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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />-A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this penit lily be subject to 'deed restrictions' wbich lily be lOre restrictive than City
<br />regulations. fhe undersigned asSUleS responsibility for CCIIpliance 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 lilY be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the lJ1fJ1er and. contractor iii' be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirl!leDts laY apply for the intended work, they are advised to COIItact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />PurtherlOre, if the owner bas hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wiabes you to sign
<br />as contractor that lilY be an indication that he is not properly licensed and is not entitled to penitting privileges in the
<br />City of lephyrhills.
<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 with a copy of 'Plorida's Construction Lien Law - lkIIeoImer's Protection
<br />Guide' prepared by the Plorida Deparl:lent of Agriculture and COnsUler Affairs. If the applicant is 8OII!OI1a other than the
<br />'owner', I certify that I have obtained a copy of the above described c10cUIent and pIlllise in good faith to deliver it to the
<br />Downer. prior to COIIeDCetent.
<br />
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />I certify that all the infomtion in this application is accurate and that all wort will -be done in COIpliance with all
<br />applicable laws regulating construction, soning, and land develolllBnt.
<br />
<br />Application is hereby lade to obtain a perlit to do wort and installation as indicated. I certify that no work or
<br />installation bas CDIeI1ced prior to issuance of a perIIit and that all work will be perfoIJed to _t staDdards of all laws
<br />regulating construction, City codes, zoning regulations, and land develGpElt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies lilY apply to the intended work, and that it is
<br />~ responsibility to identify what actions I at take to be in COIpliance. Such agencies include but are not luited to:
<br />t Departlent of Envirollll!Jltal Regulation - Cypress Bayheads, Wetland Areas and Envirollll!Jlta11y Sensitive Lands,
<br />Water/Vastewater 'I'reatlent
<br />t Southwest Plorida Water Hanagetent District - Wells, Cypress Bayheada, Wetland Areas, Iltering Watercourses
<br />t IrIy Corps of Engineers - Seawalls, Docb, Havigable Watenays
<br />t Departlent of Health i Rehabilitative Smices, EnvirODl8lltal Health Unit - Wells, Wastewater !reatEnt, Septic 'I'anb
<br />t US Bnvil'Ollll!lltal Protection Agency - Asbestos abatetent
<br />I also certify that, if filllilterial is to be used in Fl00d lone '1' or 'I, etc. ., it is understood that a drainage plan
<br />addressing a 'cOlp8DSating volute' will be saitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />I ~it issued shall 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 shall issuance of a perlit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becme invalid
<br />unless the wort authorized by such perJit is ~ced within sillODtbs of issuance, or if wort authoriled by the perlit is
<br />suspended or abandoned for a period of sil IOI1tba after the tile the wort is COIIeDced. One 90 day eltension of tile, lilY be
<br />allowed for the perlit with fee charge of $15.00. 'I'be eltension shall be requested in writing to the Building Official. An
<br />approved inspection at be logged during each sillODth period, or the project will be considered ab8ndoDed.
<br />IWUIllfG '1'0 OWRBR: YOUR FllLURE '1'0 RECORD A HOIICE OF aIIIDCIIIDf MAY RESULt IH YOUR PAYllfG !IIICE PORDIPROVEIID'I'S '1'0 YOUR
<br />PROpmr. IF YOU II'I'IJID '1'0 OB'I'lIH PIMlHel.G, COISUL'I' WI'I'H YOUR LlllDBR OD U IftORDY BIPORB RICORDIHG YOUR IO'I'ICE OP
<br />allllDCBIID'I'. JOBS UJmBR $2,500 IH VALUE DO 10'1' IfEBD '1'0 RECOBD IHD POSt I -HOIlCE OP C(JIlDCIIIBI!'.
<br />
<br />Jl '~ -=-' ,.,J~JJM
<br />SIGlllfURB: ~OB AGD'I' , ~~
<br />
<br />SfAfE OP PLORIDA
<br />coum OP Pasco
<br />The foregoing instrument was acknowledged
<br />before me this 26th, 19 95 by
<br />
<br />David Hauqen
<br />who is personally known to lie ~.Ile--bas
<br />
<br />~~-------------~------------
<br />
<br />as identification and who aid/did not
<br />an oath.
<br />~
<br />( Si ature) otary Public, StiltEc' of Florida
<br />JUNE M. HUlNDON
<br />(Name Typed, ~r'ffi~~I~t.ft~8dJS)S)'
<br />NOTARY PUBLIC mm. o. 252 2
<br />
<br />
<br />S'I'A'I'B OF FLORIDA
<br />coom OP 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 lie H-"'e~
<br />
<br />pc~~-------------------------
<br />
<br />as identification and who -tHcI/did not
<br />
<br />~~~::':~~
<br />
<br />My cami"is.;i,lIl Exp_ Feb. 1 1 qq7
<br />(Name Typed, Prillted f'OI' 2Stmlped)
<br />NOTARY PUBLIC
<br />
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