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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore 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 or contractors to undertake MOrk, 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 lisde.eanor violation under state IaN. If the ONner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended Nork, they are advised to contact the City of Zephyrhills Building Departlent, IB13}
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorlsJ sign portions of the
<br />"Contractor Sections" of this application for Nhich 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 perlitting 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 Nith a copy of "Florida's Construction Lien LaN - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler 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 />"owner" prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<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 laNs 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 Nork Dr
<br />installation has cOltenced prior to issuance of a perlit and that all Nork will 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 governlental 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 lilited to:
<br />f Departlent of Environaental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f SouthNest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of Enqineers - SeaNalls, Docks, Navigable WaterNays
<br />f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environ.ental Protection Aqency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volule" 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 perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr
<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 perlit issued shall becole invalid
<br />unless the work authorized by such perlit is cOltenced within six lonths of issuance, Dr if Nork authorized by the per.it is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be
<br />allowed for the perlit 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 Nill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"MENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COItIfENCE"ENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD ARD POST A "NOTICE OF COMENCE"ENT".
<br />
<br />
<br />~}O~~~ ~C~~~
<br />
<br />SIGNATURE: OIlMER R AGENT SIGNATURE: CONTRAC
<br />
<br />was acknowledged
<br />, 19 ~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF C})o f'-..{1 n
<br />The foregoing instrument
<br />befc.re me this J/ ~ /8
<br />
<br />was acknowledged
<br />, 19~ by
<br />
<br />STATE OF FLORIDA ("~
<br />COUNTY OF n :<;(1 f)
<br />The foregoing instrument
<br />before me this 11- /??
<br />
<br />10 P\. \'.-.\ e I }...f'r\ n n ("'I
<br />who is personally known to me or who has
<br />produced \)ex-<.,(}1"'\Q. \h l KfV';( ~'\()
<br />as identification and who did/did not
<br />take an oath.
<br />(Jh u ~T,; :A. -n2 /1lnc-
<br />(~ignatur~)
<br />C_h'-\,~+l eo L. rY1.n~("> r
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
<br />OFFICIAL NOTARY SEAL
<br />CHRISTIE L MAJOR
<br />NOfARY PUBUC Sf ATE OF FLORIDA
<br />COMMISSION NO. CC316103
<br />MY COMMISSION EXP. SEPT 15,1997
<br />
<br />l.L). P "lPI..! me) .......1'1
<br />who is personally known to me or who has
<br />produced rf' .. ~ ('\0 \ \ I I k ('\(:,. l ....,,11"'\
<br />as identiflcation and who did/did not
<br />take an oath. ,
<br />{\ 1:1 , . 'r. Y. '" J ~. m.., r --'
<br />(Signature)
<br />C.ht",s-ht" t. YT-\n~:>,
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
<br />OFHClAL NOTARY SEAL
<br />CHRISTIE L MAJOR
<br />NOTA.f{Y PUBLIC Sf ATE OF FLORIDA
<br />COMMISSION NO. CC316103
<br />MY COMMISSION EXP. SEFT ]5,1997
<br />
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