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<br />CONDI'rIONS OF PERNl'I' AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands th~t this permit may be subject to "deed restriationsH wllich
<br />may be more reatriative than City regulations. The undersigned assumes rflsponsibility for
<br />oompliiiOoe with any applicable deed re:;ltrictions.
<br />B. UNLICENSED CON'I'RAC'I'ORS AND CON'l'RAC'rOR RESPONSIBUI'I'IES
<br />If the oIVner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with state and local regulations. If the contractor is Ilot
<br />licensed as required by law, both the owner and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to .~lat
<br />li censing requirements may apply for the intended work, they are advised to oontaot the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furthermo)::e, 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 applioation for which they
<br />will be responsible. If you, as die owner signs as the contractor, YQ4 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 1s not properly licensed and is
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />c. 'I'RANSPOR'l'ATION IMPAC'!, IrE:ES AHD U'l'ILI'I'Y CONNECTION FEES
<br />D. CONS'l'RUC'!'UION LIEN LAW (CHAP'I'ER 713, FLORIDA S'l'ATUTES, AS AMENDED)
<br />r certify that 1, 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 "ownerH, I cerify that I
<br />Ilave obtained a copy of the above described document and promise in good faith to deliv~r
<br />it to the "owner" prior to COlTUllencement.
<br />E. CON'rAAC'l'OR' S/OWNER' S AFIfIDAVI'l'
<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 />dev'i'lopment.
<br />Applioation is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no work or installation has cOlTUllenced prior to isauance of a permit and that
<br />all work will be performed to meet standards of all laws regulat1ng 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 Walk, and that it is my responaibility to identify what actions I muat take to
<br />be in compliance. Such agencies include but are not limited tOI *Department of
<br />Environnlental Regulatipn-Cypress Bayheads, Wetland Area::! and l!:nvironmentally SenlllJ,tive
<br />I,ands, Water/Wastewater Treatment
<br />*Southwest Il'lcn::ida Water Management District-Wells,Cypress Bayhead::!, Wetland Areas,
<br />Altering Watercourses
<br />.Anny Corps of Engineers-Seawalls, Docks, Navigable WaterHays
<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 certify that, if fill material is to be used in Flood Zone QAH or "A,eto.H, it is
<br />under'stood that a drainage plan addressing a "compensating volume" "will be submitted which
<br />is prepared by a professional engineer registered in the State of rlorida prior to permit
<br />iasuance.
<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 technioal codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />cor~ection of errors in plans, pon~truction( or violations of any code. Every Permit
<br />isaued shall become invalid unless the work authodjl;ed by liiuch permit ia oOIlullenced Hlthin
<br />sixmontha of issuance, or if \'Iork authorized by the permi.t is suspended or abandoflild for a
<br />period of six months after the time the work is conunenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be tequea~ed
<br />ill \'Iri ting to the Building Official. An approved inspection must be logged during each ai.x
<br />month period, or the project Hill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING 'l'WICE Jj'QR IMPROVEMENTS TO YOUR PROPERTY. IE' yoU IN'l'END TO oB'rAIN FINANqHlq'~'4N_
<br />WlTH YOUR LENDER OR AN' A'l''rORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS li!.iR
<br />92,500 IN VALUE PO NOT NEED TO RECORD AND POS'l' A "NO'rrCE OF COMMENCH:MEN'r".
<br />
<br />~
<br />
<br />SIGNA'l'URE I CONTRACTcm
<br />
<br />
<br />S 1 GNA'l'lJRE ; OWN ER OR AGl!:N'I'
<br />
<br />acknowledged
<br />, 1 !i..-
<br />
<br />S'rA'I'E OF FLORIDA#~~ #
<br />COUN'I"i (j~' . ~ . ~_____
<br />The foregoing in?u~ent w~a~knOWledged
<br />Before me this ay of l ~ ,;:ap~
<br />by .~ ~~
<br />(name of person acknowledged)
<br />~ is pe)::sonally known to me, or
<br />
<br />S'!'A'I'j!; OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this __ day of
<br />by'
<br />
<br />(name of person acknowl~dged)
<br />OHho is personally kno\'ln to me, or
<br />
<br />of identi.fication)
<br />take an oath.
<br />
<br />Owho has produced
<br />(type of identification)
<br />and Vl~d DUd n t t,ake an oilth
<br />
<br />
<br />Signature of person ta aaknow~edgment
<br />
<br />Owho has produoed
<br />(type
<br />and who[] di.d []did not
<br />
<br />
<br />Signature of person taking acknowledgement
<br />
<br />iI"" ~ Thomas Ryan
<br />-N~;lle t ypetr~)l"l'ttcg:Ci"'~1<J1l g~3rt~~d----'-~---
<br />0"" Expires June 12, 2005
<br />
<br />Name typed, pri.nted or stamped
<br />
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