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<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 />