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<br />CUNUITI0NS OF PERMIT AFFIDAVIT
<br />A. NOTIC~ OF DEED RESTRICTIONS
<br />The und'ersigned understands tl\at this permit may be subject :.to "deed restriotions" which
<br />may be more restriotive than City.regulations. The undersigned assumes responsibility for
<br />compliance with any applioable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CON'fRACTOR RESPONSIBII.ITIES
<br />If the owner has hired a oontractor or contraotors to undertake work, they Illay be required
<br />to be licensed in acoordance with state and looal regulations. If the contraotor is not
<br />licensed as required by law, both the owner and contractor may be cited for a mdsdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply for the intended work, they are advised to contaot the
<br />City of Zephyrhil1s Building Depart~ent, 813-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contraotor(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 contr~ctor, 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 pe~tting 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 "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 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 information in this application is accurate and that all work will
<br />be done in compliance with allap'plicable laws regUlating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a pe~t to do work and installation as indicated. I
<br />certify thaf no work or installation has oommenced prior to issuance of a pe~t and that
<br />all work will be performed to meet standards of all laws regUlating oonstruotion, City
<br />codes, zoning regulations, and land development regulations in the juriSdiction. I also
<br />certify that'r 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 oompliance. Suoh 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 Distriot-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Bngineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health , Rehabilitative Services, Environmental Health Unit~Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*u.S. Environmental Proteotion 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 addressin~ a "compensating volume" will be submitted whioh
<br />is prepared by a prQfessional engineer registered in the State of Florida prior to permdt
<br />issuance.
<br />A pe~t 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 pe~t prevent the Building Official from thereafter requiring a
<br />oorrection of errors in plans, construotion, or violation~ of any oode. BverypeDmit
<br />issued shall beQome invalid unless the work authorized by such pe~t is oommenc~d within
<br />six months of issuance, or if work authorized by the pe~t 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 01' COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TifICE FOR IMPROVEMENTS TO YOUR' PROPERTY. IF YOU INTEND TO OBTAIN I'IN.ANCING, CONSULT
<br />WITH YOUR LEHDER OR .AN ATTORNEY BEFOI\B RECORDING YOUR NOTICI!i 01' COMMENCIMI!iNT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE or COMMENCEMENT"~
<br />
<br />
<br />H 11 10 A .-~~
<br />
<br />Si~WNI!iR O:~GENT SIGNATURE: ~OHTI\AcTOR
<br />
<br />fl!~
<br />
<br />STATE or FLORIDA p
<br />COUNTY 01' A..-S'" ( b , ,
<br />The foregoing instrument was acknowledged
<br />Before me this --.Z5:., day of Arfl-l L , ~Z-
<br />by /,n{l iF w J3F-:-4~
<br />~~ame of person ackno~ledged)
<br />'~who is personally knowii to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and whoD did Odid not take an oath.
<br />
<br />~A, Qd~
<br />
<br />Signature of person taking acknowledgement
<br />
<br />STATE 01' .FLORID~fJ SI"
<br />COUNTY OF. ' ( (;;
<br />The foregoing Inst-rlQllent.wB8 llclJ:nowledged
<br />Berore me this ~ay of APfl-I' , ...M4%:1.Z--
<br />by ~-IlIZG /2,?'FIJ€
<br />~~name of person aCknowledged)
<br />~ho is personally known to me, or
<br />
<br />--.EtGUGE A, A5BEL
<br />Name typed, printed or stamped
<br />Bruce A ASbel
<br />,,''b,' C mmiSliorl CC748677
<br />~*~ 0 2
<br />~.~ Expires June 22. 200
<br />.,If........
<br />
<br />--EVic:.-r:- A. 4SafPL
<br />
<br />Name typed, printed or,stamped
<br />..' . Bruce A Asbe 77
<br />rb' missionCC7486
<br />liil *~ Com 2
<br />~.~. Expires June 22. 200
<br />~#ttff\.~-
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