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CONDITIONS OF PSRMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit 'Iay be subject to 'deed restrictions' which lay be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance Mith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contracto~ Dr contractors to undertake Mork\ they may be required to be licensed in accordance Mith state and local regulations. If t1;e'.cDiifractor is not"licensed as required by laM, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 7BB-b611. Furtherlore, if the o"ner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the 'Contractor Sections' of this application for IIhich they IIBI be-responsible. If you, as the OMner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that say be an indication that he is not properly licenspd and is not entitled to persitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES. D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES~ AS AMENDED) I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - HOleowner's Protection Guide' prepared by the Florida Departtent of Agricultuloe and Consuler Affairs. If the applicant is soteone other than the 'ollner', I certify that I have obtained a copy of the above described docullent and prollise in good faith. to deliver it to the 'owner' prior to COlllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with .~II applicable Ialls regulating construction, zoning, and land developlent. Application is hereby tade to obtain a pertit to do work and installation as indicated. I certify that no Mork or installation has cOllenced prior to issuance of a pertit and that all work will be perforled to leet standards of all laMS regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liaited to: f Departaent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Trratlent t Southwest Florida Water ManaQelent District - Wells, Cypress B~yheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways ' t Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos aoate.ent I also certify that, if fill laterial is to be used in Flood Zone 'A' Dr 'A,etc.', it is understood that a drainage plan addressing a 'colpensating volule' ~ill be suhli~t~~ .hich is pf~pdf2d by a profe~5iDnal engineer rEgistEr~d in the State ~f Florida prior to perlit i5suance. A pertit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perli t prevent the Bui lding Official irol-thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the Nork authorized by such permit is co.tenced within six lonths of issuance, or if work authDrized by the permit is suspended or abandoned for a period of six tonths after the tile the Nork is com~enced. One 90 day extension of tile, lay be alloNed for the per.it with fee charge of tI5.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six nonth peTiod, or the project will be considered abandoned. WARNING TO OWNER: Y~UR FAILURE TO RECORD A NOTICE OF COMKENCEMENT MAY RESULT IN YOUR PAYING THICE FOR I~PROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CONNENCENENT. ~oos UNDER 11,500 IN .0tuE 00 NOT NEED TO RECOR~~:~'::::::;:::~. SIGNATURE: C CTOR ,__0> was acknowledged , 19.21- by STATE OF FLORIDA COUNTY OF Pasco The foregoing instrument before me this 3/9 was acknowledged ~ 19~ by STATE OF FLORIDA COUNTY 0(. Pasco The foregoing instrument before me this 3/9 Stanley E. Olsen who is persona 11 y Imoltln tQ m>=> ",,.. "lhr produced ---------------------- as identificati not take an oat . W. A. Npllm:lnn 1<1":-:' 1!:: ~~!-!:c'~-:2.11y !'.nc~"~n ~C: ;-:1C c~r ;\~hc) h~s (Signature) produced --------------------------- as identification and who not take an 0 (Name Typed~ Printed Dr Stamped) i~OTARY PUBL I C (Name Typed~ Printed or Stamped) NOTARY PUBLIC CD MARYH.RAY : . M'l"COIIMlSSlON' cc t884tZIlCI'lM8 '. December 14. 1l19S jM;jl BONDED llfRU TROY FAIN 1NIURANCE.lNCo CD MARYH. RAY M'l"00UM1SSlCN' CC 1884121lCP1IES .' December 14. 1~5 . BONDED '\llflU TAOY FAIN INllUAANCE. INC. ,Rr..~