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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peraitlay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for coapliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they tay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a aisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (8131
<br />788-6611.
<br />
<br />Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s} sign portions of the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work, If the contractor wishes you to sign
<br />as contractor that aay be an indication that he is not properly licensed and is not entitled to peraitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
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<br />D. CONSTRUCTION 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 Lien Law - Hoaeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docuaent and pro.ise in good faith to deliver it to the
<br />"owner" prior to coaaenceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in coapliance with all
<br />applicable laMS regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perait and that all work will be perfor.ed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agencies aay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I tust take to be in coapliance. Such agencies include but are not lilited to:
<br />I Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Arty Corps of EnQineers - SeaMalls, Docks, Navigable Waterways
<br />I Departaent of Health l Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environlental Protection AQency - Asbestos abate.ent
<br />I also certify that, if fill aaterial is to be used in Flood lone "A" or "A,etc,., it is understood that a drainage plan
<br />addressing a "colpensating volute" will be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A perait issued shall be construed to be a license to proceed with the Mork and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perait prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such perait is coaaenced Mithin six aonths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of six tonths after the tiae the Mork is cOllenced. One 90 day e~tension of tile, aay be
<br />allowed for the perait Mith fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six aonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO"KENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATURE: CONTRACTOR
<br />
<br />
<br />/
<br />
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF ~ ~~:
<br />The foregoing instrument was acknowledged
<br />'-/')C..Lt:. Ct') b
<br />befc1l-e')me this/~t I , 19~ Y
<br />
<br />x:-<-,~ Le e~~,~
<br />
<br />who is personally known
<br />pl-oduced ,<.../..k.-~_d . './ l..--'
<br />as identification and who didl id not
<br />a an oat.( ;), - / /i
<br />a _' ~;Cl!,l, LL'Tl-z......... (27 "iC<-<:<{l
<br />(Signatu' e) S J'd L.
<br />IN If F:! '/ ('II T/-I[K'/ ~Je h-; ,7'1 1<: (' ?J /7/1<;
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORjpA
<br />COUNTY OF fA s ~ 0
<br />The foregoing inrt,rumen~ was acknowledged
<br />befclre me thi9--~. ) 'i , 19-1d by
<br />
<br />-:JfFFR~f L. AhrON
<br />who is pel-sclna 11 y known to me €or '.Jtu:. has
<br />~QElYced
<br />a5 id~ntification and who-d-i.d..ldid not
<br />
<br />tak~~. !J (?~
<br />(S~aturE;?)_ /)..
<br />~.i3.f;) E ..J ' ~ 0 s t3;Jf
<br />(Name Typed, Printed or Stamp) _
<br />NOT PJRY ...E1!BL leG.. (L. 0.3 ~ I 0 ~
<br />is' It). r t/-
<br />Im"A1ff lJIUBlIC STATE OF Ft~rr>>
<br />r~v r.,.,'..nssr~~ EXF AUG. 18,1994-
<br />'f~~:.".0C.1 1f~e: ~ U~~,..~
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