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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per~it 'aay be subject to Ldeed restricti~ns' which lay bE lore restrictive than City
<br />regulations. The unoersigned assules res[lonsibil ~y for c~.Fliance with anv applicable deed restrictions.
<br />
<br />B. UNL I CENSED CONTRACTOl~S AND CONTRACTOR RESPONS I B I LIT I Ef3
<br />If the owner has hired a contractor or contractors to undertake work, they aay be required .to be licensed in accordance with
<br />state and local regulations. If the'CGfttractor is,not,.licensed as required by law, both the owner and contractor lay be
<br />cited for a aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (B13)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to hav~, 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 perlitting privileges in"the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and C~nsuler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and pro.ise in good faith to deliver it to the
<br />"owner' prior to cOlaencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation 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 perlit to do work and installation 'as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfor.ed to .eet 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 coapliance. Such agencies include but are not lilited to:
<br />f Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water ManaQe'ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - SeaMalls, Docks, Navigable WaterMays
<br />f Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill .aterial is to be used in Flood lane 'A" or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'co.pensating volule" will be sublitted Mhich 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 per.it prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violat.ons of any code. Every per.it issued shall becole invalid
<br />unless the work authorized by such perait is co;.enced within six Bonths 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 com.enced. 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 COMMENCEMENT 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 B~FORE RECORDING YOUR NOTICE OF
<br />COKKENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEKENT'.
<br />
<br />
<br />;[J dfU'!/ ftt cz;t1~
<br />
<br />SIGNATURE: OHMER 0" "GENT
<br />
<br />I2dA' a Y
<br />
<br />SIGNATURE: CONTRACTOR ~
<br />
<br />f:i
<br />
<br />STATE OF FLORIDA /-:;; -
<br />COUNTY OF '-('/ / S C 0
<br />The forege. i ng i nstljL\mfi.'/l'7: was ack.rcl111 edged
<br />befol-e me this (6.'!!1 V~ 19~ by
<br />
<br />. ""l . i/ ,y.' ;/'/,,- i;."':
<br />II 1".1~. A ".) :.:c~ -r-r/l c
<br />f..,.1 ~"'~t..(_ (I
<br />whov is el-o:::.ona known .<to me or who has
<br />,----
<br />prodL\ced _
<br />as identificat~on and who did/did not
<br />ta.ke t,~/oa~? .~/'<) i(/
<br />_~~Y.tO--~!~) ,/'1 b.41~:"--
<br />(51 atLll-e) -7 .
<br />.2.' ''1 f. I ,/.5 (/ , !
<br />(Name Ty ed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA ----/)/7-
<br />COUNTY OF /1-SC f.)
<br />The foregoing instr~~
<br />bef e me th is (f -.:.--1
<br />" . 1 .
<br />;; /, / ---// ... /
<br />tfy1J&ij!9' 1,..1 .,.L J~~.(...L
<br />whc, is per: al y, knpwn~tO me or wh~t~S\
<br />produced 1t,3- 9 -~ 00 r 0 '" /e
<br />as identification and who ~/did nGt
<br />
<br />take a..~/tih'f~ -;1::6: L
<br />z v /J.-t'~ /:0..
<br />(Signature) /i j ~ .-, I J .
<br />L-rLI'JPc/)/'" -) :.c..~,(
<br />(Name Typed, Printfd or Stamped)
<br />NOTARY PUBLIC
<br />
<br />was acknowledged
<br />" vi9!l.!::L by
<br />
<br />",..ti)
<br />~ . OFFICIAL SEAL:
<br />{ . GI.ADYS L. BUSH
<br />t M~ Commiasion Expires
<br />~ Oct. 7. 1996
<br />.- Co..",. No. cc 234022
<br />"'tr:...lf--
<br />
<br />..~.~\ OFFiCIAL SEAL
<br />I ~ GLADYS L. BUSH
<br />: : My Commission f.';t,Jires
<br />~ ; Oct. 7, 1996
<br />"""~~~f\!d!!..' Comm. No. CC234022
<br />*.. ""'" .*
<br />..~...It.
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