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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A~ NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it ..ay be subject to .deed restrictions. which lay be .ore 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 or contractors to undertake work, they .ay 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 .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to Khat licensing
<br />require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 18131
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is} sign portions of the
<br />.Contractor Sections. of this application for Nhich they NiII 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 Nishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting 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 Nith a copy of .Florida's Construction Lien Law - Ho.eowner'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 pro.ise 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 Nork will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no Nork Dr
<br />installation has co..enced prior to issuance of a perlit and that all work will be perforled to .eet 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 .ay apply to the intended Nork, and that it is
<br />.y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />f Departlenl of Environ.ental Reoulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaoelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of Enoineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection Aoency - Asbestos abatelent
<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 .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 perait issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a perait 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 perlit is cO.lenced 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 Nork is cOllenced. One 90 day extension of tile, 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 aust be logged during each six aonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROYEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBT FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />C CEKENT. JOBS UNDER ,50 N VALUE 0 NOT NEED TO RECORD AND POST A "NOTICE OF COKKENCEKENT".
<br />
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />Anne E. Pomfret
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />The foregoing instrument
<br />before me this 19, May
<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 Ju e
<br />
<br />was acknowledged
<br />, 19.1l-.. by
<br />
<br />Anne E. Pomfret
<br />who is personally ~(nown to me or who has
<br />produced Dr. Lis Fl. P 516-045-50-876
<br />as identification and. who did/did not
<br />
<br />~~L G ~yut\
<br />
<br />(Signature)
<br />Bonita G. Jones
<br />(Name Typed, Printed or Stamped)
<br />NOT ARY PUBL I C Notary Public, State of F~~ld:994
<br />MlI. commlaalon Explrea Feb. .
<br />~A lSLfYl D
<br />
<br />
<br />Steve
<br />whc, has
<br />
<br />ot
<br />
<br />(Signatu
<br />Mary H. Ray
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
<br />Q
<br />/l MARY H. RAY
<br />i : elYOOIINlIIIIClff' cc ,...,......
<br />. .. December 14, 1.
<br />, ~""'1ROY FAIN INIlIIWlCe, INC.
<br />
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