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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit 'Iay be subject to Sdeed restrictions" which. lay be lore restrictive than City
<br />regulations. 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 lay be requited to be licensed in accordance with
<br />state and local regulations. If the contractor is 1fD~:.'licensed as required by lall, both the Ollner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to Hhat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, !B13l
<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 - HOleollner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs, If the applicant is so.eone other than the
<br />"owner", I certify that I have obtained a copy of the above described docu.ent and promise 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 1I0rk lIill be done in co.pliance 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 lallS
<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 govern.ental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance, Such agencies include but are not li.ited to:
<br />. Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />. Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />. Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f 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 "co.pensating voluae. 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 perlit issued shall be construed to be a license to proceed with the Hor~ 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 frot 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 perlit is cOllenced within six lonths of issuance, or if Hork 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 tile, 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 lonth period, or the project Mill be considered abandoned,
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO"MENCEMENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT",
<br />
<br />;O~~
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER DR AGENT
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />. The foregc.ing instrument
<br />before me this April 21
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The"'foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19.21-- by
<br />
<br />who is personally known to me Dr who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />Dean Kight
<br />who is personally known to me Dr who has
<br />produced FDL #K230 724 53 066 0
<br />as identification and who <<Xd/did not
<br />take. ~~I6~th.. .4' J1;C4 AA
<br />\.l.i..L~?t-- ~.U_4"----
<br />.18ignature)
<br />./ Susan A McCollum #654621
<br />(Name Typed, Printed or Stamped)
<br />NOT ARY PUBLI C
<br />NOTARY PUBLIC, STATE OF FLORIDA,
<br />MY COMMISSION EXPIRES: APRIL 16, 1993.
<br />BONDED THRU NOTARY PUBL.IC UNDERWR1TE:R~
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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