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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait aay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assuaes responsibility for coapliance 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 may 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 lay be
<br />cited for a aisdeaeanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intend@d work, they are advised to contact the City of Zephyrhills Building Departlent, (BI3!
<br />788-6611.
<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 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 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 - HOleowner's Protection
<br />Guide" prepared by the Florida Departaent of Agriculture aod Consuaer Affairs. If the applicant is sOleone other than th~
<br />"owner., I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it t" the
<br />"owner" prior to coaaenceaent.
<br />
<br />J
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />J
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<br />Application is hereby aade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has coaaenced prior to issuance of a perait and that all work will be perforled to leet standards of all la_s
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I aust take to be in coapliance. Such agencies include but are not lilited tc,:
<br />f Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water KanaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f De art.ent of Health ~ Rehabilitative Services Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f Environ.ental Protection AQency - Asbestos abateaent
<br />I also certify that, if fill aaterial is to be used in Flood Zone "A" or "A,etc.., it is understood that a drainage plan
<br />addressing a "colpensating volu.e" will be sub~tted which is prepared by a professional engineer registered in the State Df
<br />Florida prior to per.it issuance.
<br />
<br />A pertit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alte,. or
<br />set aside any provisions of the technital codes, nor shall issuance of a perlit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becole invalid
<br />unless the work authorized by such per.it is co.tenced within six .onths of issuance, or if work authorized by the per3Jt is
<br />suspended or abandoned for a period of six aonths after the ti.e the work is cOI.enced. One 90 day extension of tile, ~df 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 />\IARNING TO OIlNER: YOUR FAILURE TO RECORD A NOTICE OF COMtlENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR ItlPROVEl'IENTS TO 'lOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT III1H YOuR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMl'IENCEtlENT".
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<br />--2 ~~ n~&-L
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<br />'---S~GENT SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA ,,~ /.1A1 ~. ;f __ ~ _ /1'
<br />COUNTY OF l&:!::::~"~/ f,.,
<br />. The forego i ng i ns ~ru~nt vJas ac knovJl edged
<br />befol-e me this 11~ S- , ;)(j')...&...L by
<br />
<br />wzti ~on~ ~ kn~"'"' ho.
<br />
<br />pn;! at!....",.:]-
<br />ntification and who ~/did not7.
<br />a oath ..11 ~
<br />
<br />
<br />STATE OF FLORID~ ~ ~
<br />COUNTY OF Y ~
<br />The foregoing ins~5um~nt ,s acknowledged
<br />before me this ?)'~ by
<br />
<br />T ~-
<br />
<br />whc, iS~nallY known to me or who. has
<br />produced
<br />as identification
<br />
<br />t {e n oat't A
<br />
<br />a tLll-e)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />Q)JOSEPH WHITE HOPE, SR.
<br />MY COMMISSION (# CC 984805
<br />EXPIRES: Dee 13,2004
<br />l<<X1-3-NOTARY FL NolaIy Service" Bonding, lnc.
<br />
<br />O)JOSEPH WHITE HOPE, SR.
<br />, MY COMMISSION (# CC 984805
<br />. ./ EXPIRES: Dee 13, 2004
<br />l.flOl>>.N()TARY fL Nol.-y SeMce " Boncling, tnc.
<br />
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