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<br />CONDITIONS OF PERMIT AFFIDAVI~
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'ihe undersigned understands that this perlitlay be -subjed t~ "diC' ?'leSt: i.r.tiens" which IIilY be lore restrictiv:I'than'Ci.;l;v
<br />regulations. The undersigned assules re5por.~i!:;~iity for cOlplii.mce liit~,ny appiic:ille d.!ed restrictions. ,', .'
<br />
<br />B. UNLICENSED COI~TRACTORS AND CONTRP~TOR RESPONS~DILITIES
<br />If the Ollller has hired il contractor Dr contracbrs to undertakc- "r,r~: i they- may be ~~-Qt,', reTt';;'b-;iicensed in aCCl'rdance wi ih
<br />state and local regulations. If the contracto' :5 not licensl!.i a~ required by lall, beet the own~r and contractor lay be
<br />cited for a lisdeleanor violation under state ~aN. If the owner or intended contrQc~or are uncertain as to what licensing
<br />requirements lay apply for the intended work, they are ad~ised to contact the City of Zephyrhills Building Department, (813)
<br />788-6611.
<br />
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have 'the contractor Is) sign portions of the
<br />"Contractor Sections" of this application for which they Mill 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 IIi shes 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 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 - Homeollner's Protection
<br />Guide" prepared by the Florida Department of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />"oMner", I certify that I have obtained a copy of the above described document and piolise in good faith to deliver it to the
<br />"owner" prior to cOllencement.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in compliance with all
<br />applicable laMS regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby made to obtain a permit to do 1I0rk and installation as indicated. I. certify that no 1I0rk or
<br />installation has comlenced prior to issuance ~f a permit and that all work will be perfor.ed to teet standards of all laws
<br />regulating construction, City codes, zoning reJulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I must take to be in cOlpliance. Such agencies include but are not lilited to:
<br />I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetlafid Areas and Environlentally Sensitive Lands,
<br />Water/WasteMater Treat.ent
<br />t SouthMest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Army Corps of EnQineers - Seawalls, Docks, Navigable Waterllays
<br />t Departlent of Health & Rehabilitative Services, Environlent"l Health Unit - Wells, Wastewater Treatment, Septic Tanks
<br />I US Environmental Protection AQency - Asbestos abate.ent
<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 volu.e" lIill be submitted whic~ is prepared by a professional engineer registered in the State of
<br />Florida prior to permit 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 per.it 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 1I0rk authorized by such permit is cOlmenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six eonths after the tile the work is cOI.enced. One 90 day extension of tile, lay be
<br />alloMed for the perlit Hith 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 will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CoKKENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMKENCEKEHT".
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<br />
<br />~-
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<br />
<br />SIGNATURE:
<br />
<br />was acknowledged
<br />, 19 ~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY Of Pasco
<br />The foregoing instrument
<br />before me this 10-27-
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />The foregoing instrument
<br />before me this 10-27-
<br />
<br />was acknowledged
<br />, 1 9 --92...- by
<br />
<br />R.C. Burnette
<br />
<br />who is personally known to me or who has
<br />produced Drivers License
<br />as ijEdetification and who did/did nc,.t
<br />take ath.. /f)' J
<br />a--e-R_ \Z.~ t..l/-d ~~4..
<br />(Signature)
<br />Gracie Owens
<br />
<br />R.C. Burnette
<br />
<br />who is personally ~nown to me or who has
<br />
<br />produced Drivers LiCPTIRP
<br />
<br />as iden fication and who did/did not
<br />
<br />take a ath.
<br />c
<br />
<br />
<br />-e '
<br />-~--
<br />
<br />...../2..--
<br />(Signatw-e)
<br />Gracie Owens
<br />(Name Typed, Pririted or Stamped)
<br />
<br />NOTARY PUBL It;lO'<'A;:' ._, ~",:; "'-""':\
<br />MY ELL-uS; r ;GV~4:'1994.
<br />IOlW.IW UlRl.I NOrAIU' l'UIJUC UNDERWlUTEB.io
<br />
<br />(Name Typed, Printed or Stamped)
<br />
<br />NOT A~:Y PUBL Ie
<br />NOT_Af~~/ ~~U01,l:{,:, Sl'/"""~_-::-~', :'''~~:7._ ii'Ln~~;A.
<br />MY COiV'IMISSION EX_?_:F~':~~~: ! :c-Y. 4, ~ ~F9,~,"
<br />lJON!:>"!) TlUlIJ NOTAl'''' PI"'FC UNDERWRllERS.
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