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<br />CON.DI'].lIONS OF PERMI'l' AFFIDAVI'r
<br />A.. NO'fI.CE o Ii' DEED RESTRICTIONS
<br />'l'he undersigned understands that tb:Ls permit may be subjeot to "deed restrictions" \'(hlah
<br />may be more restrlctive than City regulations. The undersigned assumes responsibility fo~
<br />compU.ance uith any applicable deedrBs trlctions.
<br />B. UNLICENSED CONTRACTORS AND CON'l'HAC'l'OF. RESPONSIBILI'l'IES
<br />It the owner has hired a contractor or contract:ors to undertake work, they may be requi,red
<br />' to be licensed in accordanoe with state and local regulations. If the contractor is not
<br />licensed as requlred by law, both the ol.mer and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner or illtended contractor are uncertain as to what
<br />licellsing requirements may apply for the intended work, they are ad\Tised to contact the
<br />Clty of Zephyrhills Building Department, 613-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advi.sed to have the
<br />oontractor(s) sign portlons of the "Contractor Sections" of this application for whioh 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 lice)lSed and is
<br />not entitled to permitting privileges i.n the Ci.ty of Zephyrhills.
<br />C. 'l'RANSPOR'l'A'l'ION IMPAC'l' FEES AND U'l'ILITY CONNEC'l'ION FEES
<br />D. CONBTRI1C'l'UION MEN LAW (CHAP'l'ER 713, FLORIDA S'l'ATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Constrllotion
<br />1 iftn Lau -. Homeowner's Protection Guide" prepared by the E'lorida Department af Agriculture
<br />and Consumer Affairs. If the applJcant is someone other that the "owner", I cer-J.fy that I
<br />have obtained a copy of the abo\Te described document and promise in good faith to deliver
<br />it to the "owner" prior to commencement.
<br />E. CON'l'RAC'fOR' S/OWNER' B AFIi'IDAVl'l'
<br />1 certify that all the information in this applicati.oIl is accurate and that all work will
<br />be done in oomplianoe with all applioable laws regulating construction, zoning, and land
<br />development.
<br />AppHcation is he!:eby m~de to obtain a permit to do work and installation as lndioated. I
<br />oerU.fy that no work or installation has commenced prior to iss~ance of a permit and that
<br />all. work will be performed to meet standards of all laws regulating oonstruction, City
<br />codes, zoning regulations, and land development regulati.ons in the juriSdiction. I also
<br />certify tllatI understand that the regulations of other governmental agenoies may apply to
<br />the Jntended work, and that it is my r~sponsibility to identify what aotions I must take to
<br />be in compliance. Such agencies include but are not limitecl to: *Department of
<br />Environmental RegUlation-Cypress Bayheads, Wetland Areal9 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. EnvlranlOental I?rotection Agency-Asbestos abatement
<br />I also certify that, if fill materlal is to be used in Flood Zone "A" or "A,etc.", it is
<br />understood that a drainage plan addressing a "compensating volume" will be submitted whlch
<br />is prepared ))y 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 ~he work and not as
<br />autllority to \Tiolate, cancel, alter, or set aside any prOVisions of the technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requirillg a
<br />correotion of errors in plans, oonstruotiol1, or vio~ationll of any code. J!1very permit
<br />issued shall beoome invalid unles8 the work authorized by suoh permit is conunenoed withln
<br />six months of issuanoe, or if work allthorlzed by the permit is suspended or abandoned for a
<br />period of six months after the time the work is conunencecl. One 90 day extension of thlle
<br />may be allowed for the permit with fee charge of $15.00. 'l'he extension shall be requested
<br />in writing to the Building Official. An approved inspection must be logged dur.i.ng eaoh six
<br />month period, or the project will be considered abandoned.
<br />WARNING '1'0 OWNER) YOUR FAIWRE TO RECORD A NorI'lCE OF COMMENCEMEN'l' MAY RIllBUJ!l' IN YOUR
<br />PAYING 'l'WICE B'OR IMPROVEMEN'l'S TO YOUR PROPER'l'Y. IF YOU INTEND 'l'O OB'l'AIN FINANCING, CONSUL'l'
<br />WI'I'U YOUR I,ENDER OR AN A'l"l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'f. JOBS IINDER
<br />$2,500 IN VAI.UE DO NO'l' NEED '1'0 RECORD AND POB'l' A \\NO'l'ICE OF COMMENCEMEN'l"'.
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<br />S'l'A'l'E OF FI.ORIUA D /1 __
<br />COUN'I"l OF Lr-1-:> C (;'
<br />'J'he forego.ing instrument was acknowledged
<br />ijafore me this_J-2- day oc.i!yGvsr , ~L
<br />by CR-E(;? I3EEI?~
<br />--tname of person aoknoWledged)
<br />(awho 18 personally known to me, or
<br />
<br />o who has produced
<br />(type of identificatlonl
<br />and who(] did [i;}ct'fd not take an oath.
<br />
<br />13.-uc.e A. ~
<br />
<br />Signature of person taking acknowledgement
<br />
<br />B J1UC-:E._A' f).5 e 6L
<br />Name typed, printed or stamped
<br />
<br />~J\. BfUCe A A&bel
<br />;'~j MyCommiuion 00116710
<br />....01 pJf" Expires June 22. 2006
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<br />CONTR1\.C'l'OR
<br />
<br />BTA'l'E OF FI,ORIUA
<br />COUN'fY OF
<br />'I'he foregoing instrument wa~aaknowledged
<br />Before m~ this ~ayof ~V~U~T , M-,lQ/Z
<br />by &R..Ec;. ~El1'F; ___
<br />r-u"-- (name of person aoknowledCjled)
<br />~ho is personally known to me, or
<br />
<br />PHS( 0
<br />
<br />o who has pr.oduced
<br />, jJ;.Ype of identifioatJon)
<br />and who ~ BUd not take an oath
<br />
<br />--~ /), Ckt~
<br />
<br />S.ignature of person taking acknowledgment I
<br />
<br />lS/ZU0E _,/). m(J{~ 4-
<br />Name typed, printed or stamped
<br />, a\. Bruce A Astlel
<br />, !~ . My Commillion 00116710
<br />~ or...;I Expires June 22. 2006
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