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<br />CONDITIONS OF PC ~MIT AFFIDAVIT
<br />
<br />A. NOT I CE OF DEED F~E~_T~":~T CT I O~J~3
<br />The undersigned understands that this r~rmit may be subject to "deed restrictiDns" which way be reere restrictive than City
<br />regulations, The undersigned assules r~5ponsibility for compliance ~ith any applicable deed restrictions.
<br />
<br />B. UNL I CENSED COtHRf-~C'l [lRS AND CONTRP,CTOR R~2f.:.Qj\I~~L!~ll::..LT I E~,-
<br />If the owner has hired a contractor Dr c~ntractors to undertake work, they may be required to be licensed in accordance with
<br />state and local regulations. if the c(ntractor is not licens~d as required by law, both the owner and contractor may be
<br />cited for a eisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirements aay apply for the intende,: ~Drk, they are advised to contact the City of Zephyrhills Building Department, (813)
<br />7BB-bb 11.
<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 owner sign as the contractor,
<br />you are indicating that you, rather th,.n the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that ;ay be an indicativ;, that h~ is not properly licensed and is not entitled to permitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMP(CT FEES AND UTILITY CONNECTION FEES
<br />-- ...-.
<br />
<br />D. CONSTRUCT I ON L I EN L ;?M (CHAPTER 713, FLOF: I D(') STiCH UTES , {is AI'1ENDED:>
<br />I certify that I, the applicant, have l'een provided with a copy of "Florida's Construction Lien Law - Homeowner's Protection
<br />Guide" prepared by the Florida Departl~nt of Agriculture and Consumer Affairs. If th~ applicant is someone other than the
<br />"owner", I certify that I have obtaine!' a copy of the above described document and promise in good faith to deliver it to the
<br />'owner" prior to cOIDence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'~ AFFIDAVII
<br />I certify that all the information in ~his application is accurate and that all work will be done In complianc~ with all
<br />applicable laws regulating constructio" zoning, and land development.
<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 coamenced prior to is'!uance of a permit and that all work will be performed to .eet standards of all laws
<br />regulating construction, City codes, z"ning regulations, and land development regulatipns in the jurisdiction. I also
<br />certify that I understand that the reg.'lations of other governmental agencies may apply to the intended work, and that it is
<br />IY responsibility to identify what actlons I must take to be in cOlpliance. Such agencies include but are not limited to:
<br />I Department of Environ.ental ReQulati'~l - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water ManaQement D.,strict - Wells, Cypress Bayheads, Hetland Area~, Altering Watercourses
<br />I ArlY Corps of Enoineers - Seawalls, Docks, Navigable Waterways
<br />t Department of Health ~ Rehabilitativ" Services, Environmental Health Unit - Wells, Wast~Hater Treatment, Septic Tanks
<br />I US Environ.ental Protection AQencv - Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "AH or HA,etc,', it is understood that a drainage plan
<br />addressing a "compensating volume" Mill be submitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to permit issuance.
<br />
<br />A permit issued shall be construed to :'e a license to proceed with the Hork and not as authority to violate, cancel alter, Dr
<br />set aside any provisions of the techni,:aI codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />requiring a correction of errors in pl~ns, cDnstruction, Dr violations of any code, Every per~it issu~d shall beco~e invalid
<br />unless the work authorized by such per ,it is com~enced within six months of issuance~ or if work authorized by the permit is
<br />suspended or abandoned for a period of six months after the ti~e the work is COffi~enced. One 90 day extension of time, iay be
<br />allowed for the permit with fee chargE of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection must be logged dUi'lng each six month period, Of the project ~ill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECJRD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERT YOU INTEND TO OBTAIN FIN~NCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COM" CEMENT. aBS UNDER $2,500 IN Vi,.UE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />(~~.
<br />
<br />SIGNATURE: OWNER [) AGENT .
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing
<br />before me this
<br />
<br />Pasco
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />
<br />Pasco
<br />
<br />ac kno\.'J I edged
<br />19~ by
<br />
<br />instrument W25 acknowledged
<br />10-28 ~ 192L by
<br />
<br />The foregoing instrument
<br />before me this 19- 28-
<br />
<br />~~J~S
<br />
<br />Pency Owens
<br />
<br />R. C. Burnette
<br />
<br />who is personally known to me or who has
<br />pl'oduced_ Drivers License
<br />as ,id::nt i fi,=: i(,.n and 1'1:&0 (,1 /d id not
<br />take cln Dilti/lo/. . ,)
<br />_~a..e~..} .,~~---fA.,.AL/
<br />(Signatu/e)
<br />Gracie Owens
<br />
<br />(Name TYF'~d" Pi'inted 0', Stcmped)
<br />NOT ARY,_f'UBU C
<br />
<br />who is personally known to me or who has
<br />prDduced Drivers License
<br />as iden ification and 0 did/did nDt
<br />IcClth.
<br />,/f.- ~L (j
<br />
<br />
<br />
<br />,
<br />_ -r-L-~
<br />
<br />(Sig"nature)
<br />Gracie Owens
<br />(Name Typed, Printed or Stamped)
<br />NOTAR'LPUJ~1,J.~
<br />
<br />
<br />~r y~'~.
<br />BONDED THRU NOTAi\.-^, J.:(!~~L';:C 'iJl~::,E;:-~\ii;:U:.f~:i.1.s.
<br />
<br />
<br />.,-~_c: .~~
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