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<br />CONDITIONS OF PERMIT AFFID{.'.\VIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit 'may be subject to "deed restrictions" which lay be more restrictive than City
<br />regulations. The undersigned assumes 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 wor~, they lay be required to be lic2nsed in accordance with
<br />state and local regulations. If thecontrador is not licensf:d as rEqu~red by lall, both the owner and contractor may be
<br />cited for a misdemeanor violation under state lall. If the ollner or intended contractor are uncertain as to what licensing
<br />requirements may apply for the intended work, they are advised to contact the City of, Zephyrhills Buildin~ Department, !8131
<br />788-6611.
<br />
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor!sl 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 may 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 - Homeowner's Protection
<br />Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the
<br />"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
<br />"owner" prior to COlmencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all work w.111 be done in compliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby made to obtain a permit to do work and installation .as indicated; I certify that no work Dr
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfor.ed to leet standards of all lalls
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations oj Gther governuental agencies may apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental Reoulation - Cypress Bayheads, Wr.tland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water HanaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering WatercDurses
<br />+ ArlY Corps of Enoineers - Seawalls, Docks, Navigable WaterHijVS
<br />f Departlent of Health L Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environ.ental Protection Aoency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Z~ne "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volule" will be submitted 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 proceeq with the work anr 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 becole invalid
<br />unless the work authorized by such perlit is cOllenced within six Bonths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six months after the tile the work is COI&enced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. The exten~ion shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth pert~d, Dr the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHEMT HAV RESULT IN VOUR PAVING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LtNDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER DR AGENT
<br />
<br />was acknowledged
<br />, 19_._ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF pA SC 0
<br />The foregoing instrument
<br />befcq-e me th i 5 q. 3.0
<br />
<br />was acknowledged
<br />, 19~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befc.re me this
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />w ~ LL.. \ RIY\ e:,. L0 A "-- uE-CK
<br />
<br />who is persona 11 y known to me or wh.o has "
<br />produced DiZ\\)E-R1<;' L(CE~E CFLUI'C\ DfI. ~
<br />as identificatiDn and ~.nh'o did/did nQt
<br />
<br />~~th. -;Id~Lr~
<br />
<br />(Sj~tLrc~~\~'Og ·
<br />~^~ ~(~JL W~ ~L.)^tlJl..
<br />(Name Typed ~ Pr i nted Cq- tamped) r.x::.e,Bic p.., KGl..:EI
<br />NOT ARY PUBLI C ,4t= lk I 0 ~ l 4-
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />NOTARY PUBLIC, STATE OF FLO~1?~
<br />My commission expires Oct. 2. 1 J'.
<br />Bonded thru Patterson - Becht Agenc)
<br />
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