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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A~ NOTICE OF DEED RESTRICTIONS
<br />rbe undersigned understaDds that this penlt lay be subject to .deed restrictions. wbieb laY be lOre restrictive than City
<br />regulations. tbe undersigned a&8U188 responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner baa hired a contractor or contractors ~ to undertake IOrk, they laY be required to be licensed In accordance with
<br />state and local regulations. If the contractor is not licensed as required bJ law, both the 0IIDer and, contractor IaJ be
<br />cited for a .isd_anar violation under state law. If the OlDer or Intended contractor are uncertain as to what licensing
<br />reguir.ents laY apply for the intendecllOrk, they are advised to CODt.act the City of Zepbyrhil1s Building Departlent, (813)
<br />788-6611.
<br />
<br />Purthenore, if the ovner has bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />.Contractor Sections. of this application for wbieb they will be responsible. If JOU, as the OlDer Sign as the contractor,
<br />you are indicating that JOU, rather than the contractor, are responsible for the IOrk. If the contractor wi8hes you to sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entitled to penitting privileges in the
<br />City of Zepbyrbllls.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN'LAW (CHAPTER 713, FLORIDA STATUTES, AS AMBHDED)
<br />I certify that I, the applicant, have been provided with a copy of .Plorida's Construction Lien Law - &.owner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUll!I' Affairs. If the applicant is SOI8OD8 other than the
<br />.000er., I certify that I bave obtained a copy of the above described c10cuIent and prllllse in good faith to deliver it to the
<br />.owner. prior to ~Cl!l8l1t.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infonation in this application is accurate and that all work will-be done in COIpliance with all
<br />applicable laws regulating CODBtruCtion, loning, and land developent.
<br />
<br />Application is hereby lade to obtain a penit to do IOrt and installation as indicated. I certify that no IOrk or
<br />installation has CDl8Dced prior to issuance of a penit and that alllOrt will be perfomed to _t standards of all laws
<br />regulating construction, City codes, loning regulations, and land develo(lll8Jlt regulations in the jurisdictioo. I also
<br />certify that I understand that the regulations of other gDY8l1II8Iltal agenCies laY apply to the intenc1ed wort, and that it is
<br />.Y responsibility to identify what actions I lUSt tate to be in COIpliance. Sueb agencies include but are not luited to:
<br />t Departlent of EnvirOlll8lltal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally SensiUve Lanc1s,
<br />Ifater/lastewater rreatlent
<br />t Soutbvest Florida Ifater Jlanagel8Dt District - Ifells, Cypress Baybeads, lfetland Areas, Altering Ifatercourses
<br />t Ir8y Corps of Inqineers - Seawalls, Docks, Ratigable Ifaterways
<br />t DepartJent of Health i Rehabilitative Senices. BnvirODl8Dtal Health Unit - lIells, lIastewater rreatlent. Septic tanks
<br />t US Bnvil'OllleJ1tal Protection Agency - Asbestos abatel8Dt
<br />I also certify that, if fllllaterla! is to be used in Flood lone .A. or "A, etc. ", it is understood that a draiDage plan
<br />addressing a .COIP8D8ilting volUle. will be saitted wbieb Is prepared by a professional engineer registered In the State of
<br />Florida prior to peIllt Issuance.
<br />
<br />A ~it' issued sball be construed to be a license to proceed with the wort and not as authority to violate, caDC:el alter, or
<br />Bet aside any provisIons of the technical codes, nor shall i88uance of a penit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery penit i88ued sball hecme invalid
<br />unless the IIOrt autboriJed by sueb pemit is ~ced lIithin slllODtbs of issuance, or if wort authoriled by the penit is
<br />suspended or abandoned for a period of slllOl1tbs after the tile the wort is ~ced. ODe 90 day 81tension of tile, ., be
<br />allowed for the penit with fee ebarge of $15.00. rhe 81tension &ball be requested in writing to the Building Official. 10
<br />approved inspection lUSt be logged during eaeb slllOl1th period, or the project will be considered abanc1onecl.
<br />IfARIIING ro (IfDR: YOOR FIILURI to BICORD I ROIIC! OP c-.ClllBllIlAY RlSULr IR YOUR PAYIMG IIIIC! PORIJIPROVIIIII!S ro YOUR
<br />PROPIRIY. IF YOU ImIID to oarm PIIARClIG, COISOLr IUD YOOR LIIDIR 01 AI lnomY BIPORI RICORDIIG YOUR JOIIC! OF
<br />aJlMllCIIIIlII. JOBS UlfDIR $2,500 III VILUI DO 101 IBID to RECORD AID POS! A 'II01ICB OF CCJIIIIICIlIIIII.
<br />
<br />g ~ ?-' ,.,j~.JjM
<br />SIGlAIURI: ~OI AGIII! ~~R
<br />
<br />srATE OF FWRIDI
<br />COUIft OF Pasco
<br />The foregoing instrument was acknowledged
<br />before me this 26th, 19 95 by
<br />
<br />
<br />srAD OP FLORIDA
<br />coum OP Pasco
<br />The foregoing instrument was acknowledged
<br />before me this 26th , 19 95 by
<br />
<br />Charles D. Poole
<br />who is personally known to me ........e-ltes
<br />
<br />~8~-------------------------
<br />
<br />as identification and who -did/did not
<br />ke an 0
<br />
<br />David Hauaen
<br />who is personally known to lie OI'-wh&-bas
<br />
<br />~~-------------~---~~-------
<br />
<br />as identification and who l'Iitl/did not
<br />an oath.
<br />~
<br />(Si ature) otary Public, Statf' of FlorIda
<br />JUNE M. HU,NIJON
<br />(Name Typed, 'tr~~~I'()rl:.ft~&dJ.1)1)1
<br />NOTARY PUBLIC mrn. 140. 252 2
<br />
<br />
<br />. "
<br />,Ii. I I I[ r.1. HUmDON
<br />My COllllllis.ihHl Exp. Feb. 1 1997
<br />(NilIIe Typed, Pribted l'OI'2Stmlped)
<br />NOTARY PUBLIC
<br />
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