<br />CONDJlrIONS OF PERMI'f AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'he undersigned understands thqt lhis permit may be subject to "deed restriotions" which
<br />mOlY be Illore restriotive than City regulations. The under'signed assumes responsibility for
<br />oompliOlnoe with any applicable deed restrictions.
<br />B. UNLICENSED 'CON'I'RAC'I'ORS AND CON'l'RAC'I'OR RESPONSIBIJ,I'I'IES
<br />If the owner has hired a contractor or contractors to undertake work, they nlay be required
<br />to be licensed in accordance with state and local regulations. It the contraotor is not
<br />lioensed as required by law, both the owner and contractor IIIay be cited for a mlademeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to HhOlt
<br />Ii censing requirements Inay apply for the intended wOl.k, ,they are advised to oont.aot the
<br />City of Zephyrhills Building Department, 813-768-6611.
<br />Furthel.'1110re, 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 appliciation for Wllich they
<br />will be ~esponsible. If you, as the owner signs as the contractor, YQij are indicating that
<br />you, lather than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign as contractor that mf\Y be an indication that he is not properly licensed alld is
<br />llot elltitled to permitting privi.leges in the City of ZephyrhUIs.
<br />c. 'I'RANSI?OR'l'A'fION IMPAC'l' IfEES AND U'I'ILI'I'Y CONNECTION FEES
<br />LJ. CONS'fRlJC'l'UION LIEN LAW (CliAP'l'ER '713, FLORIDA S'l'ATUTES, AS AMENDED)
<br />1 cert.ify that I, the appli.cant, have been provi.ded \"lith a copy of "Florida's Construction
<br />lien La\"l - Homeo\"lner' 13 Protection Guide" prepared by the Flori.da Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I eerify that I
<br />have obtained a copy of the above descri.bed document and promise in good fai.th to delivl1lr
<br />it to the "owner" prior to conunencement.
<br />E, CONTRAC'!'OR' S/OWNER' S M'lnDAVI'!'
<br />I certify tllat all the information in this application is accurate and that all work will
<br />be dOlle in compliance with all applicable laws regulating constnlCtion, zoning, and land
<br />devf?lopment.
<br />Application is hereby made to obtain a permit to do work and installation as indio~ted. I
<br />ce:q:tify that no Hork or installation has commenced prior to issuance qf a permit and that
<br />all work will be performed to meet standards of all laws regUlating oonstruotion, City
<br />codelil, zoning regulations, and land development regulations in the jurisdictlon. I also
<br />certify that I understand that the regulations of other governmental agencie~ may apply to
<br />the intended work, and that it is my responsibility to identify what actions I lIl11St take to
<br />be in compliance. Such agencies include but are not limited tOI *Departmenl of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Soutllwest rlorida Water Management District-WellS, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable WatenJays
<br />*LJepartlllent of Health & RehabilitC:ltive Services, Env1romnental 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.", i.t is
<br />understood that a dra1nage plan addressing a "compensating volume"'wiLl be submitted whioh
<br />is prepared by a professional engineer registered in thEl State of Florida pdo!: to pennit
<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 teohnioal CQQe6,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiting a
<br />oprrection of ertors in plans, pon~truotionf or vio~atio~s of any oode. Every p~~mit
<br />is!t~ed ahall beoome invalid unll;lsa the Hork authorized by such permit is oOllunenotld within
<br />six months of issuance, or if \-Jork authorized by the permi.t is suspended or abanQoqed tor a
<br />perio:-t o.f six months after the time the work is conunenced. One 90 day extension of tlllle
<br />'m~ybe allowed for the permit with fee charge of $15.00. The extension shall be teques~ed
<br />ill writing to the Building Official. An approved inapection must be logged dudng each six
<br />month period, or the p:r:oj ect Hill be considered abandoned.
<br />WARNING 'fO OWNElRI YOUR FAILURE 'fO RECORD A No'rrcE OF COMMENCEMENT MAY RESUW' IN YOUR
<br />PAYING 'rWICE FOR IMPROVEMENTS TO YOUR PROPER'fY. IF YOU IWfEND TO OB'rAIN JjIINANqIN'1,~'~NijUL'I'
<br />WITH YOUR LENDER OR AN A'l"rORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'I'. JOBS UNDER
<br />$2,500 IN VAWE DO NOT NEED 'I'O RECORD AND POS'l' A "NO'l'ICE OF COMMENCEMEN'11ll,
<br />
<br />~G1jATURE'
<br />
<br />S'rA'I'JiJ OF FLORI DAn
<br />COUN'rY OF _ CC!5LD
<br />The foregoing instrument was acknowledged
<br />Bdore me this--Lct.. day of DecetAAiJer, ~3
<br />by. Lay..L~..J:-.P..kk~s .
<br />(name of person acknowl,dged)
<br />Dwho is personally known to me, or
<br />
<br />[~Who has produced ]), L.
<br />(type of identification)
<br />~id not take an oath.
<br />
<br />
<br />
<br />(j.
<br />ON~RA~
<br />
<br />STA'I'E OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument w~ aoknowledged
<br />Before me this --'iliJay of~ceNkr, .,,;2~.-)3
<br />by
<br />(name of person acknowledged)
<br />C1ho is personally known to me, or
<br />
<br />Po. 5( 0
<br />
<br />
<br />and
<br />
<br />
<br />~Jho has produced VI.- .,
<br />(type of identifioation)
<br />~:i~ke all oath
<br />
<br />
<br />f person taking acknowledgment
<br />""""" Suzanne Bahr
<br />...,,~~y.~I.J& ~'" . .
<br />Name typed, ~~~ ~;i~~~~::~~6;~
<br />-,.,~", '0"'<>"'- Bonded Thru
<br />~~, OP:f\': \'
<br />It"",' Atlantic Bonding Co" Inc
<br />
<br />S of person taking ack~wdgement
<br />"'''''1 suzanne
<br />::1>.\~Y'~U.".4-__ Commission #DD157131
<br />
<br />J.i~'I~~-ty'p;-i;-.-~FJtt~;i~~~~ 2006
<br />
<br />",~,~\"~~\,, Atlantic Bonding Co., Inc.
<br />
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