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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.itlay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance 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 "ork, they lay be required to be licensed in accordance with
<br />state and local regulations. If the bSiiUactor is not.;Jicenseci as required byIaw, both the owner and contractor laY be
<br />cited for a lisde.eanor violation under state law. If the owner Dr intended contractor are uncertain as to "hat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, 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 ollner 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 .ay be an indication that he is not properly licensed and is not entitled to perlitting privileges in'the
<br />City of Zephyrhills. '
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<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 - HOleowner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and pro.ise in good faith to deliver it to the
<br />"owner" prior to cOI.encelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this appl:~ation is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a per.it to do work and installation as indicated; I certify that no work or
<br />installation has cO'lenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laMS
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies .ay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to:
<br />f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health l Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abate.ent
<br />I also certify that, if fiil .aterial is to oe u:ii:O ill ;:iouu 'i;'I.; ';;" or "A,fte.., it is understtiod that a drainage plan
<br />addressing a "colpensating volu.e" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beeole invalid
<br />unless the work authorized by such per.it is cOI.enced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six ,.onths after the ti.e the work is cOllenced. One 90 day extension of ti.e, lay be
<br />allowed for the perlit with 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 lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK"ENCEKENT 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 />COK"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />U-dY /-<:::::~/--
<br />/~ ./ ~_/:.' /.
<br />
<br />SIGNATURE. OW~/OR AGENT SI"AT~
<br />FOl.."" t!6-OJ~ -7rJ-- tc</-.:J:<s-o ~~ t/S2'2.. -7J'4'- ~ tj-2....z-1-0
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF .b ~....IJ
<br />The foregoing instrument was acknowledged
<br />before me this 3o~ 3~' 19..!l!:::::. by
<br />
<br />:\r67L Jd ~U~ 'i L)A IJ.")('/H/JC.
<br />who is perscnally known to me or who has
<br />produ~ed ,c/} L -#' V S-U - 71ft--"c{- .i1;}..s-{)
<br />as identification and who did/did not
<br />
<br />t~~~6tD.-c-a:; A~-
<br />
<br />(s~nat n2.l
<br />oa~ RIA' A. ~ € LV (~ _
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA ,/j
<br />COUNTY OF if ~.B
<br />The foregoing instr~ment was acknowledged
<br />befol-e me this~4 30 , 19~ by
<br />
<br />S C-6 7' r JJ €. II) ~ ':i ( )fT f-J S co!:lK.
<br />who is personally known to me Dr who has
<br />produced FDL-Il z.}S2.7.- 7tf'II-bC/-.::J..:2.S-0
<br />as identification and whD did/did nvt
<br />take a~'atp." ~A I
<br />.L;. t2 ~' ,~ ~--;
<br />(Si9Jlfl ,ure)
<br />lf61~~ fl.T~ J3. LE {-l.Li}__-,-__.
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />No~~~Y ~~~L1C, S~~TE a~ ~Lb~,BA
<br />
<br />My commission expires Jan, 28,1995
<br />agnded thru Patterson - Becht Agenoy
<br />
<br />"
<br />NOTARY PUBLIC, STATE OF FLORIDA
<br />My commission expires Jan. 28,1995
<br />Bonded thru Patterson. Becht Agency
<br />
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