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<br />CONDITIQNS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICT~ONS
<br />The undersigned understands that this perlitlay be subject to "deed restrictions" which may be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or c~ntractors to undertake Mork, they aay 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 I~N. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (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 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 2ephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
<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 />Guide" prepared by the Florida Departlent 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 prolise in good faith to deliver it to the
<br />"owner" prior to cOltencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AF~IDAVIT
<br />I certify that all the inforlation 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 ipstallation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of. a pertit and that all work will be performed to meet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I alsc,
<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 lust take to be in cotpliance. Such agencies include but are not lilited to:
<br />t Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />t Southwest Florida Water ManaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways '
<br />t Departtent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US Environaental Protection AQency - Asbestos abatetent
<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 "compensating volule" will be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A pertit 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 frol thereafter
<br />requiring a correction of errors in plans, construction, or yiolations of any code, Every pertit issued shall becole inyalid
<br />unless the work authorized by such pertit is cOI.enced within six months of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of six lonths after the ~ile the work is cOlienced. One 90 day extension of tile, lay 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 lonth period, Dr the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CUNS~LT UITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />~CEMENT~OBS UNDER 2,5~O IN VAL~~T NEED TO REC~HD AND POST A 'NOTICE OF COMMENCEMENT".
<br />-d ~ <<...v. - . ~
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<br />L.e~ Cj - .,,--~ ~
<br />SIGNATURE: CONTii-
<br />
<br />
<br />STATE OF.FLORIDA
<br />COUNTY OF Pasco
<br />The foregoing instrument
<br />before me this 1/11
<br />
<br />was acknowledged
<br />, 19-22.. by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />The foregoing instrument
<br />before me this 1/11
<br />
<br />was acknowledged
<br />, 19.9.3-.. by
<br />
<br />
<br />Bob A. Dodd, President, EPMC
<br />who is personally known to me Q.J:-..wl:ll;l...h.aJ;
<br />
<br />~~~~--------------------~~~~
<br />
<br />~-4Qiil-J+t.i.:f~~~"",,j;l and who LH.'t!/dic not
<br />t ke ~n o~ )~
<br />
<br />. gnatUl-e)
<br />ne M. Herndon
<br />(Name Typed, Printed or Stamped'
<br />NOTARY PUBLIC
<br />Commission #AA643275
<br />My Commission Expires:
<br />
<br />Ken Griffin, Jr.
<br />who is persona 11 y known to me C!.J_.kl.b!;!,~
<br />
<br />~~~u~_ _______________________
<br />""'l?!'9-~el!"lTlH...+e_a4H._€<f'l and who -4i-el/did not
<br />~~ an oat~ \.....\. ~, ~.'"
<br />"---' ~ \ \ ,,-. ~ \l 'i\. \'\r',uC~
<br />(Si nature)
<br />June M. Herndon
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />Commission #AA643275
<br />My Commission Expires:
<br />
<br />Notary Public, St?t~ of Florida'
<br />My Commission Expires Feb. I, 1993
<br />
<br />Notary Public, Steta of FlorId
<br />My Commission Expires Feb. 1, 199~
<br />
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