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<br />FROM :MILBRR
<br />
<br />FRX NO, :3525674454
<br />
<br />Oct, 29 2004 08:03RM Pi
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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A,NOTICEOF'DEED RESTRICTIONS
<br />The undexsigned understands that this pe~tD~y be subject to ~deed restrictions" which
<br />may be more restrictive than City regulations, The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner 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 not
<br />licensed as required by law, both. the owner and contractor may be cited for a ~sdemeanor
<br />violation under state law, If the o~er or intended contractor are uncertain as to what
<br />licensing requirements may apply for the in,tendedw:ork, they are advised to contact the
<br />City of Zephyrhills, Building Department, 813-788-6611. "
<br />FurtheDmore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor (s) sign portions o,f ~b. "Contractor Sections" of this application" for which they
<br />w11l be responsible. If you,. as the owner signs as the contractor, you are indicating that
<br />you, rather than ~he 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 STATUTE~, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Flo~l~a'$ Construction
<br />lien Law -Homeowner's Protection Guide" p~epared by the Florida Department of Agricultu~e
<br />and Consumer Affairs, If the applicant is someone other that the nowner", 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 ~owner" prior to commencement,
<br />E, CONTRACTOR' S/OWNER' S AFFIDAVIT.,
<br />I certify that all the informat10n in this application is accurate and that all work will
<br />be done 1n compliance with all applicable laws regulating construction, zoning, and 'land
<br />development "
<br />Application is hereby made, to obtain' a peJ:mit to do work' and, installation, as ind1cate,d '. ,I
<br />certify that no ~ork or installation has commenced prior to issuance of aper.mit 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 regulations in the jurisdiction, I also
<br />certify that I understand that the regulations of o.ther governmental agencies may apply to
<br />the intended work, and that it is my respons:tb1l1ty',~o identify what actions I must take to
<br />be in compliance, Such agencies include but are ~pt'limited to: *Department of
<br />Environmental Regu1ation-Cyp~ess, 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 />*Army 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 use~ 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 priort~ 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 1nva~1d unless the work authorized by such per~t ls 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 ab~ndoned,
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE:,OF CO~CEMENT MAY RESULT IN YOUR
<br />PAYING TWICE tOft IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO CEMENT. JOB,S UNDER
<br />$2,590 IN v. UE D N T NEEDT~: RECORD AND POST A "NOTICE CO C
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<br />.-....-_.
<br />
<br />STATE OF FLORIDA~
<br />COUNTY OF " ~
<br />The foregoing instrument was
<br />Before me this day of
<br />by
<br />
<br />acknowledged
<br />, 19-:...-
<br />
<br />"
<br />
<br />(name of person acknowledged)
<br />~h~ is personally known to me, Or
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<br />O'Who has produced
<br />, (type of identification)
<br />and wh::~k. an-oath
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<br />
<br />. S1:;:~j t'~=~~O"ledgment
<br />Name~~~
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<br />Signature of
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<br />, g acknowledgement
<br />
<br />N.me type
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