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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit .ay be subject to .deed restrictions. which lay be lore restrictive than City
<br />regulations. The undersigned assuaes responsibility for cOlpliance 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 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 "hat 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 />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor 15) sign portions of the
<br />"Contractor Sections. of this application for which they Mill be responsible. If you, as the OMner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the Mork. If the contractor Mishes 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 LaM - HoaeoMner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />"oMner", I certify that I have obtained a copy of the above described doculent 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 Mork Mill be done in cOlpliance Mith 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 Mork or
<br />installation has cOllenced prior to issuance of a perlit and that all Mork Mill 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 governlental agencies lay apply to the intended Mork, 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 Environlental ReQulation - Cypress Bayheads, Yetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treattent
<br />t Southwest Florida Water Kanaqelent District - Wells, Cypress Bayheads, Yetland Areas, Altering Watercourses
<br />t Arty Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US Environaental 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 volute. will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A pertit issued shall be construed to be a license to proceed Mith the Mork 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, Dr violations of any code. Every perlit issued shall becole invalid
<br />unless the Mork authorized by such perlit is cOlaenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six tonths after the tile the Mork is cOllenced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of SI5.00. The extension shall be requested in Mriting to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project Mill be considered abandoned.
<br />WARNING TO OYNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT ~Y RESULT IN YOUR PAYING TYICE FOR I"PROYE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO"KENCEKENT. JOBS UNDER S2,500 IN YAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKENCE"ENT..
<br />
<br />
<br />Cfiu JY2Q J.J- tv1, B~
<br />SIGNATURE: OIlMER OR AGENT
<br />
<br />~1W\
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />. ~Y2JLA--
<br />
<br />was acknowledged
<br />19~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument'was acknowledged
<br />before me this 9-21-93, 19_____ by .
<br />
<br />Pasco
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />The foregoing instrument
<br />before me this 9-21
<br />
<br />Russell M Brown
<br />who is personally known to me or who has
<br />produced FI Drivers License B650833523710
<br />as identification and who did/did not
<br />tak n 0 h.
<br />
<br />
<br />Russell M Brown
<br />who is personally known to me or who has
<br />produced Florida DL B650733523710
<br />as identification and who did/did not
<br />ta n oath.
<br />
<br />
<br />(Signature
<br />CharI tte Mihalakis
<br />(Name Typed, Printed or Stamped) L
<br />NOTARY PUBL~*~" OFFIC\AL SEA
<br />l_\ Charlotte Mihalak'.' ,
<br />: I MY commission Expire
<br />~ : NoV. 16. 1996
<br />"...~' ,.- .4." m. NO. CC 235863
<br />'~~Off'ST."" com
<br />......It'lt.
<br />
<br /><Signatu
<br />C rlotte Mihalakis
<br />
<br />(Name Typed, Printed or Stamped)
<br />........
<br />NOTARY PUBLI9~~;:-.. OFFICIAL SEAL
<br />
<br />! Il) Charlotte Mlhalakls
<br />i My Commission Expires
<br />\~ ,...-~..: Nov. 16. 1996
<br />....~Off\P'::...*.... Comm. No. CC 235863
<br />-.."
<br />
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