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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />~. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it .ay be subject to "deed restrictions" which lay be .ore restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. '
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor Dr contractors to undertake work, they .ay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor .ay be
<br />cited for a .isdeeeanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing
<br />require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 18131
<br />788-6611.
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorls} 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 lay be an indication that 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 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 Law - HOleowner's Protection
<br />6uide" prepared by the Florida Depart.ent of Agriculture and Consueer Affairs, If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and protise in good faith to deliver it to the
<br />"owner" prior to cOleence.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 installation as indicated. I certify that no work or
<br />installation has co.tenced prior to issuance of a per.it and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies eay apply to the intended work, and that it is
<br />.Y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water "anaoe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Depart.ent of Health & Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />t US Environ.ental Protection AQency - Asbestos abate.ent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc,", it is understood that a drainage plan
<br />addressing a "colpensating volu.e" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it 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 per.it issued shall beeoee invalid
<br />unless the work authorized by such per.it is cOleenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six .onths after the tiee the work is coeeenced. One 90 day extension of tile, lay be
<br />allowed for the pereit 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 looth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT KAY RESULT IN YOUR PAVING TWICE FOR I"PROVE"ENTS TO VOUR
<br />~ROP. I.F~OU INTEN OBTAIN FINAN,CING,. CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />NC NT, ~UNDE ,$2, 0 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COK"ENCE"ENT",
<br />z., {LP'--:f. 0; :-<:- f rz'(/74-~
<br />
<br />~ - ~.L. ,..i.e"-<- Ie;;. L-. .s 7a1G GOJJ"'-<.
<br />
<br />SI6NATURE: OWNER 0 SI6NATURE: CONT ACTOR
<br />
<br />STATE OF FLORID~
<br />COUNTY OF ---t 4 s ( 0
<br />The foregoing ~strumert was acknowledged
<br />before me thi9+' - , 19q'~ by
<br />
<br />A \ ,'(..(:,. -SO(\cS-
<br />who is personally known to me Of who has
<br />produced \~ f\Gi..Ol'\ Q.t'("~Cr'\ A "~
<br />as iden ification and'who di~i no~
<br />take oath. (~
<br />
<br />,/,~:~t%~ IJ /h(U/!UIYl
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P ASeO
<br />. The foregoing instrument was acknowledged
<br />befclre me this Sept, 8, 19..2.3- by
<br />
<br />Debra W. Steve
<br />
<br />x who is personally known to me or who has
<br />produced
<br />as identification
<br />ta' an oath.
<br />
<br />
<br />(SignatUl-e)
<br />Merry T. ,
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />.~~ OFFICIAL SEAL
<br />(!il\ SUSAN A. McCOLLUM
<br />} My Commission Expires
<br />'ft.. I April 16. 1997
<br />....~Qt~.. Comm, No, CC 268679
<br />........
<br />
<br />
<br />MERRY L ACKETT
<br />f#( COMMISSION , CC253538 EXPIRES
<br />J8nuIry 15. 11197
<br />IllNllED l1fU 1RDV FAIN 1HSUlWlCE. INC.
<br />
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