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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this perait laY be subject to .deed restrictions" wbieb laY be lOre restrictive than City
<br />regulations. Tbe undersigned assUleS responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance witb
<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 lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireaents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departaent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner 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 wbieb they will be responsible. If you, as the OlDer sign as the contractor,
<br />you are indicating that you, rather th,an the contractor, are responsible for the work. If the contractor wisbes you to sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entitled to peraitting privileges in the
<br />City of Zepbyrbills.
<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, bave been prOVided with a copy of .Florida's Construction Lien Law - Boaeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUlleI' Affairs. If the applicant is sOleone otber tban the
<br />"owner", I certify that I bave obtained a copy of the above described dOCUlleDt and prOllise in good faith to deliver it to the
<br />"owner" prior to COIal!Ilceaent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developaent.
<br />
<br />Application is hereby lade to obtain a perait to do work and installation as indicated. I certify that no work or
<br />installation bas ~ced prior to issuance of a perai t and that all IOrk will be perforJed to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIJlleDtal agencies laY apply to the intended IOrk, and that it is
<br />If responsibility to identify wbat actions I lUSt take to be in COJPliance. Sueb agencies include but are not liJited to:
<br />t DepartJent of Envirollllelltal Regulation - Cypress BBybeads, Wetland Areas and BnvirollleDtally Sensitive Lands,
<br />Water/Vastewater TreatJent
<br />t Southwest Florida Water Manageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Inqineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health , Rehabilitative Services, InvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />t US Invi1'ODleDtal Protection Agency - Asbestos abateJl!Jlt
<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 .CQlPBDsating volUle. will be subtitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A perait issued sball be construed to be a license to proceed with 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 perait prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall beCOle invalid
<br />unless tbe work authoriled by sueb perait is COIIenCed within sillOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sillOntbs after the tile the IOrk is COIIenCed. One 90 day utension of tile, laY be
<br />allowed for the perait with fee ebarge of $15.00. !be utension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sillOnth period, or the project will be considered abandoned.
<br />WARMING TO omR: YOUR FAILURI!O RECORD A NOTICE OF C(JIIUCBIIEtI1' MAY RESUL! IN YOUR PAYING flilCE FOR IMPROVIMIIl'S TO YOUR
<br />PROPERtY. IF YOU III'IBlID 10 OMAIN FIIWICING, CONSUL! 'IIITH YOOR LBJIDIR OR 111 AnoRm BEFORE RECORDING YOUR NOflCE OF
<br />COMMIKCIMIMT. JOBS UKDIR '2,500 IN VALUE DO NOf NIID !O RECORD AI1D POST A "NOTICE OF COIlMINClMltI1'".
<br />
<br />
<br />Pk~ 'VtlJA.- 1t!f)/'t'/4YU1/YJA1
<br />SIGMAS: omR oR~ SIGlfA~R
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PASCO
<br />The foregoing instrument was acknowledged
<br />before me this June 23 , 19~ by
<br />
<br />STATE OF FLORIDA
<br />coum OF PASCO
<br />The foregoing instrument was acknowledged
<br />before me this June 23 , 19~ by
<br />
<br />
<br />W A Neumann
<br />
<br />(Signatur
<br />Patricia S Hurlburt
<br />(Name Typed, Printed or
<br />NOTA
<br />
<br />
<br />know.n to me or who has
<br />
<br />Stamped)
<br />
<br />(Signature)
<br />Patricia S Hurlburt
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />ICIAL N fA S L
<br />PA'ffdCiA 5 HURLBURT
<br />NOTARY PUBLIC STATE OF FLORIDA
<br />COMMISSiON NO. CC444921
<br />MY COMMISSION EXP. MAR. 131999
<br />
<br />lAL NOTA S
<br />PATRiCiA 5 Hi.JRl.rURT
<br />NOTARY PUEUC STATE OF FL?RtD
<br />COMMiSSION NO. CC4449J.l :)
<br />MY COMMISSION EXP, MAR. 13,19,9
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