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<br />....vlwJ.J.Hmd UJ!' l;'l!;HMI'l' AE'lj'IDAVIT
<br />A, NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands thlJt thia p~rmi t may be subjeot to "deed restrictions" wbidl
<br />nl~Y be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CON'l'AAC'l'ORS AND CON'l'AACTOR RESPONSIBUITIES
<br />If tile owner has hired a contractor OE contractors ~o undertake work, they may be requir~d
<br />to be lJcensed in 'ilccordance with state and local regulations. If t.he contractor is not.
<br />Jicensed as required by law, both the owner and contractor may be cited for a miademealloJ:
<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 oontaot the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furthermol::e, 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 appl1.cation for which they
<br />vii] 1 be responsible. I f you,. as t.he owner signs "Ii the contractol;, YQl,l are i.ndicating that;
<br />YOll, rather than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign as contr~ctor that may be an indicatiQn that he 1.s not properly licensed alld 1s
<br />not entitled to permitting privileges in the City of Zephyrh1l1s.
<br />C, 'l'RANSl'OR'l'ATION IMPACT FEES AND U'rILITY CONNECTION FEES
<br />LJ. CONB'l'RlICTUION l,nN LAW (CHAP'I'ER 713, FLORIDA STATUTES, AS AMENDED)
<br />r certify that 1, the applicant, have been provid~d with a oopy of "Florida's Constr\lction
<br />11en Law - Homeowner's Prot'.otion Guide" prepared by the Florida Department of Agr1culture
<br />Clnd Conellmer Affairs. If the appliclnt 18 someone other that: the \'owner", I carity that 1
<br />llave obtained a copy of the above deacribed document and promise in good fa1th to deliver
<br />jt to the "owner" prior to commencement.
<br />E. CONTRAC'rOR' a/OWNER'S AFIi'IDAVI'r
<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 regulat1ng construction, zoning, and land
<br />development.
<br />Applioation is hereby made to obtain a perm1t to do work and installation as indioated. 1
<br />certify that no work or installation has commenoed prior to iasuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating o6natruation, City
<br />codes, zoning regulations, and land development regulations in the j\lrisdiction. J also
<br />certify that I understand that th~ regulat10na of otb~r governmental agencies In~y apply to
<br />the intended work, and that it 11 .my responsibility to identify what aotions I must take La
<br />1.>e in compliance. Such agencies inolude but are not limited tOI *Department of
<br />Environmental Regulation-Cypresa Bayheada, Wetland Areas and Environmentally Sensitive
<br />Lands, Wetter/Wastewater Treatment
<br />*Soutllwe~t Florida Water Management Distriot-Wells, 'Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*lJeptlr-tmenl ot Health & Rehabilitative Services, Environmental Health Unit-Walla,
<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 rlood Zone qA" or "A,etc.H, it is
<br />understood that a drai-nage plan addressing a "compensating volume" 'will be Bllbmi tted v/hich
<br />16 prepared by a professional engineer registered in th~ State of Florida prior to permit
<br />jssuance.
<br />A perlnit issued shall be construed to be a license to proceed with bhe work and not as
<br />authority to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor sllall 1.ssuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, Qon~~ruotloqr or v19~~~ions of any oode. Every pe~m1t
<br />lt3sueld shall beoome invalid unl... th, work .uthodzea by such permi t is oommenoed v/ithin
<br />slx months of isauance, or if work authorized by the permit is suspended or abandoqed for a
<br />period of .six months after the time the work is commenced. One 90 day extension of tlme
<br />may be allowed for the permit with fee charge of $15.00. The extellsion shall be requested
<br />in wri ting to the Building Official. An approved insptsction must be logged during each sj x
<br />llIonth period, or thts project will be considered abandoned. ,
<br />WARNING TO OWNERI YOUR fAILURE '1'0 RECORD A NOTICE or COMMENCEMENT MAY RESUL'J' IH YOUR
<br />PA'tING TWICE FOR IMPROVEMENTS TO YOUR fROPERTY, n YOU INTEND TO OBTAIN rINANGINq, .~qN@ULT
<br />WITH YOUR LENDER OR AN A'fTORNEY BEfORE RECORDING YOUR NOTICE OF COMMENCEMEN'I'. JOBS UNDER
<br />$2,500 IN VALUE DO NO'l' NEED TO RECORD AND POST A "NOTICE OF COMMENCEMEN'I'''.
<br />
<br />J1~p;~ 1J~~
<br />
<br />S~~~ER OR AGENT
<br />
<br />.r!:j / -1J~~~
<br />
<br />SIGNA'I'URE I ~TRACTOR
<br />
<br />STATE: OF FLORIDA PM ()
<br />COUNTY OF G
<br />The foregoing instrument was acknowledged
<br />Bt:lfor~ me thh~ day of (11/tl( ,~}
<br />uy (o1lf.AO R~fl,c.
<br />....--1 name of person acknowl,dged)
<br />~ho 1s personally known to me, or
<br />
<br />STA'I'E OF FLORID~f ~SC
<br />COUNTY OF . 0
<br />The foregoing- instrument w~s_~o!<lIoHledged
<br />Betore me this -1--.s:lay ot.lYl1t.':{-, f1176Q7
<br />by G'R~ti> Bb68~
<br />~~. (name of person aoknowledged)
<br />~ho i~ personally known to me, or
<br />
<br />Dwho has produced
<br />~type
<br />and wlloD did [B'Cfid not
<br />~ 4. CW-eQ
<br />
<br />Signature of person taking acknowledgement
<br />
<br />___J3~~:f _~-1l_5g6L
<br />
<br />Ildllle typed, P~~a\.~~A~~lmped
<br />
<br />,~ .; My Commission 00116710
<br />0, ro.'.I' Expires June 22, 2006
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<br />of identification)
<br />take an oath.
<br />
<br />Owho haa produced
<br />(type of idantifica~lon)
<br />and Hho Odid [B:l1d not t.ake an oath
<br />
<br />B~ fL.~
<br />
<br />Signature of person taking aoknowleugment
<br />
<br />Name
<br />
<br />1'5 Rv~E A. f} 5IJE L__________
<br />type~~tFb&~~i?ef starnpbd
<br />
<br />,~ .; My CommiSSion 00116710
<br />0' ro.'.I' Expires June 22, 2006
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