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<br />CONDITIONS O~ ~!.RMI~ AFF~~AVI~
<br />A.. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permi t m!:l y' bH ::n.1b:l'~c:t: 1:0 "deed restrictions" which
<br />may be more restrictive than City regulat:icoi1s. 'rh~! und~H"~I.i.glled assumes resp~nsibility for..
<br />compliance with any applicable deed res tric: Ct.::HlS .
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOFl FW~St?ON:SIBILITU;S
<br />If the owner has hired a contractor or ceont.raGtors to undertilke work, they Diay be required
<br />to be llcensed in accordance with state a,nd ll)Gii1 regulu<tlonn. If the' contractor is not
<br />lic6I1sed'aa required by law, both the owru:u: and contract:.n: mclY,.be ci.ted for a misdemeanor
<br />violatlon under state law. If the owner or, ili't.!ndud 'coii,t,ract:or are uncertain as to what
<br />licensing requlrements may apply for the in1:end.!d nork, they are advised to contact the
<br />City of Zephyrhills Buileling Department, 8I:~-'11~B-6611.
<br />Furthermore, if the owner has hired a contruct:OJC OJ: cont::cactors" he ,is advised to have the
<br />contractor (s) sign portions of the "Contr.ct::.or Sectd:ons" of th1s appllca'tion for which they
<br />will be responslble. If you, as the owner ui~Jns a~1 the contractor, you are indicating that
<br />you, rather than the contractor, are responuibll! fClr thEt work. If the contractor wishes
<br />you to sign as contractor that may be an indicat:ioll that: he is not properly licensed and is
<br />not entitled to permitting prlvileges in tht~ City (If Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY GOllNECTION Ff:I~S
<br />D. CONSTRUC'l'UION LIEN LAW (CHAPTER 113, FLORIDA S'I'ATUTI!:S, 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" prEtpared by thE! Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is fJOmeOne othel: 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 commencement.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />I certify that all the information in this clpplicat:ion 1s accurate and tha.t all work will
<br />be done in compliance with all applicable lclws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtaln a perud.t to dCI work and installation as indicated. I
<br />certify that no work or installation has cOlBenced prior to issuance of a permit and that
<br />all work will be perfonmed to meet standardfl of all laws regulating construction, City
<br />codes, zoning regulations, and land developD~nt reg~lations in the jurisdiction. I also
<br />certify that 'I understand that the regulations of eIther governmental agencies may apply to
<br />the intended work, and that it is my responl!libilitJ' to identify what actions I must take to
<br />be in compliance. Such agencies include but: are no.t limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, '~tland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District:-Wells, Cypxess Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Nalvigable Waterways
<br />*Department of Health , Rehabilitative Servlces, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U. S. Environmental Protection Agency-Asbest:os abatement
<br />I also certify that, if fill material is to be used in Flood Zone UA" or "A,etc.*, it is
<br />understood that a drainage plan addressing aL "compensating volume" wlll be submitted which
<br />is prepared by a professional engineer regiflltered 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 codes,
<br />nor shall issuance of a permit prevent the Eluileling 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 perudt is ~nced wi thin
<br />si~ 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 worle: is cOlIII\enced. One 90 day extension of time
<br />may be allowed for the ~ermit with fee charge of $15.00. The extension shall be requested
<br />in wri tin,g to the Building Official. An approved inspection must be logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMI!lN'l' 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 A'l"fORNEY BEFORE RECORDING YOUR NOTICE OF COMMEHCEMEH'l'. JOBS UNDER
<br />$2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT*.
<br />
<br />;tJ 11- JIa;itzt f!uI g: t:!t
<br />
<br />SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRAC OR
<br />
<br />STATE OF FLOR~ .
<br />COUNTY OF 1-IO~il:j it
<br />The foregoing instrument wa~ acknowledged
<br />Befo,re me this < I '1 'h day of ;)f' pr . i=!J:).OO~
<br />by N 10-1 P-J. t+tH t 1"'-;1
<br />J (naae of person ackno,.ledged)
<br />rn who is personal..ty known to me, or
<br />
<br />o who has produced N / A
<br />...I (type of identification)
<br />~~d not take an oath.
<br />
<br />STATE OF FLORIDA r-l J
<br />COUNTY OF . 1- OlZ.l~tL
<br />The foregoing in8t~nt was acknowledged
<br />Before ~ this ~ay of Ser L , ~;l 00-1
<br />by l\j~o.. \ 12~'\';'J
<br />...J (name of person acknowledged)
<br />Ulho is personally known to me, or
<br />
<br />o who has produced 1\.1/,4-
<br />(type of identification)
<br />and who Delid ~d not take an oath
<br />
<br />~V11\tl j), ~{U(,~
<br />
<br />Signature of person taking acknowledgment
<br />
<br />f)ana L. !)U rL l K
<br />,
<br />Name tYPe~~~lb~~<t &k~tamped
<br />
<br />~ ~ .; My Commission 00243306
<br />.,. 0, ",Jf ExpIres August 20, 2007
<br />
<br />
<br />person acknowledgement
<br />
<br />{jan a. L. Dud {' cK
<br />Name typed, printed or stamped
<br />~a\. Dins LDUd8Ck ,
<br />. "J . My Commission 00243308
<br />~'t!".1 Expires August 20,2007
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