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<br />CONDITIONS OF PERl>1IT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'}'he undersigned understands that. thi.-:; permit lilay be subject co "deed restrictions" which
<br />way 1.>e mon: restrictive than City regulat.ions. 'l'he undersigned a::;.-:;umes re::;ponsibility for
<br />cm~liance with any applicable deed restrictions.
<br />B. UNLICENSED COi~T.RAC'l'ORS AND CON'l'RAC'rOR RESPONSIBILITIES
<br />If the ovwer has hired a contractor or contractors to undertake work, they may be l:equired
<br />to be licensed in accordance with state and local regulations. If t.he contractor is not
<br />licensed as required 1.>y .lavl, both the owner and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are Uncertain a::; to v~lat
<br />licensing requirements may apply for the intended work, they are advised to contact tlle
<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 whicll they
<br />will be respon~ible. If you, HS the owner signs as the contractor, you are indicating that
<br />you, rather than the contractor, are responsible for the Hork. If the contractor vdshes
<br />you to sign as contractor that may be an indication tllat he is not properly licensed and is
<br />not entitled to permitting privileges in the City of ~ephyrhills.
<br />C. 'l'RANSPOR'l'A'rION H1PACT li'EES AND UTILITY CONNEC'I'ION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, r'LORIDA S'l'ArrUTES, AS AMENDED)
<br />I certify that I, the applicant, have be6n provided with a copy of "florida's Construction
<br />lien LOI.H - Homeowner's Protection Guide" prepared by the r'lorida Depcu:tment of Agricul.ture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
<br />have obtained 01. copy of the above described document and promise in good faith to deliver
<br />it to the "o\'>lner" prior. to COllllnencement.
<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 Hith all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do Hork and installation as indicated. I
<br />certify that no work or installation has conmenced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdictioll. 1 also
<br />certify that I understand that the regulations of other governmental agencies lllay apply to
<br />the intended vwrk, and that it is my responsibility to identify ~~hat actions I must tQke to
<br />be in compliance. Such agencies include but are not limi ted to: ~.Depcll:tHlent of
<br />t:nvi.r:onmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally St::nsi ti Vt::
<br />Lands, Water/Wastev/ater 'rreatment
<br />*Southwest Florida Water Management District-Wells, Cypres~ Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />"Anny Corps of Engilleers-SeaHalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Healtll Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. t:nvironmental Protection Agency-Asbestos abatement
<br />I also certi.fy that, if fill material is to be used ill Flood Zone "A" or "A,etc./I, it is
<br />understood that a dr:ainage plan addressing a "compensating volume" Hill be submi lLed which
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<br />is:>uance.
<br />A permit is::iued shall bot: con::;trued to be a license to proceed Hith thot: vwrk and not a::;
<br />authority to violate, cancel, alter, or. set aside any provisions of tlte technical codes,
<br />nor shall issuance of a permi t prevent the Building Official from thereafter. requiring a
<br />correction of errors in plans, construct~on, or violations of any code. Every permit
<br />issued shall become invalid unless the work authorized by such permit is coltunenced within
<br />six montll::! of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of six month::! after the time the vlOrk is conmenced. One 90 day extension of time
<br />may be allowed for the permit with fee cllarge of $15.00. The extension shall 1.>e requested
<br />in vniting to the Building Official. An approved inspection must be logged dUl:ing each six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR E'AILURE TO RECORD A NOTICE OF COI"IMENCEMEN'l' MAY RESUI.'l' IN YOUR
<br />PAYING 'l'WICE FOR IMPROVEMEN'l'S '1'0 YOUR PROPERTY. IIi' YOU IN'l'END TO OB'rAIN IfINANCING, CONSUl/I'
<br />WITH YOUR LENDER OR AN ATTOffi~EY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 I VALUE DO NO'l' NEED '1'0 RECORD AND POST A "NOnCE 0 'COMMENCElIiJEN'r".
<br />
<br />
<br />
<br />hz,~ r
<br />
<br />RAC'l'OR
<br />
<br />STATE Of FLORI DA ?a
<br />COUN'1'Y OE' :s C 0
<br />The foregoing instrument was acknoHledged
<br />Befo~ me this 3.r..d day of Fev , ~() if
<br />byr~rI,( Jlrt ;109.5 a -rd
<br />_ ~ame of person acknowledged)
<br />l...jkWo is personally known to me, or
<br />
<br />STATE OF FLORIDA
<br />COUNTY Of
<br />'I'h~ faregoin? instrument ~as ~c~nowledged .
<br />Before me th~s "5rd day at e , A.$)Q!f:.
<br />by Gr ad I.{ ..AA dJ.Jri .,...c1
<br />(name of person acknowledged)
<br />~is personally known to me, or
<br />
<br />fJa Sc 0
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Dwho has produced
<br />(type of identification)
<br />and v/ho Ddid [HEHd not take an oath
<br />
<br />Ju~
<br />
<br />Dwho has produced
<br />(type
<br />and v~hoD did ~d not
<br />
<br />
<br />
<br />~.AMy.l..' d
<br />tnuunJ p~mtc~ a 8 FiJt;pe
<br />My comm. expo Oct. 6. 2001
<br />Comm. No. DO 236922
<br />
<br />t~ped, ~~'t3ABlf stampr:::d
<br />Notary ubflc, State o' Florida
<br />My comm. expo Oct. 6, 2007
<br />Comm. No. DO 236922
<br />
<br />Name
<br />
<br />NamE;:
<br />
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