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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 Clt,
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicablp deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPlJNSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake worK, they may-be required ~icensed in accordance Hlth
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lav bE
<br />cited for a lisdeleanor violation under state IaN. If the owner or intended contractor are uncertain as to what lic~nsinQ
<br />requirelents tay apply for the intended worK, they are advised to contact the City of Zephyrhills Building Department, (8131
<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 Df 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 lephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE2,
<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 />6uide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than t~e
<br />"owner., I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it t" the
<br />.owner. prior to cOllencelent.
<br />
<br />'I
<br />(
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infortation in this application is accurate and that all Nork will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />$
<br />
<br />Application is hereby .ade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation has cOI.enced prior to issuance of a per.it and that all work will be perforled to .eet standards of all lans
<br />regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
<br />certify that I understand that the regulation~ of other govern.ental agencies lay apply to the intended work, and that It is
<br />IY responsibility to identify what actions I .ust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />f Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />W~ter/Wastewater Treat.ent
<br />. Southwest Florida Water KanaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Arty Corps of EnQineers - Seawalls, Docks, )!avigable Waterways
<br />f De artlent of Health & Rehabilitative Services Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f Environlental Protection AQency - Asbestos abate.ent
<br />I also certify that, if fill .aterial is to be used in Flood lone .A. or "A,etc,', it is understood that a drainage plan
<br />addressing a .co.pensating volute. will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
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<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 fro. 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 pertit is cotlenced within six lonths of issuance, or if work authorized by the permIt is
<br />suspended or abandoned for a period of six tonths after the tile the work is cOI.eoced. One 90 day extension of tiie, ~ay be
<br />allowed 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 tonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO 'tOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCIN6, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />
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<br />~03;~THEEnTD'~
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<br />- -- - -- - "' I\6EHT - -',. ACT: -
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing ins~ument was acknowledged
<br />before me this Z; :,,23 ,19~ by
<br />f
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregc. i ng ins ;Zlment
<br />befcl}-e me th i s '1 ~~
<br />
<br />vla.S acknc1vJledgE'd
<br />, 19~ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identificati g and who did/did not
<br />take an o~t,~ e
<br />
<br />(Signatuce) NotaryPu licPascoCo.Fl
<br />M r "r' I
<br />. \" .' "'.;,;"l~- "-:1'1'f(S l~a~ p. 1995
<br />(Name Typed, Printed or S~ampe
<br />NOTARY PUBLIC
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identificati~~
<br />take an oath K (,
<br />
<br />(Signature) Publ~ Pasco Co. FL
<br />Notn'Y de ) \99S
<br />(Name TYPM;,CdIMI~Em1~~Jed)
<br />NOTARY PUBLIC
<br />
<br />Ct did/did mot
<br />
<br />
<br />
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