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<br />CONDITIQNS OF PE~T AFFIDAVIT ..
<br />A. NOTICE OF DEED RESTRICTIONS ., .
<br />The undersigned understands that this permit may be subject to ~deed restrictions" which
<br />may be more restrictive than City regulatiQns. 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 may be required
<br />to be licensed in accordance with state and local regulations. It 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 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 SectionsN 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 GuideN 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 applicable 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 perfoaned 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, cypxess 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 till material is to be used in Flood Zone "A" or "A,etc.", it is
<br />understood that a drainage plan addressing a "compensating volumeN will be submitted which
<br />is prepared by a professional engine~r 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 requiping a
<br />correction of errors in plans, construction, :or violations of any code. Every permit
<br />issued shall become invalid unless the work .utho~1z..d .by such p.~t is commenced wi.thin
<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 1s 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 otticial. 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 FROPERTY. 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 FOST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />~ ~ Is -PA!w
<br />SI~ATU : WNER OR AGENT
<br />
<br />riiro -FJ.~
<br />. ..~ . -1 --eek/--f"
<br />SI NATURE ;~ONTRACTOR
<br />
<br />STATE OF FLORIDA DB SL r..)
<br />COUNTY OF L .
<br />The foregoing instrument was acknowledged
<br />Before me this It.f_ day ot r:+:flJllIll/L'{, ;ZRo3
<br />by 0 flEe; 1IiZl}E
<br />~name of person acknowledged)
<br />~o is personally known to me, or
<br />
<br />Owho has produced
<br />(type of identification)
<br />and whoO did [B'<fid not take an o~th.
<br />
<br />Bwv fl. ~
<br />
<br />Signature of person taking acknowledgement
<br />
<br />STATE OF FLORIDA n t.I <; ( b
<br />COUNTY OF Lt:!::.
<br />The foregoing instrument wa~~_c~nowledged
<br />Before me this I i.f_ day of I-kfjl!Yl9fU.( , z.oq,l
<br />by &zf('; ~E
<br />_~(name of person acknowledged)
<br />UWho is personally known to me, or
<br />
<br />Owho has produced
<br />. (~e of identific.ationl
<br />and who Odid [B:f1d not take an oath
<br />
<br />~,4.~
<br />
<br />Signature of person taking acknowledgment
<br />
<br />grc-Uc.E A _ A- 5 i3G L
<br />
<br />Name typed, printed or stamped
<br />i~ ~ Bruce A Asbel
<br />
<br />;.~ ; My Commission 00116710
<br />
<br />~OIIro.'.1f Expires June 22. 2006
<br />
<br />rs/lvLE JJ. f15i3t;L
<br />Name typed, printed or stamped
<br />J''''j' Bruce A Asbel
<br />;.~ ;. My Commission 0011671'0
<br />~ 011 ro.'.1f Expires June 22. 2006
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