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<br />CONDIfIONS OF PERMIT AFFIDAVIT
<br />A. NOT I CE OF _DEED.-f:E_$.JR I C[ I ONB
<br />The undersigned understands that this per.it May be subject to "deed restrictions" which aay be .ore restric;ive than City
<br />regulations. The undersigned assu.es responsibility for co~pliance with any applicable deed restrictions. '
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor lIr contracto;;;'t;-;;~dertak;-;;;-k, th'~y-;;y- be reQui-red- to be I-icensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />reQuire.ents lay apply for the intended work, they are advised to cllntact the City of Zephyrhills Building Departlent, IBl31
<br />7B8-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor lIr contractors, he is advised to have the contractor(s} sign portions of the
<br />'Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the
<br />City of Zephyrhills.
<br />
<br />c. TRANSPORT A T I ON HIPACT FEES I-)ND UT I LIT Y CONNECT I ON YEE$..
<br />
<br />D. i:ONSTRUCT I ON L]FN L.,.BJd. (CHfWTEH 713. FLOR I DA STATUTES, ()S AI'1ENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's ClInstruction lien law - Ho.eowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described dllCUlent and prolise in good faith to deliver it to the
<br />"owner" prior to co..ence.ent.
<br />
<br />E. CONTRACTOR' S/mJNER' S AFFIPii~!.I.
<br />I certify that all the infortation in this applicatilln is accurate and that all work "ill be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developeent.
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a per.it and that all work "ill be perforted to teet 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 gllvernlental agencies .ay apply to the intended work, and that it is
<br />.y responsibility to identify what actillns I lust take to be in cO'Pliance. Such agencies include but are not lilited to:
<br />. Departlent of Environlental ReQulation - Cypress Bayheads, ~etland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />t Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, ~etland Areas, Altering Watercourses
<br />f. ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />t Depart.ent of Health & Rehabilitative Services, Environ,ental Health Unit - Wells, ~astewater Treatlent, Septic Tanks
<br />, US Environ,ental Protection Aqency - Asbestos abate,ent
<br />I also certify that, if fill laterial is to be used in Flolld Zone "A" or "A,etc.', it is understood that a drainage plan
<br />addressing a "co.pensating volule" "ill be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it 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, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frot 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 cO'lenced 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 tite the work is cOltenced. One 90 day extension of tile, lay 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 COnMENCEMENT MAY RESULT IN YOUR PAYING T~ICE 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 $2,50Q)NV~l!lE ~O NOT NEED TO RECORLl AND POST A 'NOTlCE OF COl'll'lENCEME!!".
<br />
<br />'I~~~::-~> 'I~yff!~)
<br />
<br />was acknowledged
<br />19 75 by
<br />
<br />STATE OF FLORIDA t?
<br />COUNTY OF r 15' Co
<br />The foregoing instrument was acknDwledged
<br />befol-e me this (~/? , 19~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this I::l./~
<br />,
<br />
<br />r /IS C~
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />take an oath.r~//-"" d.~ /?
<br />~ X (~~
<br />(Signature)
<br />b!nllltY Public Pasco Co. FL .
<br />(Name Typed, u~reol1n~U!si('ftf E~m~)I3.l99S
<br />NOTA8.Y p~
<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. ~ /If/ 0 .
<br />~fl t ~..-L-e-
<br />(Signature) -
<br />
<br />(Name T~~...~t~~~;=~~~~-
<br />NOTARY [ ~
<br />
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