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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this penit lay be subject to 'deed restrictions. Ihich lay be lOre restrictive than City
<br />regulations. the undersigned assUles responsibility for COIpliance lith 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, tIIey lilY be required to be licensed in accordance witll
<br />state and local regulations. If tile contractor is not licensed as required by law, both the owner and contractor llay be
<br />cited for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to lhat licensing
<br />requiruents lay apply for tile intended work, they are advised to coatact the City of Zephyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />Furtllel'lOre, if tile OlDer has hired a contractor or contractors, he is advised to have tile contractor(s) sign portions of tile
<br />'Contractor Sections I of tIIis application for which tIIey will be responsible. If you, as tile owner sign as tile contractor,
<br />you are indicating that you, ratller tIIan tile contractor, are responsible for tile work. If the contractor wisbes you to sign
<br />as contractor tIIat lay be an indication that be is not properly licensed and is not entitled to penitting privileges in tile
<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, tile applicant, have been prOVided witll a copy of IFlorida's Construction Lien Lal - 80Je0vner's Protection
<br />Guide. prepared by tile Florida Departlent of Agriculture and ConsUler Affairs. If tile applicant is sonona otller than tile
<br />lowner', I certify tIIat I have obtained a copy of tile above described dOCUlBDt and pIOlise in good faitll to deliver it to tile
<br />.ownerl prior to cOlIBDcuent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify tIIat all tile inforaation in tIIis application is accurate and that all work will "be done in cOlpliance lith 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 COIIenced prior to issuance of a peIlit and that all work will be perfoned to Jeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify tIIat I understand tIIat tile regulations of otller goveIDIeDtal agenCies Jay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in colpliance. Such agencies include but are not lillted to:
<br />t Departlent of BnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnvirolllBJltally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water Hanaguent District - Wells, Cypress Baylleads, Wetland Areas, Altering Watercourses
<br />t AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Healtll & Rehabilitative Services, EnvirODlental Healtll Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />t US EnvirODlental Protection Agency - Asbestos abatuent
<br />I also certify that, if fill laterial is to be used in Flood Zone "Alar NA,etc.., it is understood tIIat a drainage plan
<br />addressing a IcOlpensating VOlUIBN will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A p~it issued shall be construed to be a license to proceed witll the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tile technical codes, nor shall issuance of a peIlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall becoIe invalid
<br />unless the work authorized by such peIlit is COlJenced within six IOnths of issuance, or if lork authorbed by the penit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day utension of tile, laY be
<br />allowed for the peIlit lith fee charge of $15.00. the utension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each six IOntll period, or the project li11 be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOfICE OF COHHEHCEHEHf HAY RESULT 1M YOUR PAYING TWICE FOR IHPROVEMEKfS TO YOUR
<br />PROPERTY. IF YOU IJlfEHD TO OBTAIM FIHAHCING, COMSULT WITH YOUR LEHDER OR AN AffORHEY BEFORE RECORDIMG YOUR MOTICE OF
<br />COMMEMCEMENT. JOBS UNDER $2,500 1M VALUE 00 NOf NEED TO RECORD AHD POST A uMOfICE OF COHMENCEHmI.
<br />
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<br />~ ;7-'-- ~LIJ6it
<br />
<br />SIGNATURE: omR OR AGEJIf ~ COJlfRACTOR
<br />
<br />STATE OF FLORIDA
<br />coum OF Pasco
<br />The foregoing instrument was acknowledged
<br />before me this 26th _, 19~ by
<br />
<br />David Hauqen
<br />who is personally known to me (){'-wh&~s
<br />
<br />~e~--------------~------------
<br />
<br />as identification and who eid-jdid not
<br />an oath.
<br />~
<br />(Si ature)otary rl'b!'c, St1t(' of Florida
<br />JU{\~L i',,1. ~iLiU~OON
<br />(Name Typed, r1tr'1b'~~d'!O{t:st.iiiDDEid'9~1
<br />NOTARY PUBLIC ' mrn i~O. 2526')2
<br />
<br />
<br />Sf ArE OF FLORIDA
<br />coum OF Pasco
<br />The foregoing instrument was acknowledged
<br />before me this 26th , 19~ by
<br />
<br />Charles D. Poole
<br />who is personally known to me ~"'9~
<br />
<br />PC~Q~-------------------------
<br />
<br />as identification and who -dicl/did not
<br />
<br />\t~~'..~~
<br />
<br />
<br />M.' e",. .'.' 'r" :.."J I:e!) ] 1 qq7
<br />(Name Typed,' p~inted'for2siamped)
<br />NOTARY PUBLIC
<br />
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