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<br />CUNUITI0NS OF PERMIT AFFIDAVIT
<br />A. NOTIC~ OF DEED RESTRICTIONS
<br />The und'ersigned understands t~at this permit: may be subject ;~to "deed restrictions" which
<br />may be IOOre restrictive than City regulat:ions. The undersigned aSSUlnes responsibility for
<br />compliance with any applicable deed restr:icthms.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contraotors to undertake work, they .ay 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 misdemeanor
<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 contact the
<br />City of Zephyrhills Building Depart~ent, 813-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor Sect!ons" of this application for which they
<br />will be responsible. If you, as the owner signs as the contrilctor, 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 priyileges in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTEtI, AS AMENDED)
<br />'1 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 AF!"IDAVlT
<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 permit to do work and installation as indioated. I
<br />certity that no work or installation has commenced prior to issuance of a permit and that
<br />all work will be perfonmed to meet standards of all laws regUlating oonstruction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that'l understand that the regulations of other gove~ntal agencies may apply to
<br />the intended work, and that it is my respoDsibility to identify what actions I must take to
<br />be in compliance. Such agencies include but are not l~ted tOI *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and EnVironmentally Sensitive
<br />Lands, Water/Wastewater Treatment .
<br />*S.outhwest Florida Water Management Dilltriot-Wells, Cyp.l"ess Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of BngineerB-Seawa1Is, Docks, Navigable Waterways
<br />*Department of Health , Rehabilitative SerVices, Environmental Health Unit~Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.B. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if till material is to be used in Flood Zone ~AU or nA,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 permdt
<br />is.uance.
<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 permQt prevent the Building Official from thereafter requiring a
<br />correction of e~rors in plans, construotion, or violation. of any code. EverY.per:mit
<br />issued shall become invalid unless the work authorized by 8uchpe~t is oommenc~d 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 permtt with fee charge of $15.00. The extension shall be requested
<br />in writing to the Building Official. An approved inspection must be logged during each six
<br />month period, or tne project will be considered abandoned. .
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICIC OF COHMBNCEMBNT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IM~ROVEMEHTS TO YOUR' ~ROPERTY . IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BSI'O$ RECORDING YOUR NOTICE OF COMMBNCBMENT. JOBS. UNDER
<br />$2,500 IN VALUE 00 NOT NEICD TO RECORD AND POST A "NOTICE or COMMENCEMENT".
<br />
<br />. ~ 1J-~
<br />'/I . H'
<br />SIG .TURE: ~WNE OR AGENT
<br />
<br />~~
<br />S GRATU. NTRA.cTOR
<br />
<br />r,'t
<br />
<br />STATE or FLORIDA 1)
<br />COUNTY 01' '1 fJ.5c o. .
<br />The foregoing instrument was acknowledged
<br />Before me this..J.L. day of 3U(...1' ~L
<br />byrdzi:::c; (3EI~E
<br />(name of person acknowledged)
<br />'Ll'Who is personally known to me, or
<br />
<br />o who has
<br />
<br />and whoO did
<br />
<br />~CL
<br />Signature of person taking
<br />
<br />produced
<br />(type
<br />~d not
<br />OafM.O
<br />
<br />of identification)
<br />take an oath.
<br />
<br />STATE or FLORIDA -PAS Go
<br />COUNTY OF . ~
<br />The foregoing inlltr~ent was ac~nowledged
<br />Before me this ....J..fS:JJay of XUV"( , ....2roz-
<br />by cP/2E? l3GPAE
<br />
<br />(name of person acknOWledged)
<br />~is personally known to me, or
<br />
<br />o who' has produced
<br />. (t.1P e of identification)
<br />and who Odid (j)t1(f not take an oath
<br />
<br />acknowledgement
<br />
<br />Bwu 1:).~
<br />
<br />Signature of person taking acknowledgment
<br />
<br />g~ IJ.. !+51S5 L
<br />Name typed, printed or stamped
<br />Rj"'- Bruce A Asbel .
<br />\~j My~ommiss/on 00116710
<br />0, PI' Expires June 22. 2006
<br />
<br />"kSf2.UGE 4. f). SBbL
<br />Name typed, printed or stamped
<br />'Rj"'- Bruce A Asbel
<br />\~j My Commiss/on 00116710
<br />_.:~_ Expires June 22. 20M
<br />
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