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<br />CONDI'rIONS OF PERI'1IT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permi,t may be subject to "deed restrictions" which
<br />may be more restrictiv~ than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED dONTRACTORS Al-lD CONTRAC'I'OR RESPONSIBILITIES
<br />If the owner has hired a contractor or 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 mmer and contract6r may be cited for a mis'demeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to wllat
<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 Zephyrhills.
<br />c. 'rRANSPOR'l'A'rION I MPAC'l' FEES AND U'rILI'l'Y CONNECTION FEES
<br />D. CONS'rRUC'rUION LIEN LAVJ (CHAPTER 713, FLORIDA STA'fU'fES, 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 AFFIDAVI'f
<br />I certify that all the information in this application is 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 />certify that no vlOrk or installation has cormnenced prior to issuance of a permit and that
<br />all work Hill be performed to meet standards of all laws regulating construction, City
<br />codes, zoning 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 Inust 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, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seavfalls, 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 "AU or "A, etc.", it is
<br />understood that a drainage plan addressing a "compensating volumeu will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<br />i,ssuance,
<br />A permit issued shall be construed to be a license to proceed with the Hork and not as
<br />authority to violate, cancel, alter, or set aside any provisions of tile 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 work authorized by such permi t is cOllunenced Hithin
<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 i,s 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 writing to the Building Official. An approved inspection must be logged dudng 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 RESUI.'l1 IN YOUR
<br />PAYING 'fWICE FOR INPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB'l'AIN nNANCING, CONSUL'I'
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMEN'l'u.
<br />
<br />
<br />
<br />SIGNATU~~N'r
<br />
<br />STATE OF'}!' RIDA
<br />COUNTY OF CO
<br />The foregoing instrument
<br />Before me this ~ day 0
<br />by. SUlt\- fY)()..nI~
<br />(name of person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />
<br />~~~
<br />~- - <1fU'-'o. J..' - """" )
<br />SIGN T RE; CONTRA~ ([
<br />
<br />S'l'A'1'E OF FLORIDA "-..,)./._,
<br />COUNTY OF . de. .7(((/
<br />'I'he foregoing instr~nent Has cknOWle%e~ ~
<br />Before me this ~d Uf , "..-/
<br />by r
<br />, ame of person acknoHe
<br />~vs personally known to
<br />
<br />Dwho has produced
<br />_---.........--~ ~ (type~~ id.entificati on)
<br />aJ1C1 vl/ho Od'd id n t' ttl.k..e an oa {l
<br />. C .
<br />.' .'. .
<br />. ',' I, I
<br />'~) .. 'J '
<br />
<br />Signifure of person taking acknowled
<br />,,'''n'.... Bobbie Swetland
<br />g~?-'."J\"l:~\ MY COMMISSION # CC893160 EXPIRES
<br />
<br />Na~i:-.. :... d'BorJOa;~ AINlIlIlSullJlNcamped
<br />",,9flll'"
<br />
<br />
<br />o who has produced r--t..:bL-1h'11S-4C-(q4-~.s--o)3-o
<br />(type of identification)
<br />~id not take an oath.
<br />
<br />
<br />
<br />
<br />H'tliQMMlSSto,..tUJm~M4
<br />EXPIRES: April 27, 2007
<br />Bonded Thru Notary Public Undeowriters
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