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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOT I CE OF DEED RESTR I CT I ON~:;
<br />The undersigned understands that this perlit lay be subject to 'deed restrictions' which lay be lore restrictive than City
<br />regulations. The undersigned assuees responsibility for co'pliance with any applicable deed restrictions.
<br />
<br />B. WNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contrartor Dr contract~~-~-t~-;~dert~k;-;ork, th;:r-;;y-'''b-e-;:;qui~-;dt;b;-iicensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the o"ner and contractor lay be
<br />cited for a .isdeleanor violation under state law. If the o"ner Dr intended contractor are uncertain as to "hat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, !8131
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor!s) 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 ZephyrhilIs.
<br />
<br />c. TRANSPORTATION H1PACT FEES AND UTILI TY.J;::ot\jNF:C1JON. FEE!?.
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713~ FLORIDA STATUTES~ AS AMENDED)
<br />I certify that I, the applicant, have been provided Hith a copy of 'Florida's Construction lien law - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Constller Affairs. If the applicant is sOleone other than the
<br />"oNner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />.oNner" prior to COllencelent.
<br />
<br />E. ~ONTRACTOR · S/m'JNER 'S AFF I DllY-.!.::r
<br />I certify that all the inforlation in this application is accurate and that all Hork Hill be done in co'pliance Hith all
<br />applicable laws regulating construction, loning, 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 or
<br />installation has cOllenced prior to issuance of a perlit and that all Hork Hill be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent 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 />.y responsibility to identify what actions I lust take to be in cOlpliante. Such agencies include but are not lilited to:
<br />, Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
<br />Water/Wastewater Treat.ent
<br />t Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />, Departlent of Health l Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />, US Environ.ental Protection ~ijency - 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 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, Dr violations of any code. Every perlit issued shall beco.e invalid
<br />unless the work authorized by such perlit is coalenced within six .onths of issuance, or if work authorized by the per.it is
<br />suspended Dr abandoned for a period of six .onths after the ti.e the work is cO'lenred. One 90 day extension of tile, lay be
<br />allowed for the perait 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, Dr the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCEMENT "AY RESULT IN VOUR PAVING 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 />CO"MENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO""ENCE"ENT'.
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PASCO
<br />The foregoing instrument was acknowledged
<br />before me this October 20, 19~ by
<br />
<br />LEWIS CONKLIN
<br />
<br />SlATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />befcl\-e me this ~. ;;t...o , 19~ by
<br />
<br />~
<br />
<br />p~--
<br />
<br />who is persc,nally known to me or who
<br />produced FL DL#C524-520-13-290-0
<br />
<br />as identification and who did/did not
<br />
<br />tal::; an oath.~ ~
<br />
<br />
<br />(SignatLu-e) Lewis Conk in
<br />
<br />~~t~
<br />(Name Type , PrInted or Stamped)
<br />NOTARY PUBLIC
<br />
<br />lEIGH J. CLMS
<br />NOTARY PUGLle, STATE OF FLORI6~
<br />My commission exp:rcs Mar, 21, 10~1.
<br />Comm:ssion No. C C 2 7_ 0 3 d }.
<br />
<br />has
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