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<br />CONDITIONS OF PERMIT A~FIDAVIT
<br />'A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it '.ay be subject to "deed restrictions" which .ay be .ore restrictive 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 or contractors to undertake work, they .ay 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 .ay be
<br />cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813)
<br />788-6611.
<br />
<br />Further.ore, 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 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 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 with a copy of "Florida's Construction Lien Law - Ho.eowner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er 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 pro.ise in good faith to deliver it to the
<br />"owner. prior to co..ence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby .ade to obtain a pertit to do Mork and installation as indicated. I certify that no work or
<br />installation has co.tenced prior to issuance of a pertit and that all work will be perfor.ed to .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies tay apply to the intended work, and that it is
<br />.y responsibility to identify what actions I tust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />t Depart.ent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />t US Environ.ental Protection AQency - Asbestos abate.ent
<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. will be subtitted 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 per.it prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beeo.e invalid
<br />unless the work authorized by such pertit is co..enced within six .onths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six .onths after the ti.e the work is co..enced. One 90 day extension of ti.e, .ay be
<br />allowed for the per.it with fee charge of $15.00. The extension shall be requested in Nriting to the Building Official. An
<br />approved inspection lust be logged during each six .onth period, or the project Nill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCE"ENT ~Y 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 />CO"KENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO""ENCE"ENT".
<br />
<br />b7 r:J~ #-
<br />~--/~-,/ ~~ ~
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />~ a . V. ~ r/-uJ.z, ) GL . S-rt:Y<- COyJ;7.
<br />SIGNATURE: CONTRAC OR I
<br />
<br />STATE OF FLORIDA ~1lC>'
<br />COUNTY OF ~ ~~
<br />The foregoing ipstr~ent was acknowledged
<br />before'me this/~~ , 19:15t by
<br />
<br />bESA1J/O
<br />
<br />5A14U~L.
<br />
<br />who is persona~l~ kno~n to me~ who has
<br />produced FL j) '- ~ .1)253- -,3 2--2110-0
<br />as ntification and' who ~/did not
<br />t oat
<br />
<br />STATE OF FLORID~
<br />COUHTY OF A- ~ D
<br />" The forege.ing instru~nt was ac~r4:,ledged
<br />~ore me this ~, 19 by
<br />
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<br />
<br />
<br />.JL
<br />
<br />
<br />ig~re) Jt/!CJ/#t11I/1V
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />who i personally knowl
<br />produce
<br />as identification and who ~/did
<br />
<br />t~~~ (} ~ru,D
<br />
<br />).SiJIna tu~) , Q
<br />-ro 1"\ .+A- ~o ".0 ~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC ~ 7 S'<.{,-/IO
<br />
<br />me or whel has
<br />
<br />not
<br />
<br />~4~~tfJJb.:, EM UNa._._
<br />~ ':I' ''7;6''. '""'""lftIlI;D
<br />~*i ;"} ~ COMMISSION , CC 218259 EXPIRES
<br />~; ........~i July 28. 1996
<br />'4.Rr.,f';~ IONOfD 'MU TIllY FAIN 1NSUIlANCI.INC.
<br />
<br />Notary Public, State of Florlde
<br />My Commission Expire. Feb. 28, 199"
<br />
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