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<br />CONDITIONS OF PERMIT AFF~rAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that t:his pennlt may be flubjec:t .:0 "deed restrictions" which
<br />may be more restrictive than City regulations. The und'~rsigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBI1JITrES
<br />If the owne~ ha,s hired a contractor or contractors to U:!ldertake work, they may be required
<br />to be licensed in accordance with state and local reguVltions. If the contractor is not
<br />licensed as required by law, both the owner and contl:actor 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 WOJ:k, 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. 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 ",'ith a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection GuideN prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone ot.her 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 "ownerN prior to commencement.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />I certify that all the information in this applicatic.n is accurate and that all work will
<br />be done in compliance with all applicable laws regulaLting construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do ",ox.k and installation as indicated. I
<br />certify that no work or installation has commenced prio,r to issuance of a permit and that
<br />all work will be perfor.med to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulat.ions 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 t:o identify what actions I must take to
<br />be in compliance. Such agencies include but are not liRdted to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areals and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Anny Corps of Engineers-Seawalls, Docks, Navigable Wat:erways
<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 "A" or "A,etc.", it is
<br />understood that a drainage plan addressing a "compensat:ing volume" will be submitted which
<br />is prepared by a professional engineer registered 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 Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become ipvalid unless the work authorized by such permit 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 COMMENCEMENTN.
<br />
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<br />s~~ SI~
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<br />STATE OF FLORIDA rr? STATE. OF FLORIDA 0
<br />COUNTY OF ,~ a 7t.O COUNTY OF LE $l.-O
<br />The foregoing instrument was acknowledged The foregoing instrument wa.!- acknowledge~
<br />Before me this .(1~ay of !~MA"-' . .:u;ocf Before..J!!E! this -<my ot Ja",~rJ ' .:wrt:t.
<br />by ,. .t::.Pbbo(d..k. DDk~~~_ by ~ Lah...a...h,. _~....a or r .
<br />(name of person acknowledged) ~ (name of person acknowledged)
<br />~ho is personally known to me, or ~o is personally known to me, or
<br />
<br />
<br />o who has produced
<br />(type
<br />tzfs.id not
<br />
<br />Owho has produced
<br />(type of
<br />fll(i.d not
<br />
<br />person taking acknowledgement
<br />
<br />,"W.~::t", Suzanne Bahr
<br />r;':;~~:'-:. CSRllRissieR IIDDlS7131
<br />Name typed, p -:.'!l.' .. .~~~~9-15, 2006
<br />""/;~ OF f~O~~''''' Bonded Thru
<br />I" 1\ \" Atlantic Bonding Co., Inc.
<br />
<br />
<br />
<br />Si nature 0 person taking acknowledgment
<br />
<br />,'\l-Y\,'/" Suzanne Bahr
<br />~'~~~" ('nmmi~~inn #OOlS7I31
<br />Name ~$>e..~:~s=dI(l\JJi 5~ed
<br />.....,~~ OF f\.o~...'''' ~onded .Thru
<br />"'JlIII' AtlantiC Bondmg Co., Inc.
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