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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peraitlay be subject to .deed restrictions. which lay be .ore restrictive than City
<br />regulations. The undersigned assuaes responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONT~ACTOR RESPONSIBILITIES
<br />If the owner has hired a contract~r or contractors to undertake work, they lay be requi;;dlto be iicensed in accordance with
<br />state and local regulations. If the contractor is' not licensed as required by law, both the owner and contractor .ay be
<br />cited for a aisdeaeanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (8131
<br />788-bb 11.
<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 .ay 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 FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
<br />I certify that 1, the applicant, have been provided with a copy of .Flor,da's Construction Lien Law - Ho.eowner's Protection
<br />Guide. prepared by the Florida Depart.ent of Agriculture and Consuler Affairs, If the applicant is sOleone other than the
<br />.0Mner., I certify that I have obtained a copy of the above described docu.ent and promise in good faith to deliver it to the
<br />.0Mner. prior to cOllenceaent.
<br />
<br />E. CONTRACTOR1S/OWNER1S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby tade to obtain a pertit to do Mork and i~stallation as indicated. I certify that no work or
<br />installation has coaaenced prior to issuance of. a pertit and that all work will be perforled to leet 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 governlental agencies lay apply to the intended work, and that it is
<br />ay responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not Iilited to:
<br />I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways .
<br />I Departlent of Health ~ Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environlental Protection AQency - Asbestos abate.ellt
<br />I also certify that, if fill aateri~l is to be used in Flood Zone .A" or "A,etc,., it is understood that a drainage plan
<br />addressing a .colpensating voluae. will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perait 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 perlit prevent the Building Official frol 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 co..enced within six Bonths 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&enced. One 90 day extension of time, lay be
<br />allowed .for the perait 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 Bonth periDd, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 />C~NT. ~DE~~EE~ TO RECDRD AND POST' 'HDTICE OF CD"E:CE'EHT'.
<br />
<br />
<br />'~~l ..(~ ~"f#=L
<br />
<br />SIGNATURE: OWNER OR AGENT .--- SIGNATURE: CONTRACTlfR ' {I
<br />
<br />was acknowledged
<br />, 19~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />The foregoing instrument
<br />before me this 1/11
<br />
<br />STATE OF,FLORIDA
<br />CnUNTY OF pasco
<br />The foregoing instrument
<br />before me this 1/11
<br />
<br />was acknowledged
<br />, 19~ by
<br />
<br />
<br />\ G\\.;
<br />
<br />Ken Griffin, Jr.
<br />\o'lho is pel-sona 11 y knO\o'lll to me ;;,o.r......wl;.Eo~+C\oS
<br />
<br />~~~~~--------------------------
<br />
<br />-2I'9-oiEle-l'l-'lH..f-+e-a-iH-E'ofj and who -+.:k.Q/did m.t
<br />ta ""e an oath
<br />
<br />Bob A. Dodd, president, EPMC
<br />who is persc.nal1 y known to me eo.1=-~-1:i-iil.6
<br />
<br />~crnnc~---------------------------
<br />
<br />"'i"d""rrt-i-f'i:L~rn-and who-m.-d/did not
<br />tal:. an oath.
<br />
<br />
<br />(51 nature)
<br />
<br />,J"Il~ IlL H9rnoml
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />Commission #AA643275
<br />My Commission Expires:
<br />
<br />Notary Public, Stcte of Florida
<br />My Commiss;cn Exn;r~, rc~. 1. l'1J
<br />
<br />(Si natLlI-e)
<br />June M. Herndon
<br />(Name Typed, Printed or Stamp9~~
<br />NOTARY PUBLIC
<br />Commission #AA643275
<br />My Commission Expires:
<br />
<br />Notary Public. St<:te of Florida
<br />My Commission Expires Feb. L 1993
<br />
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