<br />c.-VIWJ.J.'.H)/HJ UJl' l;'l!;RMI'f AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands thlJt thia pt<rmit may be subject to "deed restrictions" widell
<br />nl~Y be more restrictive than City regulations. The undersigned assumes responsibility tor
<br />compliance with any applicable deed relJtrictions.
<br />B. UNLICENSED CON'l'RAC'I'ORS AND CON'l'RACTOR RESPONSIBHITIES
<br />If the owner has hired a contractor 0.1: contractors to undertake work, they may be required
<br />to be IJcensed in eccordanoe with state and looal r~gulations. If the contractor ia IloL
<br />licensed as required by law, both the owner and contraotor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain etS to ..hat
<br />Jicensing requirements may apply for the intended work, they are advised to oontact the
<br />Ci ty of Zephyrhills Building Department, 813-768-6611.
<br />Furtherlool:e, it 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 />olill bE:: r.espon8ible. If you, as t.he owner aigna ~s the contractor, YQ4 are lndicaUng that:
<br />YOll, rather- than the contractor, are responsible for the work. If the contrclctor wishes
<br />you to sign as contractor that may be an indicatiQn that he 1s not properly licensed arld is
<br />rIot entitled to permitting privileges in the City of Zephyrhllls.
<br />c. 'rRANtll'OR'l'ATIOH IMPAC'l' FEES AND U'rILITY CONNECTION FEES
<br />lJ. CONS'l'RlICTUION l,IEN LAW (CHAP'I'ER 713, FLORIDA STATUTES, AS AMENDED)
<br />r certify that I, the applioant, have been provid~d with a copy of "Florida's Constrllation
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affaira. If the applicant is someone other that: the "owner", I cerity that: I
<br />laave obtained a copy ot the above described dooument and promise in good faith to deliv6J:
<br />j t to the "owner" prior to commencement.
<br />E. COHTRAC'l'OR' a/OWNER' a AFFIDAVI'f
<br />I certify that all the information in this application is accurate and tllat all work will
<br />be done in compliance with all appU_cable laws regulating construction, zoning, and land
<br />development.
<br />Applioation is hereby made to obtain a permjt to do work and installation as indioated. 1
<br />certify that no work or installation has commenoed prior to issuance of a permit and that
<br />all work will be performed to meet atandards at all laws regulating c6nstruation, City
<br />codes, zoning regulations, and land development regulationa in the jurisdiction. J al so
<br />certify that I understand that th~ regulations of OUI!!!' governmental agencies lOay apply to
<br />the intended work, and that it if! -my responsibility to identify what aotiona I IHll~t take Lo
<br />I;e in compliance. Such agenciea include but are not limited tal "Department of
<br />Environmental Regulatipn-Cypress Bayheadf!, Wetland Areas and Environmentally 8ens~tive
<br />Lands, Water/Wastewater Treatment
<br />*Soutllwetlt ij'l,orida Water ManaCjlement Distriot-WeJ.1s, :Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />.Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Uepart"~nl ot Health & Rehabilitative Services, Environmental Healt)i Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />.U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone qA" or "A,ete.", it is
<br />Ilnder.stood that a drainage plan addressing a "compensating volume" 'will be sllbrni tted Hhieh
<br />is prepared by a profesaional engineer registered in th~ State of Florida prior to permit
<br />issuance.
<br />A perroit issued shall be construed to be a license to proceed with bhe work and not as
<br />authority to violate, cancel, alter, or aet aside any proviaions of tlle technical codes,
<br />nor allall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in pllns, pon~~ruotioqr or vi9~~~ions of any oode. Every pe~m1t
<br />is~u~d shall beoome invalid unle,.. the work 1\uthodzed by suoh permit: is oOlllmenced within
<br />six months of issuance, or if work authorized by the permi.t is suspended or abandoqed for a
<br />period of six montha after the time the work is commenced. One 90 day extension of time
<br />may be allowed for the permit with fe. charge of $15.00. 'fhe extenaion fihall be requested
<br />in wri ting to the Building Oftioial. An approved inspection muat be logged during each 131/\
<br />month period, or the project will be considered abandoned. ,
<br />WARNING TO OWNERI YOUR FAILURE 'ro RECORD A NOTICE OF COMMENCEMENT MAY RESUL'!' IH YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND T006TAIN rINANGIl"'q,~qN~UL'I'
<br />WITH YOUR LENDER OR AN A'fTORNEY BElfORE RECORDING YOUR NOTICE OF COMMENCEMEN'L'. JOBS UNfJER
<br />$2,500 IN VALUE DO NO'l' NEED TO ~ECORD AND POST A "NOTICE OF COMMENCEMEN'f".
<br />
<br />
<br />~ . 1Jdt . x~ 1Z~iL
<br />
<br />SlGHA'l'l1R~ER OR AGENT aIGN(~R~(/ NTRACTOR
<br />
<br />STATE: OF FLORJDA PA-5c
<br />COUNTY OF 0
<br />'l'he foregoing instrument waa acknowledged
<br />Bt:fo~ roe this ~ day of Mfi.'y ,~)
<br />lJy (pUG f3eE/l';'
<br />~name of person ilcknowl,dged)
<br />~ho 1s personally known to me, or
<br />
<br />STA'!'!!: OF FLORIDA PAS
<br />COUNTY OF . { b
<br />The foregoin9 instrument Wli\S aokno.iledged
<br />Betore me thia ~jay of MA'{ ,1!Ji"2i!?"5
<br />by areo r-
<br />~~. --(name of person acknowledged)
<br />~ho i~ personally known to me, or
<br />
<br />Owho has produced
<br />(type of identification)
<br />~ not take an oath.
<br />
<br />A - Cbi:."4!
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Owho has produced
<br />j..t-ype of idtlnti fj, Qa \:ion)
<br />and Vlho Ddid ~id not t.ake an oath
<br />
<br />Br>>a j)~ ~!
<br />
<br />Signature of person tClking etoknoVlleugment
<br />
<br />alld whoD did
<br />~
<br />
<br />Name
<br />
<br />Eflvc? j~\ f}5/JEL
<br />
<br />typed. pJ:inted or starnptld
<br />.,p'X Bruce A Asbel
<br />;.~ ,: My Commission 00116710
<br />~OI,,"'" expires June 22. 2006
<br />
<br />_.._.J~R_~~(. A, A~a{L-
<br />Ilallle typed r pr~~dB~~A~~~rped
<br />. ~ .; MyCommission0011671C
<br />~0If\.'" Expires June 22. 2006
<br />
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