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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A . ,NOT I CE OF DEED RESTR I CT IONS
<br />The undersigned understands that this per.it .ay be subject to 'deed restrictions' which .ay'be .ore re~trictive' than City
<br />regulations. The undersigned assUles 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 Khat 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 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 wort. 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 />6uide' prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs, If the applicant is sOleone 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 th.
<br />'owner' prior to cOI.ence.ent.
<br />
<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 with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby lade to obtain a per.it to do .ork and installation as indicated, I certify that no work or
<br />installation has co..enctd prior to issuance of a per.it and that all work will be perfor.ed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction, 1 also
<br />certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended work, and that it is
<br />.y responsibility to identify what actions I .ust take to be in co.pliance, Such agencies include but are not lilited to:
<br />f Departlent of Environaental ReQulation - Cypress Bayheads, Yetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Yetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />t Deoart.ent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environ.ental Protection Agency - Asbestos abate.ent
<br />I also certify that, if fill .aterial is to be used in Flood Zone 'A' Dr 'A,etc,", it is understood that a drainage plan
<br />addressing a "co.pensating volule' .ill be sub.itted 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 Mork 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, Dr violations of any code, Every perlit issued shall becoae invalid
<br />unless the work authorized by such per.it is co..enced within six .onths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six .onths after the ti.e the work is coaaenced, 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 Official. An
<br />approved inspection .ust 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 CO"KENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCIN6, CONSULT YITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF CO"KENCE"ENT', .
<br />
<br />fJ..jJ.../t-A-U . ~tLUN /r;.L. .s-rdt.; !6AJ0
<br />SIGNATURE: OWNER DR AGENT
<br />
<br />f)o ~ V ~,/r;. L ...(76V€ CON~
<br />S16NATURE: CONTRACTOR I
<br />
<br />STATE OF FLORI&('? ,
<br />COUNTY OF ,~O
<br />The foregoing Anstrument was acknowledged
<br />before me this1:- c91 ,1~ by
<br />
<br />S. ...0 0 JL
<br />~ is personally known to me or who has
<br />produced ~
<br />as identification and' who did@id n~
<br />ten ollt .
<br />
<br />
<br />STATE OF FLDRID~
<br />COUNTY OF "( ~(J)
<br />. The foregoing instrument was ac~nr:ledged
<br />befclre me this q ~ :>, ' 191'-- by
<br />
<br />UJL0\:<. A Lv. St-k' 0 Q
<br />~ is personally known to ~or who has
<br />pl-oduced
<br />as identification did~d n~~
<br />ta an oath--.
<br />
<br />
<br />~
<br />
<br />
<br />;(\.p~
<br />01- Stamped)
<br />
<br />or Stamped)
<br />
<br />
<br />BONITA a. JONES
<br />MY COMMISSION' CC S58365
<br />.~. EXPIRES: March 22, 1998
<br />s' BondlId 'I1lIu NolIIy PublIc \DIIIWIllIf1
<br />
<br />
<br />BONITA G. JONES
<br />MY COMMISSION' CC 358355
<br />EXPIRES: March 22. 1998
<br />IIandIId Thru NolIIy PublIc \bleIWIhIn
<br />
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