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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />, A. ,NOTICE OF DE~~:ESTRICTIONS .
<br />The undersigned understands that this perlitlay be subject tD "deed restrictions' which lay be lore restrictive than City
<br />regulations. The und~rsigned assules responsibility for cospliance with any applicable deed restrictions. .
<br />
<br />B. UNLICENSED CONTRACTORS ANP CONTRBCTOR RESPONSIBILITIES
<br />If the ollner has hired a c(jntrac1;or or con tn, to undertak~ IIC/ric, they may be required to be licensed in accordance with
<br />state and local regulations. If the.r.onftactor IS not licensed as required by la", both thg ONner and contractor lay be
<br />cited for a lisdeleanor violation under state Ii.. If the ollner tr intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (B131
<br />7BB-bb! 1.
<br />
<br />Furtherlore, if the owner has hired a contractor or co~tractor~, he is advised to have the contractortsl sign portions of the
<br />"Contractor Sections' of this applil)tion for which t~~: lIill be r~sponsible. 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 IIi shes you to sign
<br />as contractor that lay 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 FEE~
<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 - HOleollner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. if the applicant is sOleone other than the
<br />"ollner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the
<br />'ollner" prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/DWNER'S HFFIDAVIT
<br />I certify that all the inforlation in this application is accur ". and that all work will be done in co.?iiance with all
<br />applicable laws regulating construction, zoni~~, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no 1I0rk or
<br />installation has cOllenced prior to issuance of a perlit and that all 1I0rK will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land devel~~.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern!t~t~l ayencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust jake to be in cOlpliance. Such agencies, include but are not li.ited to:
<br />f Departlent of Environlental ReQulation - Cypl ~ss Bavheads, "~t]and Areas and Environlentally Sensitive Lands,
<br />~ater/Wast~~a~'er Treat&ent
<br />f Southllest Florida Water ManaQelent District - ~ells, Cypres~ Jayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, DOCKS, Navi~cble ~at~rllays
<br />f Pepartlent of Health ~ Rehabilitative Servi(2~, En~irolllental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbesto3 abatelcnt
<br />I also certify that, if fill laterial is to be ~:eJ in Flood Zu;~ A' Dr "A,etc.", itis underst00d that a drainage plan
<br />addressing a 'colpensating volule' will be sub.itted whic~ is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A pertit 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, ~or shall iss!l~nce of a perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or v~!lations of any code. Every pertit issued shall beeote invalid
<br />unless the work authorized by such perlit is cOllenced within ~ix Bonths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the tile the lIork is comienced. One 90 day extension of tile, lay be
<br />allowed fer the perlit with fee charge of $15.00. The extension shall requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or th project will b considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICF O~ COMMENCEMENT MA RESULT IN YOUR, YING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING; CONSULT WITH YOUR LEND OR AN ATTORNEY B ORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT N~ED TO RECOR~ A P ST A . 0 ICE C MENCEHEN'.
<br />
<br />x gn;f- COHAfJl-OM
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />
<br />""PASCo
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ?.q,sc6
<br />The foregoing lnst~ment was a.-8mowledged
<br />before me this ~ ~O , 19_~ bv
<br />
<br />COMPmtV ,
<br />
<br />
<br />known 0 me Dr who has
<br />
<br />-
<br />The foregoing instrument was acknowledged
<br />h,?fr,'-"" me> +-h;,,9/U ,1'7~ by
<br />
<br />AJ's
<br />who is who has
<br />produced
<br />as identification and who did/did not
<br />~e an oath. ,.A
<br />.~rI~4-- 4:J..9L~ J
<br />(Si~tLn-e)
<br />/U;{' IJ 'DR a e- it;. i3' /l-
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />, natLll-e) ~ . /<
<br /><..::) tA) . I?? &? Iv..J
<br />(Name Typed, Printed or Stdmped)
<br />NOTARY PUBLIC
<br />
<br />OlkIIISIaI ~
<br />JILL W. LEMONS .
<br />NOlalY Public. Slale of Florida
<br />My comm, expire& Oct 3, '994
<br />No. CC052771
<br />
<br />(&'''''''
<br />$ ~ BRENDA GBGER
<br />i*~ :; MY COMMISSION' CC 196331 EXPIRES
<br />."'-~ May 2. 1996
<br />,iit~", 80NIIED 1HIlU TROY FAIN INSURANCE, INC.
<br />
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