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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions. which lay be lOre restrictive than City
<br />regulations. The undersigned assules 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 Dr contractors to undertake work, they lay 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 law. 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 Departlent, 18131
<br />788-6611.
<br />
<br />Further.ore, if the owner has hired a contractor Dr 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 bave obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />.owner" prior to cO'lencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation 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 cOltenced 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 developlent regulations in the jurisdiction. 1 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 lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />I Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environaental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood lone "A" or .A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit 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 perlit issued shall becole invalid
<br />unless the work authorized by such pertit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is COlleneed. 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 COK"ENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CDKKEHCEKENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COK~NCEKENT..
<br />
<br />
<br />f!2~4~~ ~~~
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PASCO
<br />The foregoing instrument
<br />before me this June 14,
<br />
<br />was acknowledged
<br />, 19-21.. by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PASCO
<br />The foregoing instrument
<br />before me this June 14.
<br />
<br />was acknowledged
<br />, 19.2.1.-- by
<br />
<br />W. A. Neumann
<br />
<br />who is personally known to me or who has
<br />produced Personally known
<br />
<br />::~O~~id not
<br />
<br />(Signature) , '
<br />Mary H. ay =
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
<br />CD MARYH.RAY
<br />II\' COINISSIOH , cc 1184121!lCP1E1
<br />: Cecember 14, 1995
<br />. IIONDED lMRU TAOY FAIN INSURANCE. INC,
<br />
<br />W. A. Neumann
<br />who is personally known to me or who has
<br />produced Personally known
<br />as identification and who
<br />take
<br />
<br />
<br />If'''
<br />
<br />
<br />Clt
<br />
<br />(Signature)
<br />Mary H. Ray
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
<br />Q) MARYH.RAY
<br />: : WI 00IItIIlI8I0N 'cc 118412l!J1'IlEa
<br />.. Cacember 14. 1.
<br />~. . IIONDED lMRU TflOY FAIN lN8UMNCE. INC.
<br />
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