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<br />CONDI'nONS OF PERMIrr AFFIDAVT'l'
<br />A, NOTICE OF DEED RESTRICTIONS
<br />The undersigned understandti thqt: this penni t may be subject to "deed restrictions" widch
<br />m~y be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CON'l'RAC'l'ORS AND CON'l'RACTOR RESPONSIBIJ,I'l'IES
<br />If the owner has hired a cOlltractor or contractors to undertake work, they may be required
<br />to be licensed in accordance Hith state and local regulations. If the contracl:or 16 not
<br />l1cellsed as required by law, both the o~mej: and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to wllat
<br />licensing requirements may apply for the intended work, they are advised to oontact the
<br />city of Zephyrhilh Building Department, 813-788-6611.
<br />Furthermore, if the owner has hi!:ed a contractor or contractors, he is advised to have the
<br />contractor(s} sign portions of the "Contractor Sections" of thiti application for which they
<br />will be responsible. If you, as the owner signs .s the contractor, YQ4 are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor wislles
<br />you to sign as COlltractor that may be an indication that he is not properly licensed and is
<br />llot elltitled to permitting privileges in the City of Zephyrhills.
<br />C" 'l'RANSI?Ok'i'ATION IMPACT fEES AND U'i'ILI'l'Y CONNECTION ~'EES
<br />D. CONS'1'RUC'1'UION LIEN LMJ (CHAP'I'ER '713, FLORIDA Srl'ATUTES, AS AMENDED)
<br />T certify that I, the applicant, have been provided with a copy of "Florida's ConstrucU,on
<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 cerity that I
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to commencement.
<br />E. CONTRAC'1'OR' S/OWNER' S AFFIDAVI'r
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance with all appl1cable laws 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 regulat1ng construotion, City
<br />Godes, zonillg regulations, and land development regulations in the jurisdiction. J 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 aotions I must take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environnlental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensltive
<br />Lands, Water/Wastewater '1'reatment
<br />,}Southwest Florida Water Management District-Wells, Cypress Bayheads,-Wetland Areas,
<br />Altering Watercourses
<br />'*Army Corps of Engineers-Seawalls, Docks, Navigable WatenJays
<br />*lJepartment of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I also oertify that, if fill material is to be used in Flood Zone ~A" or "A,etc.N, it is
<br />,understood that a drai.nage plan addressing a "compensating volume" 'will be sulani tted vlhiah
<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 />autllority to violate, cancel, alter, or set aside any provisionti of the teohnical 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 invalid unleas the wo:rk authorized by such pe:rmi t is oOliunenced vlithin
<br />tiix months of issuance, or if work authorized by the permit is suspended or abandor!ed tar a
<br />period of six months after the tillle the work is commenced. One 90 day extension ot time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />ill ~vri ting to the Building Official. An approved inspeotion must be logged during eaoh' six
<br />month period, or the project Hill be considered abandoned.
<br />WARNING '1'0 OWNER: YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RESUL'l' IN YOUR
<br />PAYING TWICE Ii'OR IMPROVEMEN'l'S TO YOUR PROPERTY. IF YOU INTEND TO OB'l'AIN f'INANqINq, ~(lIH?ULr1'
<br />Wl'i'll YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'r. ,JOBS UN[JER
<br />.2,500 IN V WE no NOT NE~ECORD AND PO"" A "NO'!'ICE OF CO ENCF'u ~
<br />
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<br />SIGi~A'l'URE: OWNER OR AGEN'I'
<br />
<br />arJ'A'rE OF FLORID~) STA'l'E OF nORIDA
<br />COUNTY OF . '.-/ a -5 to./ COUNTY OF
<br />'l'he foregoing inst~ent was acknowledge:d . ,/ The foregoing instrument w~s acknoHledged
<br />Btlfore, l~~ this ~ da4' of/l a-/3 , a2Vtl1' Before me this --------Pay of----, 19__
<br />by _~.ba.M.AI"f9:7-- kL&-~i? by . _,_
<br />(name of person acknowl,dged) (name of person acknowledged)
<br />o Hho is personally known to me, or Gho is personally knovm to me, or
<br />
<br />~;1as produced F.1.VI. 'W;jtJo-"7Pf-7g-'- Dwho has produced
<br />_--- '(type of identificatio~51_ U (type of identifioation)
<br />and wh6TJ did , did n?t'J ta all oath; 1 and ~Jho Ddid DUd not t.ake all oath
<br />. <. '/
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<br />
<br />
<br />
<br />Signature-of person taking acknowledgement
<br />
<br />""~...~ Bobble Swetland
<br />---.---f~ri" '1~ MY~(lMUIAAlONI ~763 E!P1RES_________
<br />I a III e. .,.~ p rl n t EeiruCIIY 22;, tll.!Mn ~;(
<br />~:~... ..~ BONDED THRU TllOYfAlN INSURArJa 11I2
<br />. .....1, ''''.,~
<br />
<br />
<br />Name
<br />
<br />f person taking acknowledgment
<br />Bobbie Swetland
<br />: _ MY COt.1MlSSlON # DD268163 EXPIRES
<br />'n re~ zz 29118
<br />. '".; p ~~"1'F(Yf.f~1ld
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