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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A . N.Qll~E OF _pEt;:D_.f:ESJR I CT lONE:;
<br />The undersigned understands that this pertit ~ay'!b~-~ubject tD 'deed restrictiDns' IIhich tay be tore restrictive than City
<br />regulations. The undersigned assules responsibility for co~pliance lIith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ollner has hired a contradCfr or contract~-;'-~'''i;-~~d;;t~ke 1I0rk:th;y.~-;y-b-;~~quired 'to be iicensed in accordance lIith
<br />state and local regulations. If the contractor is not licensed as required by lall, both the ollner and contractor lay be
<br />cited for a .isdeleanor violation under state IaN. If the ollner or intended contractor are uncertain as to IIhat licensing
<br />require,ents lay apply for the intended lIor~, they are advised to contact the City of Zephyrhills Building Departlent, IBI31
<br />7BB-bbll.
<br />
<br />Furtherlore, if the ollner has hired a contractor or contractors, he is advised to have the contractorls) sign portions of the
<br />"Contractor Sections' of this application for IIhich they lIill be responsible. If you, as the ollner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor IIi shes you to sign
<br />as contractor that .ay 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. TRANSPORTAl' I ON ! NPACT FEE~_ ?)NQ..JlI1J:::J TY...~.QN~FCTJ ON.. FEE!?.
<br />
<br />D . ~ONSTRUCT I ON l"._I E!Ll"..BH (CH{)PTER '7 j 3 ~ FUJr.: I Dn STATUTES, (IS ()t'lHmED)
<br />I certify that 1, the applicant, have been provided with a CDPY of "Florida's Construction lien lall - HOleollner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />"ollner", I certify that I have obtained a copy of the above described doculent and prD.ise in good faith to deliver it tD the
<br />"ollner" prior to co.tencelent.
<br />
<br />E. CONl:Rr'CTOR I S/OHNER I S ~EE.!J2l:lYl.::r.:.
<br />I certify that all the inforlation in this application is accurate and that all lIork lIill be done in cOlpliance lIith all
<br />applicable lalls regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do 1I0rk and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a per.it and that all lIork lIill be perfor.ed 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 govern.ental agencies .ay apply to the intended 1I0rk, and that it is
<br />IY responsibility to identify "hat actions I lust take to be in co.pliance. Such agencies include but are not litited to:
<br />, Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
<br />WaterfWastellater Treat.ent
<br />, Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />, ArlV Corps of EnQineers - Seallalls, Docks, Navigable Waterllays
<br />f Departtent of Health l Rehabilitative Services. Environlental Health Unit - Wells, Wastellater Treatlent, Septic Tanks
<br />, US Environ.ental Protection Aqencv - Asbestos abateleot
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.", it is understood that a drainage plan
<br />addressing a 'colpensating volute" "ill be subtitted IIhich 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 pertit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becote invalid
<br />unless the work authorized by such perlit is cOltenced lIithin six tonths of issuance, or if 1I0rk authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tite the work is co.tenced. One 90 day extension of tile, lay be
<br />allowed for the perlit lIith 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 CO""ENCE"ENT MAY 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 />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCE"
<br />
<br />
<br />SlGN(~ -,
<br />
<br />j?~
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The fon?going inst2Lent
<br />before me this If) 7
<br />I
<br />
<br />was acknoltlledged
<br />, 19.ti. by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oat~/ ~~
<br />
<br />(SignatLll-e)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />Notary Public Pasco Co. FL
<br />My Commission Expires May 13. 1995
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregDing instrument was acknowledged
<br />befc.re me this /01>7 , 19 <73 by
<br />I
<br />
<br />//15 CQ_
<br />
<br />who is persDnally known to me or who has
<br />pl-oduced
<br />as identification and who did/did not
<br />take an oat~/~ ~
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />t:,l.QT ARY PUBLI C
<br />
<br />Notary Public P~sco Co. FL
<br />My Commission Explres May 13. \995
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