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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this perlit lay be subject to 'deed restrictions' which lay be lore restrictive than City, <br />regulations. The undersigned assules responsibility for co.pliance with any applicable deed restrictions. <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br />If the owner has hired a contractor Dr contractors to undertake work, they Jay 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 IaN. If the owner or intended contractor are uncertain as to what licensing <br />require.ents .ay apply for the intended wor~, they are advised to contact the City of Zephyrhills Building Depart.ent, [8131 <br />7BB-bb 11. <br /> <br />Further.ore, 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 LaN - HOleowner'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 doculent and promise in good faith to deliver it to the <br />"owner" prior to co..ence.ent, <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br />I certify that all the infor.ation 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 wor~ Dr <br />installation has cO'lenced 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 lay apply to the intended work, and that it is <br />.y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not Iilited to: <br />I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, <br />Water/Wastewater Treatlent <br />I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways <br />I Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks <br />I US Environ.ental Protection AQency - Asbestos abateaent <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 "colpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of <br />Florida prior to perlit issuance. <br /> <br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr <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 per.it issued shall becole invalid <br />unless the work authorized by such perlit is COI.enced within six lonths of issuance, Dr if work authorized by the perlit is <br />suspended Dr abandoned for a period of six lonths after the tile the work is cOI.enred. 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 lust be logged during each six lonth period, or the project Nill be considered abandoned. <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAVING TWICE FOR IMPROVEMENTS TO YOUR <br />PROPERTY. IF YOU INTEND TO OBTAIN FI~ANCI"G, 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 />SIGNAl E: OUNER OR AGENT <br /> <br />1-<;;'_.' R~ <br /> <br />SIGNATURE: CONTRACTOR <br /> <br />STATE OF FLORIDA <br />COUNTY OF Pa~co <br />The foregoing instrument <br />before me this June 17 <br /> <br />was acknowledged <br />, 19 ~ by <br /> <br />STATE OF FLORIDA <br />COUNTY OF Pasco <br />. The foregoing instrument was acknowledged <br />befDre me this ~Qne 11----, 19-92-- by <br /> <br />Kevin T. Roberts <br /> <br />who <1"5 r~;-sclnall y ~mown.-1~ or who has <br />produced <br />as identification and who did6di~ <br />~(e an oath. ~ <br />_~K. <br />(S natUl-e) <br />Janet K. Blackwell Comm.# AA606229 <br />(Name Typed, Printed Dr Stamped) <br />NOTARY PUBLIC NotaryPu15!1c, State 'Of 'FIorl(fif <br />My CommiSSion Expires Sept. 2, 1991 <br /> <br /> <br />no is ersonall or who has <br />pl-oduced <br />as identification and who did~n~ <br /> <br />t~~~.K ~ <br />(Si tu'.-e) <br />Ja~et K. Blackwell Comma # AAfiQn~~q <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br />Notary Pulillc, Slate 01' 'F'Ii5""rf(ftl <br />My Commission ExpireS Sept, 2, 199Z <br />