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<br />CONDITIONS OF PERMIT AFFIDAVIT,
<br />A. NOTICE OF DEED REST~ICTION~
<br />The undersigned understands that this per.it .ay be subject to "deed restrictions" which may be eore restrictive than City
<br />regulations. The undersigned assules re~pon5ibility for cblpli~nce Kith any applicable deed restric~ions.
<br />
<br />B. UNLICENSED CONTRACTQRS AND CONTRACTOR _RESPONSIBILITIES
<br />If the owner has hired a contractor or c~lntractors to undertak~ work, they may be r~quired to be licEn~!d in accordance with
<br />state and local regulations. If the .'contractor is not licensed as ,.equired by law. both the OHner and ccntraclor laY be
<br />cited for a lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the irtend~d :lorK, they are advised to contact the Ci~y of Zephyrhills Building Departlent, (813)
<br />786-6611.
<br />
<br />Furth~raore, 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 Hill be responsible. If YOI!, 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 Nishes you to sign
<br />. as contractor that Bay be an indication that he is not pr~perly licensed and is not entitled to perlitting privileges in. the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER "l12, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a co~y of 'Florida's Construction Lien Law - HOleowner's Protection
<br />Guide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described document and pr~iise in go~d faith to deliver it to the
<br />"ONner. prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accur~te and that all Hork will be done in cOlpliance with all
<br />applicable laws regulating construction, .oning, and land deveIop.ent.
<br />
<br />Application is hereby lade to obtain a perlit to do ~ork an~ i~stallation a~ indicated. I certify ~hat no Nork Dr
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled 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 guvernlental agencies lay apply to the intended work, and that it is
<br />ay responsibility to identify what actions I must take to be in cOlpliance. Such agencies include but are not lilited to:
<br />. Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treataent
<br />. Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />+ Aray Corps of EnQineers - Seawalls, Doc~s, Navigable Waterways
<br />. Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />. US Environ.ental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.', it is understood that a drainage plan
<br />addressing a .compensating volute" will be subaitted which is prepared by a professional engineer regist2red in the State of
<br />Florida prior ~o perait issuance.
<br />
<br />A perait issued shall be construed to be a license to pr~(eed with the Hork and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall i~suance of aperlit prevent the Building Official froa thereafter
<br />requiring a correction of errors in plans, construr.~ion, or violations of any code. Every per.it issued shall becole invalid
<br />unless the work authorized by such perDit is coaDenced within six aonths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the .time the Hork i~ cOIBenced. . One 90 day extension of tile, lay be
<br />allowed for the perlit Hith fee charge of 115.00. The extension shall be r~quested in writing to tte Building Official. An
<br />approved inspection DUSt be logged durili~ each six Bonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORll A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FIHAlJ,;ItIG, CONSULT HITH YOUR LENDER OR AN ATTORNEY BEFORERECORDlti6 YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UHDER $2,500 IN VALUi: DO NOT NEED TO RECORD AND POST A "NOTICE OF COlitlEI~ca\EHT".
<br />
<br />
<br />c~ &~~
<br />URE: OWNER DR AGENT
<br />
<br />C\~~
<br />
<br />~E; COHTRACiOR
<br />
<br />. \
<br />
<br />STATE OF FLORIDA'C),
<br />COUNTY OF ~c...u .
<br />The foreoc,ino in!;;trument ~las adm9Jt.lledged
<br />befc:,\-e m; th i s ~ 1"( , 191.1- by
<br />
<br />J G-nl!... r 8 bJ.L f<-W "i-I{
<br />~lhr.' ~_~na 11 y Imowi"l>to Jne Dr whc, has
<br />produced
<br />as identiflcation and who did/~
<br />
<br />toke on oo~.4~ 9 ~~
<br />(Signat~r .
<br />W'r-ba r-o-- A , A fCSiS'r.,.
<br />(Name Typed, Printed or Stamped)
<br />NOTARY 'PuBLrC
<br />
<br />STATE OF FLORIDA .?
<br />COUHTY OF ~~
<br />The fc:'regoinl] ~;~ump.nt ~Ias ac!S.nowledged
<br />before me thi .. , 1 \} 15- by
<br />
<br />t) ~~ g, lu-L4<. W€.../ f
<br />whc. is(iJE!r5"O"nally Imo~me Dr who has
<br />produced
<br />as identification and l'lho di:!Mir1 l'fM '
<br />take ~~}~~ fP ~
<br />
<br />(Sign~ L1 A(.
<br />m t- f;;x{ ~ e:... rr(, SVr\
<br />. (Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />,\Af.:'~~flA A. ALLISON
<br />. t:.,y Public. StBte of FlorIda
<br />y Comm. E.p. OJ,26.98
<br />ammo No. CC .~58940
<br />
<br />
<br />BARBARA A. ALLISON
<br />Notery Public, State of Florida
<br />My Comm. E.p. OJ-26.98
<br />Comm. No. CC 358940
<br />
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