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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The ut;dersigned understands that this permit may be subject to "deed restriction~/I \~hiDh
<br />llIay be llIore restrictive than City regulations. The underslgned assumes responsibillty for
<br />compliance w~th any applicable deed restrict.ions.
<br />B. UNLICENSED CON'l'RACTORS AND CONTRACTOR RESPONSIBILI'l'IES
<br />If the ovmer has hired a contractor or con_tractors to undertake work, they lTlay 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 uncertaln as to \~hat
<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 Sections" of this application for whicll they
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating that
<br />YOll, rather than the contractor, are responsible for the work. If the contractor wishes
<br />you t.o si.gn 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 Z!:phyrhills.
<br />c. '1'RANSPOR'I'A'rION IMPACT FEES AND U'l'ILITY CONNECTION FEES
<br />D. CONS'1'RUC'l'UION I.IEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, llave been provided with a copy of "Florida's Construction
<br />11en LaH - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer A.ffairs. If the applicant is someone other that the "owner", I cerify that I
<br />have obtained a copy of the above descri.bed document and promise in good fai th to deliver
<br />it to the "owner" prior to conunencement.
<br />Ii:. CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />I certify that all the information in this application is accurate and tllat all work will
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />development: .
<br />Appllcat.ion is hereby made to obtain a permit to do work and installatlon as indicated. I
<br />certify that no work or installation has commenced prior to issuance of a pernllt and that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, zoni.ng reg\llations, 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 .../Or:k, and that it is my responsibility to identify what actions I must take to
<br />be in compliance. Such agencies lnclude but are not limited to: *Department of
<br />Environmental Regulatlon-Cypress Bayheads, Wetland Areas and Environmentally Sensf.tive
<br />Lands, Water/Wastewater 'l'reatment
<br />"Southwest IJ'lorida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />'Army Corps of E',ngineers-Seawalls, Docks, Navigable Waterways
<br />"Uepar.tment of Health & Rehabilitative Services, Envi.ronmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />"u. S. li~lIvi romnental Protection Agency-Asbestos abatement
<br />I aJ.so certify that, if fill material 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 which
<br />Is prepared by a professional engineer registered in the state of Florida prior to permit
<br />issuance.
<br />A permit issued sllall be construed to be a license to proceed with the work and not as
<br />authority to vl.olate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor.shall i.ssuance of a permit prevent the Building Official from thereafter requiring a
<br />correctl.on of errors in plans, construction, or violations of any code. Every permit
<br />issued shall beoome invalid unless the work authorized by such permit is conunenced within
<br />si.x months of issuance, or if work authorized by the permi.t is suspended or abandoned for a
<br />period of si.x months after the time the work is conunenced. One 90 day extension of tlme
<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 />WARIHNG '1'0 OWNERI YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMEN'1' MAY RESULT IN YOUR
<br />l?AYIllG TWICE IJ'OH IMPROVEMENTS '1'0 YOUR PROPERTY. IF YOU INTe:ND '1'0 OBTAIN FINANCING, CONSULT
<br />W rTII YOUR LElNDER OR AN AT'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED '1'0 RECORD AND pos'r A "NOTICE OF COMMENCEMEN'1'''.
<br />
<br />
<br />!DGI~E~~~~
<br />
<br />
<br />STATE OF FLORIDA V.1t"" (
<br />COUNTY OF L~ b
<br />'l'he foregoing instrument was acknowledged
<br />Before me this~p.ay of J 4,M.//HZ '(, ~ ~(),
<br />by GIZFb e Fi!fft;--
<br />............---(name of person acknowledged)
<br />L"Nho 1s personally known to me, or
<br />
<br />STATE OF FLORIDA P.
<br />COUNTY OF tiS ( 0
<br />The foregoing instrument was acknowledged
<br />Before llIe tld.s~ da': of :5'ft-;Vv'AII){, ~U7}
<br />by _([i/ZE(L- e FE 6.E
<br />~tllame of person acknowledged)
<br />~,bo 1s personally known to me, or
<br />
<br />[] who has produced
<br />(type of identification)
<br />alld who~d Odid not. take an oath.
<br />
<br />_________~-ih au
<br />
<br />Slgnature of person taking acknowledgement
<br />
<br />o who has produced _________
<br />(type of JdentificaUon)
<br />and who ~ DHd not take an oath
<br />
<br />~-11, fJ~.d!.
<br />
<br />Signature of person taking acknowledgment
<br />
<br />_____ ______JJI0!.~L.1t~il.2B&-~-----
<br />11allle l:yped, prJnte:.~i\: IfrUJr~
<br />!~ . My Commissiol1 00116710
<br />~ Of..1 Expires June 22. 2006
<br />
<br />73R IIG-€" f). f15I?D-______-.
<br />
<br />Name typed, printed or stall1ped
<br />
<br />~~ Bruce A Asbel
<br />,~; My Commission 00116710
<br />lIP..' Expires June 22. 2006
<br />
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