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<br />CUNUITI0NS OF PERMIT AFFIDAVIT
<br />A. NOTICB; OF DEED RESTRICTIONS
<br />The und'ersigned understands tqat thIs permit: may be subject :,to "deed restrictions" which
<br />may be more restrictive than City rl!gulat:ions. The undersigned assumes responsibility for
<br />comPliance with. any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOFl Rl!lSPONBIBILITIES
<br />If the owner has hired a contractor or contractors 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 c1ted for a mi.sdemeanor
<br />v101ation under state law. If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply fot: the intended work, they are advised to contact the
<br />City of Zephyrhills BuildingDepartn~nt, 813-788-6611.
<br />Furthermore" if the owner has hired a contractor or contractors, he 1s advised to have the
<br />contractor(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 contractor, 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 1s not properly licensed and 1s
<br />not entitled to permitting pri~ileges in the City of Zephyrhills.
<br />C. TRAN~PORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 113, 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' B AFFIDAVIT
<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, Z9ning, 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 perfooned to meet standards of all laws regUlating construction, City
<br />COdes, zoning regulations, and land development regulat10ns 1n the jurisdiction. I 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 actions I must take to
<br />be in compliance. Such 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 />*B,outhwest 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 used in I!"lood Zone "A" or "A,etc.", it 1s
<br />understood that a drainage plan addressin9 a "compensating volume" will be submitted which
<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 />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 violation. of any code. Every ,permit
<br />issued shall become invalid unless the work authorized by Buch per.m1t is commenc~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 permit with fee charge of $15.00. The extension shall be requested
<br />in writing to the Building Official. An approved inspection must be logged during each six
<br />month period, or the project will be considered abandoned. '
<br />WARNING TO OWNER, YOUR FAILURE TO RE90RD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE I!"OR IMfROVEHENTS TO YOUR PROPERTY. II!" YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BJ!iFO$ RJ!iCORDING YOUR NOTICE OF COMMBNCBMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE Of COMMENCEMENT".
<br />
<br />, 1:1, 'f?~~
<br />BIG~UR;' ~ER W AGENT
<br />
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<br />
<br />~1I?~
<br />SI TUR ,:. NTRACTOR
<br />
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<br />
<br />STATE OF FLORIDA 1')f\.5
<br />COUNTY 01', n C 0
<br />The foregoing instrument was acknowledged
<br />Before me this ~ day of ~)VL>1' , ~z.....
<br />by 0V!1:(R (3qp.AE
<br />~, ~ame of person acknb~ledged)
<br />tItifho is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and whoDdid 00d not take an oath.
<br />
<br />~., A-. ()J~
<br />
<br />S1gnature of person taking acknowledgement
<br />
<br />STATE Of FLORIDA pllS('
<br />COUNTY OF . , N 0
<br />The foregoing instrqment was ac~nowledged
<br />Before me this ....L.!:i:JJay of .:)11 L't' , .Z90z
<br />by GIZFc; [SrCIt,:-
<br />~ (name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />I?/WC-F /), AS(k~L-
<br />Name typed, printed or stamped
<br />:Pj' Bruce A Asbe'
<br />,~ .; My Commission 00116710
<br />OJ",'" Expires June 22. 2006
<br />
<br />and who Ddid
<br />
<br />~ 4. 'fk1~
<br />
<br />Bignatu~e of person taking
<br />
<br />acknowledgment
<br />
<br />1Srwq:;:'. /). A 'if}tL
<br />NYIl_ typed, printed or stamped
<br />:P"J' Bltlce A As6e1
<br />,~) MyCommiasion 00116710
<br />0, '" Expires June 22, 2006
<br />
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