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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per~it lay be subject to 'deed restrictions' which .ay be .ore restrictive than City
<br />regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions. ..
<br />
<br />B. UNLICENSED CONTRACTOI~S AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they aay be required to be licensed in accordance with
<br />state and local regulations. If the~tG~ractor is not ,licensed as required by law, both the owner and rontractor .ay be
<br />cited for a .isde.eanor violation under state l~w. If the owner or 1ntended contractor are uncertain as to what licensing
<br />require.ents .ay apply for the intended w~rk, they are advised to contact the City of Zephyrhills Building Depart.ent, (8131
<br />788-6611.
<br />
<br />Further.ore, 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 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 .ay be an indication tiiat he is not properly licensed and is not entitled to per.itting privileges in-the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
<br />
<br />D. CONSTRUCTION LIEN LAt{ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applirant, have been provided with a copy of 'Florida's Construction lien law - Ho.eowner'~ Protection
<br />Guide' prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the
<br />'owner', I certify that I have obtained a copy of the above described docu.ent and promise in good faith to deliver it to the
<br />'owner' prior to cO'lence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby .ade to obtain a per.it to do work and i~stallation 'as indicated. I certify that no work or
<br />installation has co..enced prior to issurtnce of a per.it and that all work will be perfor.ed to .eet standards of all laws
<br />regulating construction, City codes, zoni~g regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other go/ern.ental agencies lay apply to the intended work, and that it is
<br />'Y responsibility to identify what actio!;; I lust take to be in cOlpliance. Such agencies include but are not li.it\?d to:
<br />I Departtent of Environ.ental ReQulation - Cypress Bayheads, Hetland Areas and Environ.entally Sensitive lands,
<br />Wdt2r/Wastewater Treat.ent
<br />I Southwest Florida Water KanaQelent Dis;,-i(t - We~ls: Cypress Bayheaos, Wetland Areas, Altpring Watercourses
<br />I Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waters~vs
<br />f Departlent of Health ~ Rehabilitative Services. Environ.ent~J Health Unit - Wells, Wastewat\?r Treat.ent, Septic Tanks
<br />I US Environ.ental Protection AQency - A~bestos at~tetent
<br />I also certify that, if fill laterla! is '0 t2 tised in F:~o~ .~ll~ .~. ~r '~,~t[.', i~'is uoderstLad thi" a drainage ~lan
<br />addressing a 'colpensating volu.e' will be sublitted which is prepared by a professional engineer registered in the State of
<br />Fl3rida prior to per.it 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 code~, nor shall i~~uance of a pertit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or vi~lations of any code. Every per.it issued shall beeo.e invalid
<br />unless the work authorized by such per.it is co.tenced "l~hin six ~onths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six .onths after th~ ti.e the work is co..enced. One 90 day extension of tile, .ay be
<br />allowed for the per.it with fee charge of $15.00. The exten5~~n shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six .onth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORU A NOTICE OF COKMENCEKENT AAY RESULT IN YOUR PAYING TWICE FOR IKPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND iO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALU;: DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT'.
<br />
<br />i/ /-1
<br />"../ /' ~ ,/r; .7) / / .
<br />....:.. / / ./ ,_i'_ / /,
<br />SIGNATURE: OWNER'OR AGENT
<br />
<br />/
<br />t ( .6.-___ ,- .-: </~/~/~ ~ I
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA U
<br />COUNTY OF r ~_
<br />':h~ forege,ing i,nstr.L~ent vIas acknc.vlledged
<br />::..efcl\-e me this ~9~ ~, 19U- by
<br />
<br />fA;. /l-, Iv e fA W74/1I1'V
<br />who i 5 pel-]J'~-I~ l~ l_y krff1:n to me or who has
<br />produced ~ ~ ,ro ~
<br />
<br />~:~;~':da);~D ~
<br />~ .
<br />E.-o IZ; B€'-1- 1/ In - 1< u.. S..J' -e (, '-
<br />(Ndme Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~TATE OF FLORIDA ~ ~
<br />COUNTY OF ____~
<br />The fc.regc,ing instrUII)~,'t", ,!,ps acknowledged
<br />before me t:'lis g2.~Q'3'1'}..1_~ by
<br />
<br />W.4, /lieu. h'VJNtV
<br />who is pers,nally me or wh9 ~
<br />produced 'E.
<br />as identification ho did/d~d nDt
<br />
<br />~;aY:iHi )-n, ~
<br />~~c~~~-' - t
<br />Lc:o~;'"RE+1I }yr, 1?Vf.SSeLL
<br />(Name Typed, Pr i nted CIj- Stamped)
<br />NOTARY PUBLIC
<br />
<br />Notary Public, 81210 of Florida at Large
<br />My Commission E:<,~';es Aug, 28. 1994
<br />~,i Cc ul(')\J ~~
<br />
<br />Notary Publ~c\ S(;~te of Ficrid~ L~ Lz:rg.:J
<br />My Commiss!c<1 E:,";es Aug. 28.1994
<br />
<br />~,tFCCOl{3 ()~J
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