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<br />CONDITI0NB OF PERMIT AFFIDAVIT
<br />A. NOT,ICE OB' DEED RESTRICTIONS
<br />The undersigned understands th,at this permit may 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 .ay be required
<br />to be licensed in accordance with atate and local regulations. If the contractor 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 contact the
<br />City of Zephyrhills BUilding Department, 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 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 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 STATUTES, 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 all ap.plicable laws regUlating construction, zoning, 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 perfotmed 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 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 />*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 ;ffll material is to be used in Flood Zone "A" or "A, etc.", it is
<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 peDmit
<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. Everypermit
<br />issued shall become invalid unless the work authorized by such permit is 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 perrnit 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 OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />~1 /1 1J~
<br />SIGN~U;t ~ER OR AGENT
<br />
<br />J1 /1 -J7~
<br />
<br />SIGNATUR~ CONTRACTOR
<br />
<br />'.\
<br />
<br />STATE OF FLORIDA D f\
<br />COUNTY 01' r C!:.~ ( 0
<br />The foregoing instrument was acknowledged
<br />Before me this~day of Ju,-'f , ~~L
<br />by /:;j7f:h GEr=4c
<br />(name of person acknowledged)
<br />~o is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and whoO did (H1:lid not take an oath.
<br />
<br />~',L), ~'
<br />
<br />Signature of person taking acknowledgement
<br />
<br />STATE 01' FLORIDA n
<br />COUNTY OF ,1f:1.X 0
<br />The foregoing instrument was aCknowledged
<br />Before me this ~ay of \UL-'( , ....2a:JL..
<br />by r;;/l.rc, 13&~;:::
<br />(name of person aCknowledged)
<br />~ is personally known to me, or
<br />
<br />o who' has produced
<br />. (!ype of identification)
<br />and who Odid ~d not take an oath
<br />
<br />./3uuo A - Oot~
<br />
<br />Signature of person taking acknowledgment
<br />
<br />1J./Lu c r-=: f-) - 14 sa 6 L-
<br />Name typed, printed or stamped
<br />~ it\. Bruce A Asbel. ,
<br />;.~ ,; My Commission 00116710
<br />"+ OI~'" Expires June 22. 2006 '
<br />
<br />Name
<br />
<br />1< ILv c e fJ.-. 14 S(j6J-c
<br />typed,L printed or stamped
<br />~'it\, Bruce A Asbel
<br />!~ . My Commission 00116710 '
<br />\;OI~;/ Expires June 22,2006
<br />
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