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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pel:mit:nay be subject to "deed restrictions" which
<br />may be more restrictive than City regulations. The lmdersigned assumes responsibility for
<br />compliance with any applicable deed restJ:ictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRAC'l?OR RESPONSIBII.ITIE:S
<br />If the owneJ;: ha,s hired a contractor 0.1 CI)Dtractors t() undlertake work, they lIIay be required
<br />to be licensed in accordance with state ilnd local regulations. If the contractor is not
<br />licensed as required by law, both the owner and cont.ractor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended ~ontractor are, uncertain as to what
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611-
<br />Furthermore, if the owner has hired a contrac:tor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractc'r 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, FLOIUDA 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 SC)meone other that the "owner", I cerify that I
<br />have obtained a copy of the above described iiocument and promise in good faith to deliver
<br />it to the "owner" prior to commencement..
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />1 certify that all the information in this application is accurate and that all work will
<br />be done in compliance with all applicable la'ws 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 performed 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 />*AnnY Corps of Engineers-Seawalls, Docks, Nclvigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U. S. Environmental Protection Agency-Asbes1:os abatement
<br />1 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 il "compensating 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 J1. 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 />$2,500 IN .VALUE DO NOT NEED TO RECORD AND I~OST A "NOTICE OF COMMENCEMENT".
<br />
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<br />SI~~d-~EH~ ~~CONT~g
<br />
<br />
<br />STATE OF FLORIDA ';12 L" STATE OF FLORIDA /'0.
<br />COUNTY OF ~21 Jet.? COUNTY OF r;:l gee:?
<br />The foregoing instrument was acknowledged The fore~oing instrument was acknowledged
<br />Before me this 0--- day ofrt!J;O'CL'j , ,,;la?1' Before me t s ..::J:!:::::sJay of Ft:.JJrt.<<u'1' ;2.t!A:)"-f
<br />by by
<br />
<br />
<br />(name 0 person acknowledged)
<br />o who is personally known to me, or
<br />
<br />~hO has produced D.L-
<br />(type of identification)
<br />Odid not take an oath.
<br />
<br />(name of'- erson acknowledged)
<br />~ho is personally known to me, or
<br />
<br />~o has produced 'p L .
<br />(type of identificatipn)
<br />~id not take an oath
<br />
<br />
<br />
<br />~'
<br />
<br />Signatur~ person taking acknowledgment
<br />
<br />;,;i.YY(;~'" Su~a~e Bahr
<br />.p~'- CQmWl~<'M HDDI57131
<br />Name t~~d, . JJ.~s:<NOv~~~d
<br />---,,~~~ OF f~O~~':'''' Bonded .Thru
<br />"'" \' I Atlantic Bondmg Co., Inc.
<br />
<br />person taking acknowledgement
<br />I"'"'' Suzanne Bahr
<br />,,~~\~y.~,:~;;~-_ ('nmmi~~ion #DD157131
<br />Name typed, pri$.f.~~~~_,...eliov IS, 2006
<br />'O<J.; OFf~o~-:' ,,' BondedThru '""", I AtlantIC Bondmg Co., Inc.
<br />
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