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<br />CONDITIONS, OF,PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The ,undersigned understands that this perlit lay be sublect io "deed restricti~ns" which ~ay be o~re restr.ictive than City
<br />regulations. The undersigned assules responsibilit(;for,.colpliance with any applicable deed restrictions.
<br />
<br />'.
<br />B. ~NLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a c~ntractor .or contractors to undertako work, 'they lay be required t~ be licensed in accordance with
<br />state and local regulati~ns. . If the contractor 11 not licensed as required by law, both the ~~ner and c~ntractor lay be
<br />cited for a lisde.eanor violation under state law., If the owner ~r intended contract~r are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills ~uilding Departlent, 1813l
<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 resp~nsible. If you, as the ~wner sign as the c~ntract~r,
<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 aay be an indicatic,n that he is not prc,perly licensed and is not entitled te. penitting privilegH in \t.e
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D.
<br />
<br />CONSTRUCTION LIEN LAW
<br />
<br />(CHAPTER 713, FLORIDA STATUTES, AS AMENDEDl
<br />
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is s~le~ne other than the
<br />"owner", I certify that I have [obtained a. copy of the above described deoculllent and pr(.rrli~e in g(.od faith to deliver it to the
<br />'owner' prior to cOllencelent. '
<br />
<br />~ 1, .: ~: 7. I,. I I : .
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the information in this application is accurate and that all Hork will be d~ne in coapliance with all
<br />applicable laws regulating construtti~n, z~ning, and land developDent.
<br />
<br />Application is hereby lade to ~btain a perlit t~' do work and install~ti~n as indicated, I certify that no work or
<br />installation has co,menced prior to issuance Df a perlit and that all work will be perf~r~ed to meet standards of all laMS
<br />regulating constructi~n, City codes, zoning regulati~ns, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agencies ~ay apply' to the intended work, and that it is
<br />IY responsibility t~ identify Ilhat actions I lust take to be in cOlllpliance. Suct, agencies include bill ~Ie nc.llillited tCl:
<br />
<br />. ".~)I> .
<br />I Depart_ent of Environmental ReQulation - Cypress Bayheads, U~tland Areas and Envir~nmenlally Sensitive L~nds,
<br />Water/Wastewater Treatment
<br />I S~uthwest Florida Water' ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Arty Corps ~f EnQineers - Sealtalls, Docks, Navigable UaterHays
<br />I Departlent ~f Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Ilasteltater Treat~en~, Septic Tanks
<br />I US Environllental Protection AQency - Asbestos abatement
<br />
<br />I alsCl certify that, if fill laterial is to be used in Flbod Z~ne "A" or "A,etc,", it is underst~Dd tl'it a drainage plan
<br />addressing a 'coapensating vCllu.e" Ilill be sublitted which is prepared by a prDfessi~nal engineer re~ist~ied in the state of
<br />Florida prior to permit issuance.
<br />
<br />A per.it issued shall be construed to be a license tD proceed with the work and n~t as auth~rity to viol~te, cancel alter, or
<br />set aside any provisi~ns of the technical cDdes, nor shall issuance of a per~it prevent the Duilding Offici~1 frDI thereafter
<br />requiring a correction ~f errClrs in plans; construction, ~r violations of any c~de, Every per~it issu~d 5hall beeDse invalid
<br />unless the H(.rk autheorized by such permit is c['lIIl1enced within six months eof iS5uance, (.r if \-Ie" k autl.e.. lied by the perait is
<br />suspended or abandoned f~r a period of six lonths after the ti,e the "ork is co~mcnced. One 90 day e:li~sioll of tile, lay be
<br />allowed for the per~it with fee charge of $15.00. The extension shall be requested in Hriling t~ the Building Official. An
<br />approved inspectie.n ~ust be l[.gged during each six 1I0nth period, (.r the pre.ject Iii II be c(.nsider!:d ilb.;I,rlCoi,ed.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND pOST A "NOTICE OF COMMENCEMENT".
<br />
<br />.'J "
<br />j 'IJ.~ '
<br />SIGNATURE~~~~~/~~~~-~-~~
<br />OWNER OR AGENT
<br />
<br />SIGNATURE~\~,_L_-JW.J1,~-f~t '
<br />CONTRACTOR .
<br />
<br />DATE
<br />
<br />--------------------------------.-------
<br />
<br />March 31,1993
<br />
<br />DATE__~~~~~_llLl9~_l_________----------
<br />
<br />~~~~~~C~~R~~_~~~---- . -~-~~~
<br />
<br />Merry L. Ack t
<br />MY COMMISSION ExPIRES__:~~_!321~~!_____
<br />
<br />NOTARY AS TO~' (f (]dttf
<br />OWNER OR AGENT _ ___ 'T~--_.:..--t----.--'. -
<br />erry ~-~tt .
<br />MY COMMISSION EXPIRES__l!E~-1~~-1222-------
<br />
<br />f.w<<jhll
<br />(J ~\ MY~~=EXPIRES
<br />, Jlnuary1!, 1997
<br />, IlONIlEO TtIRU lRlIYfAIN lllJIUlWlCE.~r<<:. . '
<br />
<br />
<br />'f!tA MEMY L ACR1T
<br />!.: . ~"'i MY COIII__ ,~elPI&
<br />.: ....., 15. _
<br />llOfIlEl)1IIIJ"" MIl-. &
<br />
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