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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that t:h:Ls permit milY be sub:ject to "deed restrictions" which
<br />may be more restrictive than City" rt!gulations. The undersigned assumes responsibility for
<br />compliance with any applicable deeld restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTHAC'rOR RESPONSIBIJ[.ITIES
<br />If the owne~ ha,s hired a contrac'tor or con'tractors to undertake work, they may be required
<br />to be licensed in accordance with 5t:ato~ and local regulations. If the contractor is not
<br />licensed as required by law, both the l)wner and contructor may be cited for a misdemeanor
<br />violation under state law. If the ('wner or intended contractor 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 />Furthe~ore, 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 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 someone other that the "owner", I cerify that I
<br />have obtained a copy of the above described aocument 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 application is accurate and that all work will
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a per.mit to do work and installation as indicated. I
<br />certify that no work or installation has commenced prior to issuance of a per.mit 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 limdted 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 />*Axmy Corps of EngineerS-Seawalls, Docks, Navigable Waterways
<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 "compensating volume" will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to per.mit
<br />issuance.
<br />A per.mit 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 per.mit prevent t~e Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. . Every permit
<br />issued shall become i~valid 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 00 NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
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<br />
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<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA ~I
<br />COUNTY OF _ asCo
<br />The foregoing instrument was acknowledged
<br />Before me this ~~ day of h-brtAArJ ' .:>>rJej
<br />by 7er~ ,;"lALt..<.
<br />(n of person acknowledged)
<br />o who is personally known to me, or
<br />
<br />A..who has produced 7/.. L-.
<br />(type of identification)
<br />Ddid not take an oath.
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was lJcknowledged ,/
<br />Before me this o?'Vlday ofn.bf')t4r:; , ~y-
<br />by T~'1 6" VA."" C
<br />(name of person acknowledged)
<br />o,ho is personally known to me, or
<br />
<br />B:'who has produced rJ;>. L .
<br />(type of identification)
<br />~d not take an oath
<br />
<br />f?;. s c. c:>
<br />
<br />
<br />and who
<br />
<br />
<br />
<br />Sign
<br />
<br />
<br />Name
<br />
<br />o rson taking acknowledgment
<br />"';, Suzanne Bahr
<br />,,'t.:iJ8P(J. ./, . .
<br />':J>~"<f:..- CommISSIOn #DD157131
<br />typedr* p&~edp~: )j~~6
<br />~;;;. . . . .0#": Bonded Thru
<br />"//,~~ IY\~"" A ',>:)n;:;c Bonding Co., Inc.
<br />
<br />Name typed,
<br />
<br />,,\\\I~~~/I'..
<br />
<br />Pri~f.~~~
<br />~<;~11~~/'~~~~"--
<br />
<br />Suzanne Baht
<br />
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