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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peraitaay be subject to "de~~ restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assuaes responsibility for cOlpliai:~e 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 aay be r~quired to be licensed in accordance Nith
<br />,~,' """j' '
<br />state and local regulations. If the contractor isnot.'icensed as required by law, 'both the owner and contractor lay be
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813)
<br />788-6611.
<br />
<br />Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) 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 aay be an indication that he is not properly licensed and is not entitled to peraitting privileges in'the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
<br />
<br />D. COllSTRUCT I ON L I EN LAW (CHAPTER 713, FLOF: I DA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Hoaeowner's Protection
<br />Guide" prepared by the Florida Depart.ent 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 doculent and promise in good faith to deliver it to the
<br />"owner" pilor to cOllenceaent.
<br />
<br />E. CONTRACTOR'S/DWNER'S AFFIDAVIT
<br />I certify that all the infortation in this application is accurate and that all work Nill be done in cotpliance with all
<br />applicable laNs regulating construction, zoning, and land developaent.
<br />
<br />Applicatio~ is hereby aade to obtain a perait to do work and installation as indicated. I certify that no work or
<br />installati0n has coaaenced prior to issuance of a perait and that all work will be perforled to aeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies aay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be ~n coapliance. Such agencies include but are not lilited to:
<br />I nepartle~t of Environaental ReQulation - Cypress Bayheads, WEt'and Areas and ~nvironlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY CorDS of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Depart_eot of Health ~ Rehabilitative Services. Environaental Health Unit - Wells, WasteNater Treatlent, Septic Tanks
<br />I US Enviijnlental Protection AQency - Asbestos abate.ent
<br />I also certify that, if fill aaterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "coapensating volute" will be subaitted Nhich 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 work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perait 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 />unle~s th~ work authorized by such per.it is coa.enced within six .onths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of six aonths after the tiae the work is cOlienced. One 9Q day extension of tile, lay be
<br />allowed fcr the perlit with fee charge of $15.00. The extension shall be requested in,Nriting to the Building Official. An
<br />approved lnspection lust be logged during each rix aonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "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""ENCEKlNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF'COMKENCEKENT".
<br />
<br />~I:(}'~
<br />SIGNATURE: E 0 GENT
<br />
<br />J::t'tuHTR~;ii{9~k
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />The foregoing instrument
<br />befclre me this 30th
<br />
<br />was acknowledged
<br />, 19 ---2.? by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />The foregoing instrument
<br />befc'l-e me th is 30th
<br />
<br />was acknowledged
<br />19.-2.L 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 />who is persDnally known to me or whD has
<br />produced
<br />as identificati not
<br />take an oath.
<br />
<br />(Name Typed,
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, P
<br />NOTARY PUBLIC
<br />
<br />
<br />(SignatUl-e)
<br />
<br />
<br />(Signatw-e)
<br />
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