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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 .ay 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 or contractors to undertake work, they .ay be required to be licensed in accordance with
<br />state aDd local regulations. If the contractor is Jlot licensed as required by law, both the O1IIler and contractor aay be
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas hired.a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />"Contractor SectioDs" of this application for which they will be responsible. If you, as the O1IIler sign as tbe contractor,
<br />you are indicating tbat you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that aay be an indication that be 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 witb a copy of 'Florida's Construction Lien Law - HOIeOWDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOIeone other tban the
<br />"owner", I certify that I bave obtained a copy of the above described dOCUlent and pro.ise in good faith to deliver it to the
<br />"owner" prior to cOll8Dceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all the inforlation in this application is accurate and that all work will be done in coapliance witb all
<br />applicable laws regulating construction, loning, 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 bas cOllenced prior to issuance of a per.it and tbat all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify tbat I understand that the regulations of other goverDlental agencies .ay apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I .ust take to be in co.pliance. Sucb agencies include but are not 11lited to:
<br />t Departlent of EnviroDlental Regulation .. Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Nater/Nastewater Treatlent
<br />t Soutbwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Ar.y Corps of Engineers - Seawalls, Docks, Ravigable Waterways
<br />t Departaent of Health & Rehabilitative Services, Bnvironaental Health Unit - Wells, Wastewater Treattent, Septic Tanks
<br />t US Environaental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill .aterial 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 sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A per.it issued shall be construed to be a license to proceed with the work and not as autbority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frOl,thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery peIlit issued shall becOIe invalid
<br />unless the work authorized by such per.it is cOlIBnced within Sil IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of Sil IOnths after tbe tile the work is cOllenced. One 90 day 81tension of tile, laY be
<br />allowed for the perlit with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each six tOnth period, or the project will be considered abandoned.
<br />WARRING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKERCEKBNr HAY RESULT IN YOUR PAYING IVICE FOR IHPROVBHBNTS TO YOUR
<br />PROPERTY. IF YOU INTERD TO OBTAIN FINANCIRG, CONSULT NITH YOUR LBRDER OR AM ATTORNEY BEFORE RBCORDIRG YOUR NOrICI OF
<br />COKHENCEHBNT. JOBS UNDER $2,500 IN VALUR DQ. NOr RBED TO RBCORD ARD POST A nROTICE OF COHHERCKKBRr".
<br />
<br />
<br />~~"v -d..h
<br />SIGRATURE: OWNER OR AGERT SIGRA1URB: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COURn OF PASCO
<br />The foregoing instrument was acknowledged
<br />before me this January; 19~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19 by
<br />
<br />Kathleen Henk
<br />who is personally known to me or who has
<br />produced Personally known
<br />as iden . 'cation and who did/did not
<br />take
<br />Q
<br />
<br />(Signature)
<br />Mary H. Ray
<br />(Name 1yped, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />!tc"""l~f. MARY H. RAY
<br />=*: ~,d ItlCOIoIIlIIS&ION' co 1e8412 EXPIRES
<br />~. :..} December 14,1995
<br />'~;':;!i\. BONDED THRU TAOY FAIN INSURANCE, !NC,
<br />m..,'
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