers-Sea~falls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.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 Vlhich
<br />i.:l prepared by a professional engineer registered in the State of Florida prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />authority to violate, cancel, alter", or set aside any provisions of the technical codel;l,
<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 />il;lsued shall become invalid unless the ~wrk authorized by such permit is commenced h'ithin
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of six months after the time the work is corrunenced. 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 duri.ng each six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUL'l' IN YOUR
<br />PAYING TWICE FOR INPROVEMENTS 'I'O YOUR PROPERTY. IF YOU INTEND TO OB'l"AIN E'INANCING, CONSUI:I'
<br />vHTH YOUR LENDER OR AN AT'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'l'. cJOBS UNDER
<br />$2,500 I:~Ug 0 NOT NEED '1'0 RECORD AND PO'"' A "NOL'.?.h2EN'I'N.
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<br />'~~~ t76J/JrK..
<br />
<br />STATE OF FLORIDA I /~
<br />COUNTY OF ~ ~,5~~
<br />'rhe foregoing instr was . cknowle~ed""':2..
<br />Before me - s f )O~
<br />by / ' -
<br />
<br />STATE OE' FL
<br />COUNTY OF a- " e-v
<br />The foregoing instrument was acknowledged
<br />Before r~ thi?~~y of .~L ,2Q~~
<br />by_ U"'?D__ ~ ___
<br />(name of person a kn ledged)
<br />o who is personal,ly knO\>ln to me, or C1ho
<br />
<br />~hO has produced F V.L. 1.. 1:( 0 ~tJoo-lI'&'-- .f.f.J:1 who has
<br />(type of identification)
<br />
<br />.n~~;:(Jl~d.nG2:~~ and who
<br />
<br />Signature of person taking acknowledgement
<br />
<br />........., Bobbie Swetland
<br />!~~~l Ml( (,O~~bAl~~ION # ((893160 EXPIRES
<br />Name t"<, : E pnntFel:tucm:22s]{l~1.wl~
<br />~..;,.,....l-- BONDED lHRU lROY FAIN IN~~
<br />"'F",qfH~'\\
<br />
<br />
<br />me, or
<br />
<br />
<br />Name
<br />
<br />"''''''" Bo .
<br />'1:' , bble SwellaAd
<br />t yp:~6": .M':a~S!Ql 'tt8tIGil~RES
<br />~"~ February 22. 2004
<br />~~p.r.:r..~' BONDED 'THRU TROY FAIN INSURANCf. INC.
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