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<br />CONDlfIUNS OF PERMIT AFFIDAVI.r
<br />A. NOT I CE OF DEED-.--f:E_STR :!J~.I.lOI':!.fi .
<br />The undersigned understands that this perait lay be subject to 'deed restrictions" which tay be lore restrictive than City
<br />regulations. The undersigned assuaes responsibility for co~pliance with any applicable deed restrictions.
<br />
<br />B. UNL I CENSED CONTRACTORS ANP__.~QNlB-':l.G.JOR p,E;.SF::.9NS I B I L ~ T I E!;.~
<br />If the owner has hired a contractor or contractors to underta~e work, they may 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 owner and contractor lay be
<br />cited for a tisde.eanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing
<br />reQuirelents tay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, IBl3}
<br />7B8-6611.
<br />
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractorls} sign portions of the
<br />"Contractor Sections' of this application for which 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 tay be an indication that he is not properly licensed and is not entitled to pertitting privileges in the
<br />City of Zephyrhills.
<br />
<br />c. TRANf;>PORTATION H1PACT FE~S /,-)ND UTI!:-ITY _.GONNECT}ON FEE.$..
<br />
<br />D. CONSTRUCT I ON LIEN L,.1!H (CI-f{'tPTER 713. FLOF< I Of' STATUTES, ()S "I'1HJDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien law - Ho.eowner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consumer 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 />"oHner" prior to cOI.encelent.
<br />
<br />E. CONTRf\CTOR I S/mJNER 's AFF I DflV IT.
<br />I certify that all the infor.ation 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 per.it to do work and installation as indicated. I certify that no work or
<br />installation has cOI.ented prior to issuance of a per.it and that all work will be perfor.ed to leet standards of all laws
<br />regulating construction, City codes, zoning requlations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies lay apply to the intended work, and that it is
<br />my responsibility to identify what actions I lust take to be in coepliance. Such agencies include but are not limited to:
<br />· Departlent of Environ.entaI ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands,
<br />Water/Wastewater Treat.ent
<br />t Southwest Florida Water nanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlV Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />· Depart.ent of Health L Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treattent, Septic Tanks
<br />· US Environtental Protection AQencv - Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.', it is understood that a drainage plan
<br />addressing a 'compensating volule' "ill be submitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to permit issuance.
<br />
<br />A per.it 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 perait prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beco.e invalid
<br />unless the work authorized by such per.it is co..enced Nithin 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 tiee the work is cot.enced. One 90 day extension of tile, lay be
<br />allowed for the permit with fee charge of tI5.00. 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 "ill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEnENT 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 COMMENCEMENT".
<br />__._'._'---=~-----=:-:=..:.. _/~~___--=__.:.=m_~~-/ > )
<br />~~~---~).~..-:::::-:::__-o'~.-..._'..-.~....-:::..______-
<br />/~ / . ~.; :e:-/ --= ~-=====---=--
<br />" ~-~
<br />SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA )
<br />COUNTY OF 1'>1-5 C CJ
<br />
<br />The foregoing instrLj' e~~ was acknowledged
<br />before me this /;2_)J , 19-22 by'
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befct\-e me this 1.2/ <g'
<br />
<br />/ /f5 c&
<br />
<br />was acknowledged
<br />, 19~ 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 oath. ,_ / /p /I
<br />.... ~fC ~e.A_a
<br />(Signature)
<br />
<br />who is personally known to me Dr who has
<br />pr-oduced
<br />as identification and who did/did not
<br />take an oath. ,~~ ~o
<br />
<br />(Signatu;-f>)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOT ARY PUBLI C
<br />Notary Public Pasco Co. FL
<br />My Commission Expires May 13. 1995
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTAR"i PUBLIC .
<br />----- Notary Public Pasco Co. FL
<br />My Commission Expires May 13. 1995
<br />
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