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<br />C~NDITIONS CF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIQ~IS
<br />The undersigned understands that this perlit 11'\1 he sllbjecf tJ "rtel'd restrictions" which lIay be lore restrictive than .Ci ty
<br />regulations. The undersigned assules responsibility f~r cOlplianre with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACrORS AND CONTF-~TOR RESPONSIBILITIES
<br />If the owner has hired a contractor l)) ~~;;t';;;';(;~'~-:C~.~;;d~;' -~:~k;' they may-'"b~-;;'Q~'i-red 't;b;l-i"censed in accclrdaf\ce with
<br />state and local regulations. If the contr1C\ . ?~~~t lice~: ~,-equirrd by law, both the owner and contractor ~ay be
<br />cited for a lisdeleanDr violati~n und~r stat~ l~~, "i ~hE O~: : cr Intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intefltj'~d 1I0r" ~ t!r~y ar, "dvist"J :0 contact the City of Zephyrhills Building Deparhent, (813)
<br />788-66 II.
<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 applic~tion for which they Kill 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 lay be an indicatiJn that ~e is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
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<br />D. CONSTRUCTION LIEN LAY (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 - HOleOMner's Protection
<br />Guide" prepared by the Florida Depart~ent of Agri:ulture and Consuler Affairs. if the applicant is SOlfone other than the
<br />'owner', I certify that I have obtained a copy of the above de~cribed document and promise in good faith to deliver it to the
<br />"owner" prior to cOI.encelent.
<br />
<br />E. CONTF:r-iCTOR I S/O\..JNER.:.?...-....FFEh'I)P!\lX::'
<br />I certify that all the infoflation in thIS "p[:l;:~t '" is aCcliite and that all work will bE.' donE.' in compliance with all
<br />applicable laws regulating constructi~n, zoning, ~Ii :~~d d~V~;Dpt~J;.
<br />
<br />Application is hE.'reby aade to obtain iJ perait to do work Clnd .<lstallation as indicated. I cedify that no w(lrk (Ir
<br />installation has cOllenced prior to i5suance of a pfiJit nj ~i'at all work "ill be perforled to seet standards of all laws
<br />regulating construction, City codes, coning regtlatiDns, cnd land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governJental agencies lay apply to the intended Mork, and that it is
<br />IY responsibility to identify what ac~ions I lust take to be in co.pliance. Such agencies include but are not limited to:
<br />I Departlent of Environlental ReQuIation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater TreatmE.'nt
<br />f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways .
<br />f Departlent of Health & Rehabilitative Services. Environlenta] Health Unit - Wells, WasteMater Treat.ent, SE.'ptic Tanks
<br />I uS Environlental ~fiHeU!Un ,;Qe!!0. ;;;,;Jl:,,~I.:: ,o:.~t:;;;~,,~
<br />I al!:o certify th?t.. if .r~11 ~~t~r!.,l ': !r. ~r, ~~~:~ ~n !=![~,;d 2~;:c. .:,s or BA~['b:.a, ~t i: under:;t:lod thL:it a draiildq2 plan
<br />addressing a "colpensating volule" wi.l be sublitted which is prepared by a profE.'ssional E.'ngineer rE.'gistered 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, caocE.'1 alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall teeole invalid
<br />unless the work authorized by such perlit is cOllenced within six months of issuance, or if work authorized by the per~it is
<br />suspended or abandonE.'d for a period of six lonths aft~r the ti,eE.' the work is co~&encE.'d. One 90 day extension of ti~e, lay be
<br />allowed ~or thE.' perlit with fee charge of $15.00. The exie~sion shall be requested in writing to the Building Official. An
<br />approved' inspection must be logged during eatlt ~jx Goni~ period, Dr the project will be considered abandDned.
<br />WARNING TO Ol/NER: YOUR FAILURE TO RECORD i\ NGil..: iJF ~},;;~Nl riEN, MAY RESULT IN YOUR PAYING TIIICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, LL. j'L i: JTH Yl Oil '.FrliJER OR AN ATTORNEY BEFORE RECORDING YOllR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO hOT tlEt.' ,v RECR!) t H} POST II 'NOTICE OF COMMENCEMENT".
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<br />SIGNATURE: Ol/NER OR A6fN~ SIGNATURE: CONTRACTOR
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<br />The foregoing instl-um,ent was a~~~o\'11eoged
<br />before me this /k6A~, 19.1:.2_ bv
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<br />(Sig ature)
<br />C ha!r1.eh HateJriJ:, 0 Yl HCl.YIiW1h
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<br />(N3'ile TiP5,'rj ,.,i':j" i nted or Stt'lmped)
<br />t;OT BEY PUBL I C
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<br />(Name Typed, Printed or Stamped)
<br />t'LQTp.f.0 PUBLIC
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<br />
<br />RUCHaLE E EVANS
<br />Notary Public
<br />STATE OF TEXAS
<br />IIrComaL ElIp. f.tlr.14, 1993
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