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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />() . NQI.1.~E QF _DEED RE;STR I b;.Il_0j\~f:l
<br />The undersigned understands that this perlit .ay be subject tD "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. !JNL I CENSED CONTRACTORS A!,'J!;L"CQtHBA~.:rQR J3.slli::PNS.illI L.I T I E~
<br />If the owner has hired a contractor Of contractofs to undertake work, they may be required to be licensed in accDfdance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended wor~, they are advised to conlact the City of Zephyrhills Building Depart.ent, !8131
<br />788-bbl1.
<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 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 .ay be an indication that he is not properly licensed and is not entitled to perMitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION H1PACT FEE!? AND UTILITY J:ONNECTJON FEE.!2.
<br />
<br />D. CONSTRUCT I ON '=- I EN LA.H. (CHAPTER 713 ~ FLOR I Of) STATUTES ~ (IS At-1E1"-lDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOMeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is so.eone other than the
<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 cOIMencelent.
<br />
<br />E. CONTR(ICTOR' S/m'JNER I !~L..BFF!..PP.!.2L!.T
<br />I certify that all the infor.ation in this application is accurate and that. all work will be done in cOlpliance with all
<br />applicable laNs 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 Nork Dr
<br />installation has cOI.enced prior to issuance of a perlit and that all work will be perfor.ed to leet 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 govern.ental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in COMpliance. Such agencies include but are not li.ited to:
<br />, Depart.ent of Environlental ReQuIation - Cypress Bayheads, Hetland Areas and EnvironMentally Sensitive Lands,
<br />WaterlHastewater Treatment
<br />I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Hatercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent. Septic Tanks
<br />, US Environ.ental Protection AQency - Asbestos abateMent
<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 />addressing a "colpensating volule" Mill be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perMit 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 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 perMit is co..enced within six lonths 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 cOI,enced, One 90 day extension of tile, May be
<br />allowed for the perlit 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 />HARNING TO OHNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCEMENT MAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT HITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COM"ENCEMENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT",
<br />
<br />~~~\
<br />
<br />{ Sl ATURE:. CONTRACTOR
<br />
<br />
<br />\
<br />
<br />~
<br />
<br />STATE OF FLORIDA ft
<br />COUNTY OF ~
<br />The foregoing instrument
<br />before me this II., c#7
<br />
<br />~.
<br />
<br />~Ias acknot-Iledged
<br />, 19!1.!i by
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF a4A'1J
<br />The foregoing instrument was acknowledged
<br />before me this /t,tA ~! 19~ by
<br />
<br />who is personally known to me Dr who has
<br />Produced ".'."'''''''''"111
<br />. <>,. ~., II~>
<br />as ident1-.:f''k~ .1.(;.g~ who did/did ne.t
<br />take. an ~'~.o);. ..~,~' ~. J
<br />_~:::~r.' d'\("I~_~
<br />~- '-
<br />(Signata-e" j+-
<br />'P114~i1 ~"~ff17PZ.j/~ '-
<br />(Name Typ" J ~il~,>>$-~.r Stamped)
<br />NOT ARY PUBL 'ft'!/I//lII!\I\\\\\ .
<br />
<br />who is personally known to me Dr who has
<br />pl-oduced ~'iil
<br />as identificatio~~~r ~~.~/did not
<br />~~ ""~.
<br />tak an o.ath. f /. ".~~
<br />.:
<br />
<br />
<br />(Signature~ ~ \ }+g
<br />'7J / I-T N;V ri \~"'~.. 11f?~fl:.7/E L-
<br />(Name Typed, Pri~~ ~fT~;~~ed)
<br />III (JI r \. \,,,,
<br />HQTARY PUBLIC 1/1111111111\11\\\\\
<br />
<br />Notary Public. State. 01 Florida
<br />DIANNA L. TRZNAlJ;EL
<br />My Comm. Exp. K,,~. II. 1995
<br />Comm. No. CC 1!;~184
<br />
<br />Notary Public, State 01 fiDf4d.
<br />DIANNA L. TRZNADEL
<br />My Comm. Exp. No~. 11. 19..
<br />Comm. No, CC 159]84
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