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<br />CONDIIIONS OF PERMIT AFFIDAVIT
<br />() . NQT1CE QF DEED RESTR I CT I ONf:;
<br />The undersigned unders~nds-"thilt--ihj~-'per'it-;;yb~-~Ubjed to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned ilSSUles responsibility for (o~pliance with any applicable deed restrictions.
<br />
<br />B. pNLICENSED COt:JTRACTOR~ AND CONTRACTOR RESPOI'.JSIBILITIES
<br />W the ONner has hired a contractor lIr cllntrart~r-~"t~'-~~d;;t';k;-;;~~-k~h~'i;;Y-b~--;~Q~-;;Jt;b;-i-jcensed in accordance wi th
<br />state and local regulations. If the contractor is not licensed as required by IaN, both the owner and contractor lay be
<br />cited for a .isdeleanor violation under state law. If the ONner or intended contractor are uncertain as to what licensing
<br />require~ents lay apply for the intend~d work, they are advised to contact the City of Zephyrhills Building Departlenl, 18131
<br />789-(,611.
<br />
<br />Furtherlore, if the ONner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the
<br />"Contractor Sections' of this application for which they Mill be responsible. If you, as the ONner 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 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 H1PACT E..~~~_1-)NP_JJLLLI TY__.b-'JH!:~tECI..LQI\t FEE,$.,
<br />
<br />D. i:ONSTRUCT!JJt'LbJ EI:L..l:..B..H (CHf'lPTEF: 71:"=3 ~ FLOn I D() STATUTES, AS ()t-1ENDED)
<br />I certify that I, the applicant, have been provided Mith a copy of "Florida's Construction lien laN - HOleoNner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOleone other than the
<br />"ow"er", I certify that 1 have obtained a copy of the above described docu~ent and promise in good faith to deliver it to the
<br />"owner" prior to COllence.ent.
<br />
<br />E. CONTRACTOR' S/m.Jt"'ER I S AFFIP.!ly~I.I
<br />1 certify that all the infor.ation in this application is accurate and that all Mork Mill be done in cOlpliance Mith all
<br />applicable laws regulating construction, zoning, and land develop.eAt.
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has co..enced prior to issuance of a perlit and that all work will be perforled to .eet standards of all laws
<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 govern.ental agencies .ay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I aust take to be in co.pliance. Such agencies include but are AOt liaited to:
<br />f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water nanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Arav Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health L Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />, US EnvirDnlental Protection AQencv - Asbestos abate.ent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volule" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed Nith 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 perlit is cOI,enced within six lonths of issuance, or if work authorized by the periit is
<br />suspended or abandoned for a period of six .onths after the tile the work is cOllenced. One 90 day extension of tile, lay be
<br />allowed for the perlit Mith fee charge Df tI5.00. 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 "ill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE JO RECORD A NOTICE OF COHHENCE"ENT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COH"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COM"ENCEHENT".
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF F~~
<br />COUNTY OF ~
<br />The foregOIng instrument was acknowledged
<br />before me this ~S (2 ,19-Z..b by
<br />
<br />STATE OF FlORID/) ;J .
<br />COUNTY OF ~ ~~ ~
<br />The foregoing in~-l.Iment I-Ias acknol-dedged
<br />befcll-e me this I~. 19? f.D bv
<br />, -.
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />tcKe, fn oath. . \ /,IJ .
<br />-. ~--1A~ (fY'\O\;%Vl,"\.-.....J Lj.-"-t~
<br />(S i gna tLll-e)
<br />
<br />who is personally knDwn tD me or who has
<br />pl-oduced
<br />as identification and who did/did not
<br />
<br />-, - ... C
<br />t,aN?,~n c~a th. J I
<br />',0:.:..:. \I, -t/LW ~",-~\"V"/"\.I'-' 0---v~.:::::::--
<br />(Signature)
<br />".: : tRIS MARIAN COOPER
<br />(Name TvpetlQla;yft4'~ ~e!JltjMH'~)
<br />NOTARY' PLMVI@mm. expo Apr. 21,f997
<br />Comm. No. CC 282777
<br />
<br />
<br />(Name 1.)( PuBI~ rs~e dfrfl~ped)
<br />NOTARV::rexp. Apr. 21, 1997
<br />Comm.. No. CC 282m
<br />
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