<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands thit this perlitlay be subject tt "deed restri~tions. which lay be lore restrictive than City
<br />regulations. The undersigned assuaes responsibility for cOlplianc! with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSI8ILITIES
<br />If the owner has hired a contracto~ or contractors to undertake work, they lay be r~Quired to be licensed in accordance with
<br />state and loeal regulations. If tlie' cMifractor is not"licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to.~ontact the City of Zephyrhills Building Departlent, (8131
<br />7BB-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contrac~ors, he is advised to have the contractorlsl 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, ",e responsible for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not pro~erly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
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<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 />6uide" 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 document and promise 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 developaent.
<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 cOlaenced prior to issuance of a perlit 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. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to:
<br />_ f Departlent of Environ_ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways .
<br />f Departlent of Health ~ Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection Aqency - 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" Mill be sublitted which is prepared by a professional eng,ineer registered in the Stite of
<br />Florida prior to perlit issuance.
<br />
<br />~ permit 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 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 per.it is cOleenced 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 co~~enced. One 90 day extension of tiie, 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 month period, or the project will be considered abandoned.
<br />WARHIN6 TO OWNER: YtlUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR rAVING THICE FOR IMPROVEMEHTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY DEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF OMMENCEHENT".
<br />
<br />
<br />dl.C;~
<br />
<br />SIGNATURE: OIlNER R AGENT
<br />
<br />
<br />was acknowledged
<br />, 19...2L by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />The foregoing instrument
<br />before me this 9/20
<br />
<br />STATE OF FLORIDA
<br />COUNTY oF' Pasco
<br />The foregoing instrument
<br />before me this 9/20
<br />
<br />~Jas ackno~d edged
<br />19-23- by
<br />
<br />
<br />W. A. Neunamm
<br />who is personally known
<br />produced
<br />as-ident i f icat ion
<br />tak
<br />
<br />to me or ~oJho has
<br />
<br />W. A. Neunamm
<br />who is personally known to me or who has
<br />produced
<br />as identification
<br />take
<br />
<br />
<br />-------....
<br />(td nClt~
<br />
<br />(Signature)
<br />Mary H. Ray
<br />(Name Typed~ Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />( SignatU'l-e
<br />Mary H. RRY
<br />(N~me Typed, Printed or Stamped)
<br />tctOTARY PUBL I C
<br />
<br />CD MARYH. RAY
<br />IIYCOMMISSIOH' CC '1I411U1'111!1
<br />December 14, 1.
<br />IClIIlED 11lRU TROY FAIN IN8UfWICI.IIC.
<br />
<br />~tfJ/t.UI41t.~4.
<br />l~"J'~~ MARY H. RAY
<br />.'f .',~. ',"r ""CO~'~1~1ON'~1_'2I!lCPNS
<br />,'~~?':r. C"cflmber 14, 1895
<br />''.:~l{.... .,.,1.......1:0 n~u TROY FAIN 1NlIUIWlCE.1HC.
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