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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this pecait JaY be subject to 'deed restrictions' "bieb laf be lOre restrictive than Cit,
<br />regulations. !be undersigned assU1e8 responsibility for cmpliance "ith anf applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIRler bas bired a contractor or contractors to undertake wrk, thef Jaf be required to be licensed in accordance "ith
<br />state and local regulations. If the contractor is not licensed as required by lu, both the 0Ialer and contractor .y be
<br />cited for a lisdl!ll!allOr violation under state lal. If the OIlIer or intended contractor are uncertain as to "bat licensing
<br />requiruents laf applf for the intended work, they are advised to contact the City of ZephfCbills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtheraore, if the OIner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for "hieb they "ill be responsible. If JOU, as the OIfDer sign as the contractor,
<br />you are indicating that fOU, rather than the contractor, are responsible for the work. If the contractor "isbes you to sign
<br />as contractor that Jaf be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
<br />City of ZepbfCbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certiff that I, the applicant, bave been provided "ith a COPf of 'Florida's Construction Lien Law - H-.aer's Protection
<br />GuideN prepared by the Florida Departlent of Agriculture and COnsUler Affairs. If the applicant is 8ORODe other than the
<br />'owner', I certiff that I have obtained a Copf of the above described docUIent and pmlise in good faith to deliver it to the
<br />Nowner' prior to COlll!DCell!llt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all wort "ill be done in cmpliance "ith all
<br />applicable la"s regulating construction, loning, and land developleDt.
<br />
<br />Application is bereby Jade to obtain a pecait to do work and installation as indicated. I certiff that no wort or
<br />installation has CDlenced prior to issuance of a perli t and tbat all wort "ill be perfoIled to lleet standards of all laws
<br />regulating construction, Citf codes, loning regulations, and land develo(llleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies laY apply to the intended wort, and tbat it is
<br />If responsibilitf to identify lbat actions I lUSt take to be in cmpliance. Sueb agencies include but are not lilited to:
<br />t Departlent of BnviroDlelltal Regulation - Cypress Bafbeads, Wetland Areas and BnvirollleJltallf Sensitive Lands,
<br />Water/lfastewater TreatJent
<br />t Soutbvest Florida Water Managl!lellt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AI'If Corps of Bngineers - Seawalls, Docks, lavigable Watenrays
<br />t Departlent of Health i Rehabilitative Services, BnvirOJlleDtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />t US BnvirOllllelltal ProtectiOn Agency - Asbestos abatl!lll!llt
<br />I also certiff 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 'cOlpeDSating vololle' "ill be subUtted "bieb is prepared bf a professional engineer registered in the State of
<br />Florida prior to perllt issuance.
<br />
<br />A pecait issued shall be construed to be a license to proceed "ith the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCCIIe invalid
<br />unless the work authorized bf sueb pecait is COIIl!Dced "ithin sillOnths of issuance, or if work authorized bf the pecait is
<br />suspended or abandoned for a period of sil IODtbs after the tile the 1fOIk is COIIl!Dced. One 90 day utension of tile, .y be
<br />allowed for the pecait "ith fee charge of $15.00. Tbe utension sball be requested in Iriting to the Building Official. In
<br />approved inspection lUSt be logged during eaeb sil IODth period, or the project "ill be considered abandoned.
<br />WARJIING TO (MER: YOUR FAILURE TO RICORD A laTlCH OF C(JIIIDCBIIBIft' MlY RESULT II YOUR PAYING filCH FOR DIPROVIIIINl'S TO YOUR
<br />PROPmY. IF YOU II'lIHD TO ODAIB FIWCING, CONSULT WI!II YOUR LINDER OR IN AftORDY BIFOHI RICORDIBG YOUR DICH OF
<br />COMMENCEMm. JOBS, 1IIIlIII11,5GO II mllllllO 101 IIlIlII fO IlIItOIIIlIID I'llS! A 'IIOIICIl III ~,;;..
<br />
<br />
<br />~~ o~ ~ ~
<br />SIGKATURI: OIftfIR OR AGBJl'l SIGNATURE: C R
<br />
<br />S'fAR OF FLORIDA
<br />coum OF Pasco
<br />The foregoing instrument was acknowledged
<br />before lie this January 5, , 19--2.li.. by
<br />
<br />Robert G. Hooks
<br />who is personally known to me or who has
<br />produced FL DR L I
<br />as identification and who Ill/did not
<br />
<br />~~&~
<br />J\. - ,l .. a.
<br />(Signature)
<br />Brenda L. Buchanan
<br />
<br />(Name Typed, Printe\\.RF. Stamped)
<br />
<br />NOTARY PUBLIC ,l'~~Y ~\ OFFICIAL SEAL
<br />
<br />E ~ .. BRENDA L. BUCHANAN
<br />~ .'2" 1 My Commission Expires
<br />. . /
<br />'...~,.S' r:fI-0'>.' Nov. 13. 1996
<br />....~:;.... Comm. No. CC 240110
<br />
<br />S!1!1 OF ~A ()
<br />coum OF . c;~
<br />The foregoing instrument was acknowledged
<br />before me this 0/- /:/.- , 19--'z's: by
<br />
<br />c
<br />
<br />
<br />j,
<br />
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