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<br />CONDITIONS OF PERMIT AFFIDAVI'f
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'he undersigned understands tbat tin:; pe:uni t way be
<br />Utay be more restrictive than City regulations. The
<br />compliance I-hth any applicabl e deed rcstI:ict.ions.
<br />B. UNLICENSED COf"TRAC'l'ORS AND CONTAAC'rOR RESPONSIBILITIES
<br />If the OH1H::r has hired a contractor or contractors to undertake work, they may be requiro:::d
<br />to bt::: lict:::n::;ed In acco.r:dance Hith state and local regulations. If the contractor il::i not
<br />licensed al::i required by 1,,1-/, both tile OHner and contractor may be cited for. a misdelUeanor
<br />violation undo;;r ::itate laH. I f the O\Jner or intended contractor are uncertain as to \~hat
<br />licensing requirementl::i 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 OHne1: has h1.red a contractor or contractors, he is advised to have the
<br />contractor (s) sign portions of the "Contractor Sections" of this application for v~hich they
<br />Hill 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 vwrk. If the contractor wishes
<br />you to sign as contractor th~t may be an indication that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of ~ephyrhills.
<br />C. 'l'RANSPOR'fA'fION IMPAC'l' li'EES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAP'fER 713, FLORIDA S'fA'fUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided Hith a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the b'lorida 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 AI!'FIDAVI'f
<br />I certify that all the information in this application 1.s accurate and that all work will
<br />be done in compliance Hith all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I
<br />certi ty that no Hork or installation has cOllunenced prior- to issuance of a permi t and that
<br />all Hork will be performed to meet standards of all laws regulating constrllction, City
<br />codes, zoning regulations, cmd land development regulations in tlie jurisdiction. 1 also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended vwrk, and that it is my responsibility to identify what actions I must taki: to
<br />be in compliance. Such agencies include but are not limited to: ~-Department of
<br />~nvironmental Regulation-Cypress Bayheads, Wetland Areas and Environmelltally Sensitive
<br />Lands, Water/WasteHater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />"Army Corps of El1giueers-SeaHalls, Docks, Navigable Waterway.=;
<br />'"Department of Health & Rehabilitative Service::;, Environmental Health Unit-Wells,
<br />Wastewater Tr~atment, Septic Tanks
<br />*U.~. Environmental Protection Agency-Asbestos abatement
<br />I altio 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 which
<br />i.:; prepared by a prote.=;sional engineer registered in the State of Florida prior to permit
<br />is.:;uance.
<br />A permit iStiued shall be contitrued to be a license to proceed with th~ work and not as
<br />authority to violate, cancel, alter, or set aside any provisionl::i of tile technical code::;,
<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 work authorizt:::d by such per.mit is conunenced H1thin
<br />six montll':; of issuance, or if work authorized by the permit is suspended or abandoned tor a
<br />period of six months after the time the work is conunenced. 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 v/riting to the Building Official. An approved inspection must be logged dllring each six
<br />month period, or the pr-oject Viill be considered abandoned.
<br />WARNING TO OWNER: YOUR E'AILURE TO RECORD A NOTICE OF COI'1MENCEMEN'l' MAY RESU!.'l' IN YOUR
<br />PAYING TWICE FOR H1PROVEMEN'1'S '1'0 YOUR PROPERTY. lE' YOU IN'l'END '1'0 OB'I'AIN B'INANCING, CONSUL'I'
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE Of COMMENCEMENT. ,JOBS UNDER
<br />$2,500 IN VALUE DO NO'l' NEE RECORD AND POS'f A "NO'fICE OF COMMENCEIvlEN'P".
<br />
<br />C i/~9rJ~
<br />
<br />SIGNATURE: C NTRACTOR
<br />
<br />subject to "deed restrictions" wid ch
<br />undersigned as.:;\I!lli:S re::;ponsibility for
<br />
<br />
<br />STA'l'E OF FLORIDA P
<br />COUNTY OF a. SCD
<br />The foregoing instrument was acknoHledged
<br />Before me this ~ay of J" ~ I ~-2fD3
<br />by Art{,ur
<br />~ (name of person acknowledged)
<br />~ who 1S personally known to me, or
<br />
<br />STATE OF FLORIDA B..
<br />COUNTY OF a sCo
<br />The foregoing instrumellt wat acknoHledged .
<br />Before m)!l trl;is ~ay of. I LA.l~ ' 14lJ'~3
<br />by ~. . +t.::
<br />(name of person acknowledged)
<br />Bho is personally known to me, or
<br />
<br />Owho has produced
<br />(type
<br />G-t"fid not
<br />
<br />
<br />of person taking
<br />"''''''1 Suzanne Bahr
<br />,,~tJ\.Y PUe..~~
<br />Name typed, Pri~~~~~~~~~:-
<br />
<br />'\~~OFf~~~~:: Bonded Thru'
<br />I"",,,,, Atlantic Bonding Co.. Inc.
<br />
<br />
<br />
<br />Owho has produced
<br />(type of identtfi cattail)
<br />BUd not ta'
<br />
<br />Signature of erson taki ng acknovd bdgment
<br />"""'1 Suzanne Bahr
<br />::~~c..IJ~1.'-:. Commission #DD157131
<br />Name tY~d,~i&n\!;tF: I':l9-V.J~d
<br />"';~ OF f~i:,">" Bondea. ru
<br />",,,,,,, AtlantIcBondmgCo.,lnc-
<br />
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