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<br />~PR-22-2004 07:50 PM
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<br />:! : CONDITIONS OF PERMIT AFFIDAVIT
<br />A. ffOTICE or DIE I STRICTIONS'
<br />The underaiqned u i~.t.nds that this p.~t may be subject to ~d..d r..triction.u which
<br />~y be more reatr '~v. than City regulations. The undersigned assumes responsibility for
<br />compliance with a i pplicable deed restrictions.
<br />B. UNLICENSED C TORS AND CONTRACTOR RESPONSIBILITIES
<br />T1' t:h",. 9"'".?~ li",~, ,d.. r.Qnt:r..r.t:nr nr r:nnt:rar:t:nn~ t:n unr:l.rt:..kA wnrkl th~y ~~ bl!! r.I.'l)u:l.rRr:I
<br />to be licensed In 'ordanee with state and local regulations.' If the contractor is not
<br />licensed as .tequi .l'Y .1~1I". .b,otl~ ~he owne.t: ;a~d. ,co.nt~a~tor IM:~ be 'ci ted fo.r a. nusdelneanor
<br />violation under' 0 law. :lj'j=:. the owner or intended oontra.otor ~re uncertain :lCl t:o what:
<br />licensing requi~e :~e IMY ~Iilpj,y for the intended work, they are advised to contact the
<br />City of Zephyrhili ulldin9 ~~partment, 813-188-6611.
<br />!'U.t.U~E:UIlt.>.l:~, .Lr.~.t.l ",,: ,.~mn. ha.a 11J..t.CY a CQl.lt&:4lctu!: ox.' contJ:..!H.:t;.c;i.r.:iI, h-= i,.... ct~i"',~y t;Q hClv. the
<br />contcactor(s) sig : . rtions of the ~Contractor SectlonsH of this application tor which they
<br />will be J:espon$ib:~, If you, a.s the owner signs as the contractor, you are indicating. that
<br />you, rather: than ._, :~ L.contractor, are responslble tor t:he work. It t.he contractor wishes
<br />you to sign as fO, . ;ctor:that mey be an indication that he is not properly licens~d and ia
<br />not entitled to'" . 'tUng'privileges in the City of Zephyrhills..
<br />C. TRANSPORTATIO I PACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION:' J:N LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, ". applicant, have been provided with a copy of ~!'lo.t:ida' s Construction
<br />lien Law - Homeow IrS Protection Guide" prepared by the Florida Department of Agriculture
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<br />and Consumer Affa If the appliCant is someone other that the "owner", I eerily that I
<br />hAve oht:.ainp.d a ~ 'of the above deacr.t.bed document and promise in good faith to deliver:
<br />it to the ~ownerH ' '!Lor to commencement. '
<br />E. CONTRACTOR' 91 . ~R' 9 AFFIDAVIT .
<br />I certify that 1[1.1 'Jie' i~foi-mation .in this application is ace-Urate and that: all work will.
<br />be done in compl!. with all applicable laws regulating construction, zoning, and land
<br />development. I !.
<br />Appl~oQtion 10 he .~ made to obt~in ~ permit to do work and inBtallatign a. indicated. I
<br />certify that no w '. or installation has commenced prior. to issuance of a peomit and that
<br />all work will be :~oomed to meet standards of all laW!II regulating construction, City
<br />. coclea, zoniny .l:e~ '!;ione, ..~d l~nd development regul.l.ltions ih t.he jurisdiction. I alao
<br />certify that I \in., :: tand tti~f the regulations ot other governmental agencies may apply to
<br />the intended work,: i~d that 'i~ is my responsibility to identify what actions I must take to
<br />be in compliance. ! .uch agenC1:ea l.nclud.e but: a1:. not. .1..1JnJ.ted t~: *Department ot
<br />Environmental Re9" '/tion-Cypres.s Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wa.lft 'it.er Treatment
<br />.Sauthwest Flori4 . tel' Management Di8tr1.ct-We~is, cypre.s Bayheads, Wetland Areas,
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<br />Altering Watercou .
<br />*ALmy Corps of En ~ I. era-Sea."all:ll; Dock:s, Navigable Waterways
<br />*Oepartment of He i' & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater TLeatm h', Septic Tanks
<br />*u.s. Environment iLiil'rotect1on Agency-Asbeato:ll abatement.
<br />I also certify th 'ti if fill material 1s to be used in Flood Zone "AN or "A, etc."', it is
<br />understood .that a ~"ainage pl.an addressing a "compensatin9 volume'" will be submitted which
<br />is pJ::epa.t:ed by a i,ri.f...ional engineer regil!lt.I!\TPci in the Stat. of Florida prior to permit
<br />issuance. : 1; .. .
<br />A permit issued s~: be con8tr~ed to be a license to proceed with the work and not as
<br />autho.r1t.y to viol \", caul.;"l. t:ll.te.r, or Bet aside any provi8ionolll of t:.hc:: technioal Qode..
<br />nor ah~ll issuanc ; :.f a permit prevent the Building Official from thereafter requiring a
<br />correction of ecr.!r in plans, construction, or violations of any code. Every peLmit
<br />issued ahall beeo ,. ;!lnval.id unless the work author1zecl by such permit is conmellcetl wl\.hlh
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<br />s!x months of 1,s._ ee, or it work authorized by the permit 1s suspended or abandoned for a
<br />period of six ~n:h after the time the work is cOIMnenced. One 90 day extension of time
<br />may be allowed fo: Ihe per~~ ;wi,t;h fee Charge of $l!>.OO. The extenaion shal.l be requestea'
<br />in wd ting to the :B :ild.!ng Q(t;t~ial. An approved inspection mus t be logged during each six
<br />month period, Or !h' project':.ill be considered abandoned.
<br />WARNING TO OWNER:.1 OUR FAILUitjt TO RECORD A NOTICE OF COHKl!:NCEMI!:NT MAY RESULT IN YOUR
<br />PAYING TWIC~ FOR 'M'ROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YO.UR LENDE 'i 'AN ATTORNEY BEFORE R.ECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UN.DI!:R
<br />$2,5"" V 'N&&O TO ""CORa ~O POST A "N"W.d" ,
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<br />MVID R. ABLA SIGNA'lUREl CONTRACTOR DAVID R. ABIA
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<br />P.08
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<br />.\,;]uluwledgetl
<br />.. '. , 1!L-
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<br />STATE OF FLORIDA
<br />COUNTY OF PASCO
<br />The ~Qregolng inet~ument waa
<br />B_fore me this ~ay of
<br />by DAVID R.
<br />
<br />i:lcknowlcdged
<br />, ~9-:...
<br />
<br />ac.knowleclCjJed)
<br />known to me, or
<br />
<br />(name of per80n acknowledged)
<br />~ho is personally known to me, or
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<br />".
<br />
<br />o who has produced '.
<br />(tyPe of identification)
<br />and who i~ not an oath
<br />. ...
<br />
<br />Gf identificati~n)
<br />take an oath.
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