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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subje~t to "deed restri~tions" whi~h lay be lore restri~tive than City
<br />regulations. The undersigned assules responsibility for ~olplian~e with any appli~able 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 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 lisdeleanor 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, (BI3)
<br />7BB-bb 11.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the ~ontractor(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 Departlent 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 docuDent and promise in good faith to deliver it to the
<br />"owner" prior to cO.lencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work Nill be done in cOlplian~e 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 .eet 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 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 />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of EnQineers - Seawalls, ]ocks, Navigable Waterways
<br />t Depart.ent of Health LRehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US Environlental Protection AQency - Asbestos abatement
<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" Mill be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A permit 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 frol thereafter
<br />requiring a correction of errors in plans, construction, Dr violations of any code. Every perlit issued shall becole invalid
<br />unless the Nork authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended Dr abandoned for a period of six .onths after the tile the work is coaienced. One 90 day extension of tile, lay be
<br />alloNed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection must be logged during each six looth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />~/P~
<br />
<br />SIG TURE: OWNER OR AGENT
<br />
<br />~;c~
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />was acknowledged
<br />, 19-2L by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P~c::rn
<br />. The foregoing instrument
<br />before me this M~y 11
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />The foregoing instrument
<br />before me this May 11
<br />
<br />was acknowledged
<br />, 19...92-- by
<br />
<br />Kevi n Roberts
<br />who is personally known to me or whD has
<br />pl-oduced N/A
<br />as identification and who did/did not
<br />~ke an oath.
<br />_~K~
<br />(Si atUl-e)
<br />Janpt K Rl~rkwell comm. # AA606229
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUE~ 15f~'
<br />ftcffiiiY f'ii15t1e;. . 992
<br />M Commission Expires Sept. 2, 1
<br />Y
<br />
<br />Kevin Roberts
<br />who is personally known to me or who has
<br />pn,duced N/A
<br />as identification and who did/did not
<br />ta~'e an oath. CI fl ()
<br />~~k ~'JIOQ
<br />(Sig ture)
<br />~et K. Bl~r.kw~ll (amm.' AA606229
<br />(!'lame Typed, PI-iilted C.I- Stamped)
<br />tcI0TAF:Y PUBLIC
<br />Notary l'ul:jllc,Statt! -0' F1otfd<<
<br />My Commission Expires Sept. 2, 1992 ~
<br />
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