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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. ~OTI!,:E OF DEED_RESJRICTIO"':!.f~
<br />The undersigned understands that this per.it say be subject to "deed restrictions" which .ay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for co'pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CQNTRA~UJR ~~S~ONS~ILITIE~
<br />If the OHner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance Nith
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a .isdeteanor violation under state law. If the owner Dr intended contractor are uncertain as to Hhat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, IB13)
<br />7BB-bbll.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) 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 per.itting privileges in the
<br />City of Zephyrhills.
<br />
<br />c. TRANSPORTATION H1PfiCT FEE!;LAI:.!P U:U.I,..IJ"V u..~QNHECTLOI'''-..EEE.?.
<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 - HOleoNner's Protection
<br />Guide" prepared by the Florida Departaent of Agriculture and Consuler Affairs. If the applicant is soteone other than the
<br />"owner", I certify that I have obtained a copy of the above described docu~ent and promise in good faith to deliver it to the
<br />"oNner" prior to cOI.encelent.
<br />
<br />E. ~ONTRACTOR I S/m'JNER I ~...B.FF_!..DflVLL
<br />I certify that all the inforlation in this application is accurate and that all Nork will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation has cOltenced prior to issuance of a pertit and that all work Hill be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent 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 lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />. Departtent of Environtental ReQulation '- Cypress Bayheads, Hetland Areas and Environtentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water "anaQelent District - Hells, Cypress Bayheads, Hetland Areas, Altering Hatercourses
<br />f Artv Corps of EnQineers - Seawalls, Docks, Navigable WaterHays
<br />I Departtent of Health L Rehabilitative Services, Environ.ental Health Unit - Wells, Hastewater Treat.ent, Septic Tanks
<br />, US Environ.ental Protection AQencv - Asbestos abatelent
<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 "co.pensating volute" Mill be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perait issued shall be construed to be a license to proceed Hith 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 pertit issued shall becole invalid
<br />unless the work authorized by such per.it is cOI.enced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, .ay be
<br />allowed 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 lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"MENCE"ENT MAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT HITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />~~$~
<br />
<br />SIGIlj\TURE, CONTRACTOR
<br />
<br />d&hJ{..e JI3~
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />STATE OF FLOR)JA
<br />COUNTY OF ~~
<br />The foregoing instrument was ac~nowledged
<br />before me this oe.r.2 9 , 19~ by
<br />.
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF \> ASc...O
<br />The foregoing instrument
<br />before me this ~ ~~
<br />
<br />~las ackno~lledged
<br />, 19 Cj3 by
<br />
<br />
<br />{!;.k; /L kr
<br />who is per seiDa 11
<br />pl-oduced / C-
<br />as id ification
<br />tak tho
<br />
<br />tCM4/1~e"u
<br />known to me Dr who has
<br />
<br />L P\ \..).:)vz...~CE: f><:. 8.ER G 8<-0 ~
<br />who is personally known to me or who has
<br />produced ~ \...-, DL~ [2:>0a<r'S.o\ - s \ - 41/-b
<br />tification and who did/did not
<br />an lath.
<br />
<br />
<br />(Signature)
<br />OEB B \ E... po.,
<br />(Name Typed, Printed or
<br />r~OTAR,{ PUBLIC
<br />
<br />d.+
<br />(Name Typed, Printed or tamped)
<br />NOTARY~C
<br />..' ". OFFICIAL SEAL
<br />
<br />.~,
<br />! BARBARAA. HUPPERT
<br />; . My Commission Expires
<br />.."A~ ..- 4:.1 Nov. 27,1996
<br />".:?OFf~'. Comm. No. CC 240384
<br />......
<br />
<br />DEBB~ A. ROWELL:
<br />NOTARY PUBLIC, STATE OF FLORIDA
<br />My commission expir~s Mar. 21. 1997
<br />Commission No. C'C 2'" 0 2 4 9
<br />
<br />'..
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