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<br />~T~~-'''''''''''''''~ - - --,=.~ .."., -- -""'COND I T IONS'" OF PERM IT. AFF I DAV l\r :r '....-.-..r"
<br />A. NOTICE OF DEED RESTRICTIONS ~ ..~.' .'
<br />The undersigned understands that this per.it .ay b~ su~ject tu.aeed restrictions" which lay b. lore r.strictiv. than City
<br />regulations. .The undersigned assu.ls responsibilit( fOT cD.pliance with any applicable deed restrictions. .
<br />
<br />B. UNLICENSED CONTRACTORS AND CONT~ACTOR RESPONSIBILITIES
<br />If the owner has hired a contrac~o~ Dr contracto~s to undertake work, they .ay be required to be licensed in accordance with'
<br />stlte and local regulations. If ltii""cllriErachr h.\1otA;!icensild.as required by law, both the ollner and contrachr ..y h. '
<br />cit.d for a .isde.eanor violation under stat. law. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents .ay apply for the intended work, they are a~vised to cGntact the City of Zephyrhills Building Depart.ent, 18131.
<br />788-6611.
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<br />Further.ore, if the ollner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the
<br />"Contractor Sections" of this application for which they Nill be responsible. If you, as the ollner sign as the contractor,
<br />you are indicating that you, tather than the contractor, are responsible fOf the 1I0rk. If the contractor IIi shes you to sign
<br />as contractor that .ay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the
<br />City of Zephyrhills.
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<br />c. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<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 - H~'eoNner's Protection
<br />Guid.. prepared by the Florida Depart.ent of Agriculture and ConsulI!r Affairs. If the applicant is soltone other than the, ,\.,
<br />"oNner", I certify that I have obtained a copy of the above described docuaent and proaise in good faith to deliver it to the
<br />"ollner" prior to co..ence.ent.
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<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 co.pliance Nith all
<br />applicable laMS regulating conslrurtion, zDning, "a'bd land developaenl. '.
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<br />Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that .no work or
<br />installation has cOI.enced prior to issuance of. a per.it and that all work will be perforled to leet standards of all 1 ails ,
<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 governlental agencies .ay apply to the intended work, and that it is
<br />'Y responsibility to identify Nhat actions I lust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />f Depart.ent of Environ.ental Reuulation - Cypress Bayheads, Hetland Areas and Environlentally Sensitive Lands,
<br />.Water/HasteNater TrEat.ent
<br />f Southwest Florida Water Kanaoelent District - Hells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of Enuineers - Seawalls, Docks, Navigable Waterways ,.
<br />I Departlent of Health & Rehabilitative Services. Environlental Health Unit -Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environlental Protection Auency - Asbestos abate.ent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" Of "A,etc.", it is understood that a drainage plan
<br />addr!!;!;!!'g' a .Ctl!!~!!!!;aH!'!~ ytl!!!!!!" ll!!! h~ ~!!~;'i"~I~ ~h!~!! !!; ~!'e~:m'~ !!y ~ ~r!'f!'!;!;i"'!~l e!!gi!lp.!!~ !'e~!ib!r!~ !!!the stat! l)f
<br />Florida prior to per.it issuance. .
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<br />A perlit issued shall be construed to be a license to proceed with the Hork and not as authority to violate, cancel alter, Of
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit 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 per.it is cO.lenced within six tonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six .onths after the tile the work is cOIDenced. One 90 day extension of tile, lay be
<br />alloNed for the perlit with fee charge of tI5.00. The extension shall be requested in writing to the Building Official. An
<br />approved 'inspection .ust b.e 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 CO""ENCEKENT KAY RESULT IN YOUR PAYIIIG TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF Y,OU INTEND TQ O~TAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO""EHCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COM E"ENT"~ >
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<br />
<br />STATE OF FLORIDA
<br />COUNTY O{ Pascc:o
<br />The foregoing instrument
<br />before me this 4/26
<br />
<br />was ackno~ledged
<br />19~ by
<br />
<br />David Hauqen ___ _.._ _
<br />who is personally 1'"0\'10 to me N-W~~fi
<br />
<br />~~~---------------------------
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<br />4a-i..d.e.I:l.t~'t.i..c.&t.l.t&.Q. and who ....tWd id not.
<br />
<br />~~^-Th.\\o~
<br />
<br />~ture)
<br />JuneM. Herndon .,' ,
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBL I C .hotary Public, Staf~ ,M flfifrld..
<br />JUNE M. HERNDON
<br />h1y. :commisslon Exp. Feb. i, 1991
<br />.Comm. No. 252632
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<br />
<br />V' . ...''"''-..:.._....---.., '-.. \
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />The foregoing instrument was acknowledged
<br />before me this 4/26, " " 19...2.L by
<br />
<br />Charles D. Poole .~,:L_,_.-._,___
<br />wh~ pen;cona 11 y k~own to me "Ji-wt'n:o-."....-; i" h
<br />
<br />pr~c~-___ ____________________
<br />l!r!!t"-1,1!Ie".1t-i-f-i.eer\-i-&n- .md whc. c;I-Hj.,ld i d no t
<br />an oa
<br />
<br />
<br />(Si
<br />Ju e M. Herndon
<br />(Name Typed, Printed
<br />NOTARY pueq~
<br />
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