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<br />CONDITIONS OF PERMIT AFFIDAVIT ~ <br />A. NOTICE OF DEED RESTRICTIONS . <br />The undersigned understands that this permit may be subject to "deed restrictions" whi.ch <br />may be more restrictive than City regulations. The undersigned assumes responsibility for <br />compliance with any applicable deed restrictions. <br />8, UNLICENSED CONT~CTORS AND CONT~CTOR 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 owner and contractor may be cited for a misdemeanor <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 of Zephyrhllls BulldingDepartment, 613-766-6611- <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 tbe 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 1s <br />not entitled to permitting privileges in the City of Zephyrhills. <br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES <br />D. CONSTRUCTUION LIEN LAW (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 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 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 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 work or installation has commenced prior to issuance of a permit and that <br />all work will be perfooned 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 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 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 & 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 1n Flood Zone "A" or "A,etc.", it is <br />understood that a drainage plan addressing a ~compensating volume" will be submitted which <br />is prepared by a professional engine~r registered in the State of Florida prior to permit <br />lssuance. <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 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 author1zec1 ,by such peJ:nlit 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 after 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 RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT <br />WITH YOUR' LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER <br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT". <br /> <br /> <br />SId::l;~El1~~;, SIG.d11i2J,NTAA-a~ <br /> <br />STATE OF FLORIDA 0 t4S'C 0 <br />COUNTY OF L <br />The foregoing instrument was acknowledged <br />Befor~)JI,~ this~ day of N1A-1..f ,:2P.~ <br />by ~(p p,~ . <br />~name of person acknowledged) <br />~who is personally known to me, or <br /> <br />o who has produced <br />(type of identification) <br />and whoD did ~d not take an o~th. <br /> <br />~ rd. f1p~ <br /> <br />signature of person taking acknowledgement <br /> <br />1)/luCA~ (J, !fS8f L- <br /> <br />Name typed, ~ tamped <br />;" .; My Commission 00116710 <br />~0I,..'of Expires June 22. 2006 <br /> <br />STATE OF FLORID~ f45; . <br />COUNTY OF ( 0 <br />The foregoing instrument wa1vtBknowledged~~ <br />Before IJl4S t~i15~ay of rVlulf. -, zot2L <br />by ~~ - <br />_~(name of person acknowledged) <br />~o i15 personally known to me, or <br /> <br />Owho has produced <br />l>YPe of identification) <br />and who Ddid !a1"id not take an oath <br /> <br />r3ulh fl. (M~ <br /> <br />Signature of person taking acknowledgment <br /> <br />Bf2-UC--I~ II, f) 5 B~L <br />Name typed, P~~n.lMA~fiJtmped <br />,!!J..) MyCommi88~ 00116710 <br />. Of t': Expires June 22. 2006 <br />