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<br />CONDl'l'IONS or' l:'EKMl'l' AE'IFIDl\Vl'l'
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to "deed restrictions" wid eh
<br />may be more restrictive than City regulations. The undersigned asswnes 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 llot
<br />licensed as required by law, both the owner and contractor may be cited fOl: a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertaill 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 Sections" 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. TRANSPORTA'rION IMPACT ~'EES 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 COllstruction
<br />lien Law - Homeowner's Protection Guide" prepared by the ~'lorida Department of Agricultur:e
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I cer:ify that I
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to co~nencement.
<br />E, CONTRACTO~'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 conunenced prior, to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating const.r.uction, City
<br />codes, zoning regulations, and land development regulations in the j urisdicLion, 1 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 actiollS I must lake lo
<br />be in compliance. Such agencies include but are not limited to: *Departmenl 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 volume" will be submitted which
<br />is prepared by a professional engineer 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 tecllnical 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 such permit is cOllunenced 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 cOIluoenced. One 90 day extension of time
<br />may be allowed for the p~rmit with fee charge of $15.00. The extension shall be requested
<br />in writing to the Building Official. 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 MAY RESUl.T lN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERny. IF YOU INTEND TO OBTAIN F'INANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />:;2. 5~ :n RECORD AND POS'I' A "NOn OF NCEMEN'''' .
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<br />SIGN.ll.TURE: OWNER OR .1I..GENT DZ\VID R. ~BLA.
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<br />ABLi\.
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PASCO
<br />The foregoing instrument was acknowledged
<br />Before me this "];..3 day of ~~hQ.--r , ~~
<br />by DAVID R. ABLA
<br />(name of person acknowledged)
<br />~ who is personally known to me, or
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Before me this L3 day of kA.JA-dt , ~~
<br />by DAVID R:-ABLA
<br />
<br />(name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />PASCO
<br />
<br />
<br />of identificati~n)
<br />take an oath.
<br />
<br />
<br />o who has produced
<br />(type
<br />and did not
<br />
<br />of identification)
<br />n - - ke an oa th
<br />
<br />wledgement
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<br />Signatu '; ~~s~~~It{JikiIl9. aJ~~o edgment
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<br />Name t yU~':~',o~" t!lk..~;:".J1
<br />\t.:o.~ ~- -. -
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<br />Name t
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