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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />.The undersigned understands that this perlit .ay be 5ubjert to "deed restrirtions. whirh lay be lore restrictive than C~ty'
<br />regulations. The undersigned assules responsibility for cOlpliance with any applirable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ONner has hired a contractor or contractors to undertake Nork, they lay be required to be licensed in arcordance with
<br />state and local regulations. If ,the' ~.ntractor is not licensed as required by laN, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state IaN. Il the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of,Zephyrhills Building Departlent, 18131
<br />788-6bll.
<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 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 LaN - HOleowner's Protection
<br />Guide" prepared by the Florida Department-of Agriculture and Consuler Affairs. if the, applicant is someone other than the
<br />.owner", I certify that I have obtained a ~opy of the above described document and promise in good faith to deliver it to the
<br />"owner" prior to commencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no Nork or
<br />installation has com.enced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand ,that the regulations of other governmental agencies lay 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 ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaQelent District. - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health L Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone .A" or .A,etc,., it is understood that a drainage plan
<br />addressing a "colpensating volule" will be sublitted 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 proceed with the work and 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 frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall becole invalid
<br />unless the work authorized by such perlit is cOllenced within six lonths of issuance, Dr if work authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cO.lenced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth perIod, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR P~YING TWICE FOR IHPROVEHENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CDftMENCEOENT. JOBS UNDER '2,500 I ~AlUE DO NOT NEED TO RECORD AND P~O~
<br />
<br />
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />STATE OF flORIDA D
<br />COUNTY OF " /IS c 0
<br />The foregoing' instrument was acknowledged
<br />before mF? this /1 // I~;i ' 191? _ hy
<br />
<br />/I/~" / .../
<br />"c,l---5,o/../ /1 '"I ~"i 4 ,-1...-
<br />who is QersonaI11'kno~ to me Dr who has
<br />produced
<br />as ,identi f"ication and~hc, id/did not
<br />t~) C'"dlA. '
<br />
<br />,__~ .-/.,,/,~ vo.L~'1_, .~...,i
<br />
<br />(Signatul-e) _)/,j( 'l---ry,('i,;.'J,~"'.il-j
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregcl i ng
<br />
<br />f)1 -1'(:- Q
<br />instrument was acknowledged
<br />b~f(;'rc' m:= th:. s ,//' Il,/"I , 19 "'{ \:' by
<br />r",l
<br />~1
<br />
<br />;~ /;> /' i ..-:-.../1........- ,~<..,_: r' . . 1",<:'/
<br />who i s~~.~!~tJ"y::7)~~~l1 to me Dr whc, has
<br />produced
<br />as identification and who did/did not
<br />
<br />take an~~A~-1A-.J~:if
<br />
<br />(S. t ') ~"~, -- '; r
<br />1 g na u r e. ,~__ ~~ljl ....4..; t,. ..1-~~.(.<\' d.,." '? i 0/
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />..,,'~~A~~fU;;;,.. DAN FARNSWORTH
<br />~*~.tb"'f.~ MY COMM1SSION /I CC 186067 EXPIRES
<br /><~"~:O': April 21, 1996
<br />~;:;f;,iif.,~~~" BONOEO THRU TROY FAIN INSURANCE,INC,
<br />
<br />"UH.,
<br />.~~Y,r~~ DAN FARNSWORTH
<br />[.(~'\*~ M'{ COMMISSION /I CC 186067 EXPIRES
<br />W'~'~l April 21, 1996
<br />"'1f.fif.,'f,'J-" BONOEO THRU TROY FAIN It,SURANCE,lNC,
<br />
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