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<br />CONDITIONS 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 regulati~ns. 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. If 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 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 d~scribed 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 i8suance of a permit and that
<br />all work will be performed 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, cypress 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 fill 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 en9int~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 requiring a
<br />correction of errors in plans, construction, :or violations of any code. Every permit
<br />issued shall become invalid unless the work authorized .by auch peXD\1t 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 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 HAY 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 BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />~1 ~ t).ui4 ~ ./Jek
<br />
<br />SIGlATU : 0 ER 0 AGENT SIG TUR: NTRACTOR
<br />
<br />STATE OF FLORIDA 'Dil <".
<br />COUNTY OF I vue 0
<br />The foregoing instrument was acknowledged
<br />Before me this ~ day of fVljJ,if ' :2P.~
<br />by ~f/E:t;J ~
<br />~name of person acknowledged)
<br />Qrwho is personally known to me, or
<br />
<br />STATE OF FLORIDA lD~( 0
<br />COUNTY OF L
<br />The foregoing instrument was acxnowledged
<br />Before me this 2--7 day of M !:tv , 2.0 Q..)
<br />by ~/J~ (11(/:::0;:'
<br />~(n~e of person acknowledged)
<br />~ho ia personally known to me, or
<br />
<br />Owho has produced
<br />l type
<br />and whoO did [9"Cfid not
<br />
<br />~4.~
<br />
<br />Signature of person taking acknowledgement
<br />
<br />of identification)
<br />take an oach.
<br />
<br />Owho has produced
<br />ltype of identification)
<br />and who Odid ~ not take an oath
<br />
<br />B~ ;J. CU~
<br />
<br />Signature ot person taking acknowledgment
<br />
<br />f3~ Il,
<br />
<br />JrLuc...f 45 DfiL
<br />
<br />Name typed, printed or stamped
<br />~ ~ Bruce A Asbel
<br />!~ ; MycommissionDD116710
<br />~~...df Expires June 22. 2006
<br />
<br />Name
<br />
<br />If- :>t3i7 L
<br />
<br />typed, printed or stamped
<br />
<br />J>j' Bruce A AsbEll .
<br />
<br />~ cy,.) My Commission 00116710
<br />~'" Expires June 22. 2006
<br />
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