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<br />CONDITIO;-.JS OF PEWHT AFFIDA....IlT I
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perai1uy be subject h 'deed restrictions. which uy be lore restrictive than City
<br />regulations. The undersigned assu.es responsibilit} for cD.pliante with any applicable deed restrictions.
<br />
<br />B. UNL I CENSED CONTRACTOr~S AND COI\lTRf;CTOR RESPONS I B I LIT I ES
<br />If the owner has hired a contractor or cootractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. if thedfnt'ractof is not .licensed as required by law, both tile owner ilnd con~ractor .ay be
<br />cited for a .isde.eanor violation under state lall. If the ~lIn~r Dr intended contractor are uncertain as to what licensing
<br />require.ents .ay apply for the intended 1'I"i-l:, tll\::1 are iI;l~iseiJ tr contact the City of 2ephyrhills Building Deparhent, (8131
<br />788-6611.
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the'contractor(sl sign portions of the
<br />.Contractor Sections. of this application for which they will r~ responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than ~he contractor, are responsible for the wrrk. If the contractor wishes you to sign
<br />as contractor that .ay be an indication t'iat he .s not prop2rly licensed and is not en~itled to per.itting privileges in'the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
<br />
<br />D. CONSTRUCTION LIEN LAl{ (CHAPTER 713, FLORIDA StATUTES, AS AMENDED)
<br />I certify that I, the applicant, have beei1 provided with a copy of .Florida's Construction Lien Law - Ho.eowner's Protection
<br />Guide. prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the
<br />.owner., I certify that I have obtained a copy of the above described docu.ent and prolise in good faith to deliver it to the
<br />.owner. prior to cO.lence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in thi5 application is accurate and that all work will be done in co.pliance with all
<br />applicable laws regulating construction, loning, and land develop.ent.
<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 co..enced prior to issuance of a per.it and +'hat all work will be perfor.ed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdicti~n. I also
<br />certify that I understand that the regulations of other ~overn'ent~l agencies .ay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be !n co.pliance. Such agencies include but are not li.ited to:
<br />f Depar~.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treattent
<br />f Southwest Florida Water "anaQele"t District - Wells, CyprESS Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, DocK5, Navigable Waterways
<br />f Depart.ent of Health l Rehabilitative Services, Environ~enta! H2alth Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f US Environtental Protection AQe~~ - A~bestos abate.ent
<br />i aiso certify that, if fill laterial is to be used in Flood Zo~e .f' or .A,etc.., it. is understo.d that a drainagE plan
<br />addressing a .colpensating volute. will be subtitted which is prepar~d by a profrssional engineer registered in the State of
<br />Florida prior to periit issuance.
<br />
<br />A per.it issu:d 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 pertit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peri it issued shall beeo.e invalid
<br />unless the work authorized by such pertit is co.tenced within six .onths of issuance, or if w~rk authorized by the perlit is
<br />suspended or abandoned for a period of SlX lonths after the ti.e th~ work is cOI.enced. One 90 day extension of tile, .ay be
<br />allowed for the per.it with fee charge of $15.00. The exten~:on shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged durinu each six .~nth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CUMMENCEMENT "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 />COM"ENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD HND POST A .NOTICE Ur COMMENCEMENT".
<br />
<br />
<br />...1:1) C 4tU-<4~~
<br />SIGNATURE: COMTR ~TOR
<br />
<br />
<br />WdS acknow:i.edged
<br />, 1';23- by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />The foregoing instrument
<br />before me this 11/30
<br />
<br />\.<Jas ac kno\.<J1 edged
<br />! 19-.2.L by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />The foregoing instrument
<br />befol-e me th is 11 / 30
<br />
<br />W. A. Neumann
<br />
<br />who is personally known to me or W~0 has
<br />produced -----------------------
<br />as identification not
<br />take
<br />
<br />W. A. Neumann
<br />
<br />who is personally known to me or who has
<br />
<br />produced ---------------------
<br />
<br />as identification
<br />
<br />t-'.:e
<br />.,. #
<br />
<br />
<br />
<br />(Signature)
<br />Mary H. Ray
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC '
<br />
<br />(SignatLlI-e)
<br />Mary H. Ray
<br />(Name Typed, Pr i nted or Stam: ied )
<br />NOTARY PUBLIC
<br />
<br />.:-r&""i) MARY H. RAY
<br />I.: UYCOUMISSlON f CC 181412 DI'IIIE8
<br />\.,.\ .~, December 14. 1895
<br />.,..,,~-!;~W-. BONDED1HRUTROYFAIN 1NllUAANCE.INC,
<br />
<br />
<br />MARY H. RAY
<br />II'fCOMMItSION' CC 188412"-
<br />December 14, 1.
<br />IONDED THAU TROY FAIN IH8UfWlCe, IlC.
<br />
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