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<br />CONDITI0NS OF PERMIT 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 regulat1~ns. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />a. 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 Zephyrhllla BulldingDepartment, 813-788-661l.
<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 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 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 perfooned 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-~bestos 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 volume" 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 requi~ing a
<br />correction of errors in plans, construction, ~or violations of any code. Every permit
<br />issued shall become invalid unless' the work autho~ized .by such peanit 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 permit with fee charge of $15,00, The extension shall be requested
<br />in writing to the Building Ofticial. 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 BE!'ORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS UNDER
<br />'t $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />J:1.~ ~7 ;1)U ~ lI~
<br />
<br />SiGNATU : 0 ER OR AGENT SI NATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA ptJ 5 L t;)
<br />COUNTY OF -
<br />The foregoing instrument was ~~ck~no....wledged
<br />:;tore /-~s p!fbf/y of F,^,b2(/!!!::.L , z..oQL
<br />
<br />~. (name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />Owho has produced
<br />(type of identification)
<br />and who Odid B11d not take an oath
<br />
<br />Bwu A. 0dJ.&.
<br />
<br />signature ot person taking acknowledgment
<br />
<br />STATE OF FLORIDAE. ',~C--
<br />COUNTY OF .J J:> (, 0
<br />The foregoing instrument was acknowledged
<br />Be for e me this ---1!1.- da y 0 t Ft.JZ.tltJlffV( ,::zP.Ji3
<br />by G flCcP gtEI5F
<br />~ame of person ackno~ledged)
<br />~ho is personally known to me, or
<br />
<br />Dwho has produced
<br />(type ot identification)
<br />and whoO did ~ not take an o~th.
<br />
<br />~r4,~
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Name
<br />
<br />BRLXE /), f458EL
<br />
<br />tyPed, printeQ_ or stamped
<br />ij"- Bruce A Asl5e1
<br />,~j My Commission 00116710
<br />Of ",Exptres June 22, 2006
<br />
<br />Name
<br />
<br />Bfl,;Uc.E /I . /J- 5t36 L
<br />
<br />typed, ~~'9&ceoArAs€eramped
<br />
<br />,~ .; My Commission 90116710
<br />Of ",:./ Expires June 22, 2006
<br />
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