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<br />~ ~ ~
<br />---~---":-. .. '.'.--"CONDITIONS'OF PERMIT AFFIDAVI\T ,w
<br />A. NOT I CE OF DEED RESTR I CT IONS _ ..;:
<br />The undersigned understands that this penH 'Ia)' Ilt!: sul;ject tll.Glld restrir;tiDnl" which lilY be lore rntrictive than City
<br />regulatiDns. ,The undersigned assules responsibilit( for cOlpliance with any applicable deed restrictions. .
<br />
<br />B. UNLICENSED CONTRACTORS AND CONT~ACTOR RESPONSIBILITIES
<br />If the owner has hired a contrac~or Dr contracto~s to undertake Nork, they lay be required to be licensed 1n accordance with'
<br />state and local regulations. If' l~;""cDnrractor iiHlot"Uceusedas required by law, both the owner and contrachr uy be
<br />cited for a lisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to "hat licensing
<br />requirelents aay apply for the intended Nork, they are acvised to contact the City of'Zephyrhills Building Departlent, 18131"
<br />799-6611. .
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which they ~ill be responsible. If you, as the ONner sign as the contractor,
<br />you are indicating that you, tather than the contractor, are responsible for the Nork. 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 FE~S 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 - H6feowner's Protection
<br />Guide. prepared by the Florida Departlent of Agriculture and Consueer Affairs. If the applicant is sOleone other than the, .1.'
<br />"owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith, to deliver it to the
<br />"owner" prior to cOllencelent.
<br />
<br />E. CONTRACTO~'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work "ill be done in cOlpliance with all
<br />applicable laws regulating construction, zoning,and land develop.ent. '.
<br />
<br />Application is hereby lade to obtain a perlit to do Nork and installation as indicated. I certify that no Nork or
<br />installation'has cOI.ented prior to issuance of, a perlit and that all work Nill be perforled to leet standards of all laws'
<br />regulating construction, City cDdes, 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 cOlpliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Hetland Areas and Environ.entally Sensitive Lands,
<br />Hater/Wastewater TrEJt.ent
<br />t Southwest Florida Hater ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways ,.
<br />t Departlent of Health & Rehabilitative Services, Environlental Health Unit - ,Wells, Wastewater Treatlent, Septic Tanks
<br />t US Environ.ental Protection AQency - Asbestos abate.ent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addr!!;!;l!'~' ! "C!!!!I'!!1Hti!!~ V!)!!!!!!" II!!! !!! 5!!~;'H.~'~ !!h!d! !5 l'f!!l'af!'d hI' :!::'f'.:'f!'5!;!'mal !!!g!!Ip.er r!!~!it!f!d l!!th!! Stat!! I)f
<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 pertit prevent the Building Official frol thereafter
<br />, requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole. invalid
<br />unless the work authorized by such pertit is cOI.enced within six Ronths 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 cO.Denced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Offici'al. An
<br />approved 'inspection lust be logged during each six month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOT'~E OF COMMENCEMENT nAY RESULT IN YOUR PAYIIlG THICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF ~OU INTEND TQ ,OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEV BEFORE RECORDING YOUR NOTICE OF
<br />COnKENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COM EIIEII1".'
<br />
<br />
<br />
<br />~.
<br />~; .. .; :......:~~ ...,
<br />
<br />STATE OF FLORIDA
<br />COUNTY O{ Pas ceo
<br />The foregoing instrument
<br />befc.re me this 4/26
<br />
<br />was ackno~ledged
<br />19~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />The foregoing instrument
<br />befc.re me this 4/26
<br />
<br />lo'las acknolo'Jledged
<br />" 19--21- by
<br />
<br />David Hauqen ____ _._ _
<br />who is personal! y lmown to me Cof'-wi+eo--I=na~
<br />
<br />~~~---------------------------
<br />
<br />..a__i.da.I:I.tj.'f.i..c;.aU;.ic:r.n. and who 4I...tWdid not,
<br />
<br />~~~.\\O~
<br />
<br />~ture)
<br />June M. Herndon ,,'
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC tiotary PUblic, StatlftJr Ffjjl'ld'C
<br />JUNE M. HERNDON
<br />I.1Y. :commission Exp. Feb. i, 1997
<br />.Comm. No. 252632
<br />
<br />Charles D. Poole . l'~
<br />;;h~ per~~-ll y k~c,wn t;"m-;-o-F;"'I1a7i"~'
<br />
<br />pr~~~-------------------------
<br />
<br />l!l'5--i.eept1l-K-!ee-.~and who e.).&,Idid not
<br />an oa
<br />
<br />
<br />(Si
<br />Ju e M. Herndon
<br />(Name Typed, Printed
<br />NOTARY PUDqC
<br />
<br />. Public rlda
<br />*,-I'Y -- 'HERNDON '.
<br />JUNE M. ,
<br />_ Ell' f..h '.1997.
<br />of'l1y;~e " ')No. 2526~2 " , '
<br />
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