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<br />CONDJfIONS OF PERMIT AFFIDAVIT
<br />A. NOT l~E DE-DEED RE_STR IJ~.J I ot~l3.
<br />The undersigned understands that this periit lay be subject to "deed restricti~ns" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility f~r COMpliance with any applicable deed restrictions.
<br />
<br />B. !,JNL I CENSED CONTRACTORS A.tlI;Lt;JJtLLRAc.__rQR .BsSEPNSi.I B I LII.!J~.9..
<br />If the owner has hired a contractor or contractors to undertake work, they lay 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 ONner and contractor lay be
<br />cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />reQuire.ents lay apply for the intended work, they are advised to contact the City ~f Zephyrhills Building Depart.ent, 19131
<br />798-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or c~ntract~rs, he is advised to have the contractor 15) sign portions of the
<br />"Contractor Sections" of this application for which they "ill 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 perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTAT ION H1PACT FEES ?)tH~ UT I!,.-I Tl_.~ONI':LECTJ OI't.EEES!.
<br />
<br />D. h(JNSTRUCT I ON I",J E;LL1.,..f\_H ([~J'I(,)PTER '7 j :3 ~ F LUn J D() STATUTES ~ (IS ()I"lENDED)
<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 so,eone other than the
<br />'owner", I certify that I have obtained a copy of the above described docu.ent and prolise in good faith to deliver it to the
<br />"owner" prior to COllencelent.
<br />
<br />E. CONTRACTOR I S/Ot.JNER I ~..BFQQIiY-I.I.
<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 work Dr
<br />installation has cOI.~nced prior to issuance of a per,it and that all work will be perfor.ed to .eet 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 govern,ental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not lilited to:
<br />I Departlent of Environ.ental Requlation - Cypress Barheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />I SouthNest Florida Water nanaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlV Corps of EnQine~rs - Seawalls, Docks, Navigable Waterways
<br />I Departl~nt of Health L Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />I US Environlental Protection Aqencv - 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 volute" will be sublitted Nhich is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A per.it issued shall be construed to be a license to proceed with the wDrk and not as authority to violate, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such per.it is co..enced within six tonths of issuance, or if work authorized by the per,it is
<br />suspended or abandoned for a period of six lonths after the tite the work is cO'lenced. One 90 day extension of ti,e, lay be
<br />alloNed for the per.it 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 tonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT nAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />C,""EMCE"EMT. 10'S ..OER $2,50' 1M V~!'-~T NEED TO 'ECOBO AND POST . 'NOTICE~
<br />
<br />
<br />~- ~ J)
<br />".. -~ -~,. - --~
<br />SIGNATURE: __-- .:c= . Q}6NATURE:.-DlU .-/->--- .
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The for ego i ng ins t?m'!lllt
<br />before me this /6 I')
<br />I
<br />
<br />jJ 45-c(J
<br />
<br />"Ias ackno\flledged
<br />, 19 n by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instn. ent "Ji:\S a~S{)\flledged
<br />befl)l-e me th i 5 /() 15:" ~ 19 by
<br />
<br />
<br />who is personally known to me or who has
<br />produced
<br />as .identifica~iCln::pd h~CI d'd/did not
<br />take an oath.
<br />~
<br />-e-
<br />( S i g na tLw e) Notary Public Pasco Co, FL
<br />
<br />(Name Ty~~o,,"i:lN~~5~~----
<br />NOTARY PUBLIC
<br />
<br />who is personally known to me Dr who has
<br />pt-oduced
<br />as identification and who did/did not
<br />
<br />take an oat~~ ~
<br />
<br />(Signature) P bl' Pasco Co. FL
<br />Notary u lC . ' 995
<br />(Name Typ_CoIl_~8 fJplr~~t
<br />riQT AR'LE_UBL I C
<br />
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