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<br />CONDIfIONS OF PERMIT' AFFIDAVIT
<br />A. r~OTICE OF DEED RESTRICTIot:!fL
<br />The undersigned understands that this per.it lay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for co~pliance with any applicable deed restrictions.
<br />
<br />B. UNL I CENSED CONTRACTORS AN..I.Lf;JJ.tLU3_fi~IJJR J.3,s:.!2E,oNS,I B_1 L iT I Eq
<br />If the owner has hired a contractor or contractors to undertake 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 .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 Departlent, IB13}
<br />78B-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 ~hich 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 H1PACT FEE? ?)ND UT I L I TY .J::;ONNECT I ON FEE~,
<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 laN - HOleowner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is so.eone other than the
<br />"oNner" , 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"encelent.
<br />
<br />E. CONTRACTOR I S/O\.-JNER' S AFFIDB.YIT.
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cotpliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<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 co..enced prior to issuance of a per.it and that all work will be perforted to teet 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 g~vern.ental agencies .ay apply to the intended w~rk, and that it is
<br />IY responsibility to identify what actions I lust take to be in co_pliance. Such agencies include but are not li.ited to:
<br />I Depart_ent of Environ_ental Requlation - Cypress Bayheads, Hetland Areas and Environlentally Sensitive lands,
<br />Vater/Wastewater Treat.ent
<br />t Southwest Florida Water "anaQe_ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Ar.v Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />t Depart.ent of Health & Rehabilitative Services, Environ_ental Health Unit - Wells, Hastewater Treat.ent, Septic Tanks
<br />J US Environ.ental Protection Aqencv - 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 volu.e" Mill be subtitted which 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, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per_it issued shall becole invalid
<br />unless the work authorized by such per.it is cOI.enced within six lonths of issuance, Dr if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOltenced. One 90 day extension of tile, lay be
<br />allowed for the perlit "ith 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 connENCE"ENT nAY RESULT IN YOUR PAYING THICE FOR IMPROVEnENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO""ENtE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />J / 1 1/ _ __ -r:- ' I /)/f /1_
<br />'~~E~ ~f{;it?<u~ fA'16lAY,((. ~~
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF \. 1:::'Q ,~O
<br />The foregoing instrument was acknowledged
<br />befc,re me this de h. II , 19~ by
<br />
<br />L.:) t=\. ~\ e llL iY'I rl {'\ ()
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath. ' .
<br />~ 1-1. h ::.. T .-. _ 'c/....-rY\ no ('.t ~
<br />(Signature)
<br />(i ~Thc"\.h e l. fY}(')~ 'r"""
<br />(Name Typed, Printed Dr Stamped)
<br />NOT ARY PUBLI C
<br />
<br />STATE OF FLORljUL
<br />COUNTY OF \ y1(l~' 0
<br />The foregoing i~trument was acknowledged
<br />before me this c.e..b \'), 19~ by
<br />
<br />~hi T' \&> \. \ \'Y\OCL-\-l""...<.::>
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />t~l:e an oath.
<br />._ ( l..tl . . ...... r. . ~
<br />(SignatLll-e)
<br />Cl;T\c......he l_.
<br />(Name Typed, Printed
<br />NOTARY PUBLIC
<br />
<br />-['1\ lL..~ ~
<br />,
<br />
<br />\Y"\n~OL
<br />(.r Stamped)
<br />
<br />. --~-~..---,
<br />'FICIP.L NO'fARY mY",L i
<br />CliJU5TIE L rttt;.;~}-a ~
<br />NCfrARY PUBt!C G'fjl~TF C/.:;' ?1..C'r}:JDJ.~~
<br />CC?'.~~M~~S3~C:1'~: r',:(". CC:,:~_'.' (,:~ ;'.~ :
<br />~ MX C(}~.t?l~51.r>j>~~~;E~. ~:~~"~'::"~'~ .'3,.l:2L..J
<br />
<br />NOTARY SEAL
<br />CHRISTIE L MAJOR
<br />NOTARY PUBLIC STATE Of FLORIDA
<br />COMMISSION NO. CC316103
<br />MYCOMMI5SION EXl'. SEPT 15,1997
<br />
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