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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it '.ay be subject to .deed restrictions. whi~h lay be lore restrictive than City
<br />. ren~lations, The undersigned assules responsibility for cOlpliance 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 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 />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the
<br />.Contractor Sections. of this application for which they will b~ 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 Depart.ent 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 doculent and prolise in good faith to deliver it to the
<br />.owner. prior to cOllencelent.
<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 cOlpliance with all
<br />applicable laws 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 work or
<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 governlental agencies .ay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not lilited to:
<br />. Departlent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
<br />Water/Wastewater Treatlent
<br />. Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />. Depart.ent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />. US Environlental Protection Aqency - Asbestos abatelent
<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. will be sublitted 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 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 fro. 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 perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of ti.e, lay be
<br />allowed for the per.it 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 .onth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"~NCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUlT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COIOEICElENT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST ~TICE OF CoroENCE ·
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<br />
<br />LP~/~ ~
<br />SIGNATURE: OWNER OR AGENT' , 16NATURE: C TRACTOR
<br />, I
<br />
<br />
<br />STATE OF FlORI~
<br />COUNTY OF, . a <...,(' 0
<br />The foregoing instrument
<br />before me this \D~
<br />
<br />was acknowledged
<br />, 19 ~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />The foregoing instrument
<br />before me this10th Jan.
<br />
<br />was acknowledged
<br />, 19.2f..- by
<br />
<br />.--y\D'be~-\ ~ ~\~e.
<br />who is personally known to me or who has
<br />produced 0- '\=\.....,,-..1a... -t,~"-Jp~ l',<'..(""~.s.e
<br />as identification and who ~/did not
<br />
<br />ta\\ ~~ 0---. Sl r~L
<br />
<br />1 S i $lJla t.LJ..r e ) ~ \
<br />\'\0...'\'" \ p e ~ S\- Q. ~ \ e:>\"" {\ 'f'-.
<br />(Name Typed, Printed or tamped)
<br />NOTARY PUBLI C
<br />
<br />Frank E. Strout
<br />who is personally known to me or who has
<br />produced FL LIe S363-265-26-087
<br />as identification and'~ho didl .
<br />tak n oat .
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />rnT :,lY PUBLIC STATE OF FLORIDA
<br />MY COMMISSION EXP, JUNE 6.1994
<br />BONDED THRU GENERAL INS. UNO. ,
<br />
<br />'.
<br />
<br />NOTARY PUBLIC. STATE OF J:'lORlD.(1 ."
<br />~~ COMMISSION EXPIRES: JAN. 26, 199"i.
<br />· DSD THRU NOTARY PUBLIC UNDEftWRITSRSJ
<br />
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