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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS '
<br />~he undersigned understands that this perlit aay be subject to 'deed restricti~ns. which lay be lore testrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance Mith 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 Mith
<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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended NorK, they are advised to contact the City of Zephyrhills Building Departlent, 18131
<br />7B8-bbl1.
<br />
<br />Furthenore, if the owner has hired a contractor or contractors, he is advised to have the contradorls) 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 Mork. 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 Construc~ion Lien LaN - HOleowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is soteone other than the
<br />"owner", I certify that I have obtained a copy of the above described docutent and prolise in good faith to deliver it to the
<br />"owner" prior to cotlencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all Mork Nill be done in cotpliance 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 Mork or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laMS
<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 lay apply to the intended work, and that it is
<br />IY responsibility to identify Mhat actions I lust take to be in cotpliance. Such agencies include but are not lilited to:
<br />. Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater Treattent
<br />. Southwest Florida Water "anaQetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterr.ays
<br />. Departlent of Health & Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />. US Environ.ental Protection Aqe~ - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used In ~lood Lone 'A" Dr 'A,ete.', it is understood that a drainage plan
<br />addressing a "cotpensating ,volute" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the Kor~ 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 cOllenced within six tonths of issuance, or if work authorized by the per.it is
<br />suspended Dr abandoned for a period of six lonths after the tile the work is cOI.enced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in Mriting 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 ~AILURE TO RECORD A NOTICE OF COM"ENCEMENT "AV RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />
<br />
<br />~,~NOT~EOTo"roROi;:C~
<br />
<br />SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF _ Pasco ---
<br />ThEt-fccregoing instrument was ackrdwledged
<br />before me th i s 28th. Apri~ 192___ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />. The foregccing instl~ument vJas ack'i1owledged
<br />before me this 28th. April, 19~ by
<br />
<br />R. C. Burnette
<br />who is personally known to me or ~~
<br />
<br />~~H ------------------------------
<br />
<br />as identification and who /did not
<br />take
<br />
<br />
<br />R. C. Burnette
<br />who is personally known to me ~
<br />
<br />~~~~~~ ---------------------------------
<br />
<br />as identification and w /did not
<br />take
<br />
<br />
<br />(Signature)
<br />Mary H. Ray
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />Mary H. Ray
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />MARYH. RAY
<br />_ MYCOMM!Sf,!ON Ii CC 186412 EXPIRES
<br />: December 14,1995
<br />'~8ONDl:D THRU 100'1" FAIN INSURANCE, INC.
<br />
<br />~-:;'?r'/;~~.. MARY H. RAY
<br />i*'1"J.i.';~ MY COI.'M!S:?,ION Ii CC 186412 EXPIRES
<br />~A{ij December 14, 1ge5
<br />"''r.Rr::.-.,.~~., BONDEO THRU TROY FAIN INSURANCE, INC.
<br />
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