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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it lay be subject to "deed restrictions" which .ay be lore restrictive than City
<br />regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may 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 .ay be
<br />cited for a .isdeleanor violation under state law. If the owner Dr 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, (813)
<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 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 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 docu.ent and prolise in good faith to deliver it to the
<br />"owner. prior to cOllencelent.
<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 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 installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent 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 />IY responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />I Departlent of Environ.ental ReQuIation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />. Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Depart.ent of Health & Rehabilitative Services. Environ_ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zon~ "A" Dr "A,etc.", it is understood that a drainage plan
<br />addressing a .co.pensating volule' will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A per.it 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 fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall becole invalid
<br />unless the work authorized by such perlit is cOllenced within six lonths of issuance, Dr if work authorized by the per.it is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of ti.e, 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 Gust be logged during each six .onth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COH"ENCEHENT "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 />CO""ENCE"ENT. JOBS UNDER $2,500 IN V E DO NOT NEED TO RECORD AND POST "NOTICE OF COMHE CEKENT".
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PASCO
<br />The foregoing instrument was acknowledged
<br />before me this April 26, 19 93_ by
<br />
<br />Frederick A. Shaw
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />take an oath9J2,^ ~ill~h
<br />
<br />(Signature)
<br />John T. Kutsch
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />JOHN T, KUTSCH
<br />Notary Public, State of Florida
<br />My Comm. Exp, June 9, 1995
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PAS CO
<br />, The foregoing instrument was acknowledged
<br />befcl\-e me this April 26 , lq~ by
<br />
<br />John T. Kutsch
<br />who is personally known to me Dr who has
<br />produced
<br />as identification and who did/did not
<br />
<br />t~~tL,a~
<br />
<br />(Signature)
<br />Rit'R T, Rpnnit'r
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />RITA L.llEDDI1T
<br />Notary Public, Stale of Florlcla
<br />My Comm, Exp. May 19, 1995
<br />
<br />
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