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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Ihe undersigned understancJa that this penit Jay be subject to Ideed restrictions I which JaY be lOre restrictive than City
<br />regulations. !be undersigned asSUll!8 responsibility for 9pliance 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 wort, they JaY 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 OlDer and contractor JaY be
<br />cited for a liadeleanor violation under state law. If the OIOler or intended contractor are uncertain as to what licensing
<br />requireJellU JaY apply for the intended work, they are advised to contact the City of Zepbyrbil1s Building Departlent, (813)
<br />.788-6611.
<br />
<br />FurtheIlOre, if the owner bas hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />IContractor Sectionsl of this applicatioo for which they will be responsible. If you, as the OlDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the IfOrt. If the contractor Ifisbes you to sign
<br />as contractor that JaY be an indication that he is not properly licensed and is not entitled to penitting 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 AMBlIDED)
<br />I certify that I, the applicant, have been provided with a copy of IFlorida's COnstruction Lien Lalf - lkIIeolmer's Protection
<br />Guidel prepared by the Florida Departlent of Agriculture and CODBUEr Affairs. If the applicant is 8CIII!OI1e other than the
<br />lOIOlerl, I certify that I have obtained a copy of the above described dOCUll8Dt and prc.ise in good faith to deliver it to the
<br />Immerl prior to co.eDCI!III!Ilt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infotliltion in this application is accurate and that all work Ifill be done in cOIpliance Ifith all
<br />applicable laws regulating construction, loning, and land deve1oplellt.
<br />
<br />Application is hereby Iilde to obtain a perlit ~ do IOrk and installation as indicated. I certify that no work or
<br />installation baa cmIIDced prior to issuiJDce of a pemit and that all work Ifill be perfOrJed to .et standards of all laws
<br />regulating construction, City codes, loning regulations, and land developl8Dt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other gOYl!IIIIeI1tal agencies JaY apply to the intem1ed 1IOlk, and that it is
<br />Ii responsibility to identify what actions I lUst take to be in COJpliance. Such agencies include but are not liaited to:
<br />t Deparl:lent of EnvirOlllelltal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDta11y Sensitive Landa,
<br />Water/Wast_ter Ireatlent
<br />t Soutblfeat Florida Water Nanagel8llt District - Wells, Cypress Baybeada, Wetland Areas, Iltering Watercourses
<br />t lIlY COIPs of Engineers - Seawalls, Docks, Ravigable Watenays
<br />t Departlent of Health & Rebabilitative Services, Invirouental Health Unit - WeUs, Wastl!1fater rreatlent, Septic ranb
<br />t US InviIODleJltal ProtectiOn Agency - Asbestos abatl!leDt
<br />I also certify that, if fill eterial is to be used in Flood Zone III or IA,etc. I, it is understood that a drainage plan
<br />addressing a lCOIp8D8ating vol.1 will be saitted Ifbich is prepared by a professional engineer registered in the State of
<br />Florida prior to penit issuance.
<br />
<br />A pmit issued shall be construed to be a license to proceed with the wort and not as authority to violate, canceJ alter, or
<br />set aside any provisions of the technical codes, nor shall i88uance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plana, construction, or violations of any code. Ivery pemit issued shall beCCIIe invalid
<br />unless the IOrk authoriled by such petlit is ~ced within sillODtbs of issuance, or if IOrt authoriled by the petlit is
<br />suspended or abandoned for a period of sil IODtbs after the tile the wort is ~ced. One 90 day 81tenaion of tile, .y be
<br />allowed for the petlit Ifith: fee charge of $15.00. Ihe 81tension shall be requested in writing to the Building Official. In
<br />approved inspection lUSt be logged during each sil IODth period, or the project will be considered abandoned.
<br />WARHIRG 10 ODBR: YOUR FIILURB 10 RBCORD I JOIICH OF CCllllBlCBIlUf lilY RBSULr II YOUR PIYIIG DICH FOIl DIPROVBIIBIl'S 10 YOUR
<br />PROPIRIY. IF YOU 1DDD 10 OBIIDI FIIIICIIG, COISULr WlrH YOUR LBIIDIR OR IllnoBDY BB10RI RICORDIIG YOUR IOIICH OF
<br />OIIIDCBIlUf. JOBS UIDBR '2,500 II VILUE DO IOIIDD 10 RECORD AND posy I IROIICH OF aJIIIDCBIlUfI.
<br />
<br />Z-~~
<br />
<br />SIGlAfURI: (JIIIR OR IGDI
<br />
<br />SIGllIURB: CONIIIIC!OR
<br />
<br />SIIII OF FLORIDA
<br />COUIIY OF Pasco
<br />The foregoing instrument was acknowledged
<br />before me this 15th March, 19~ by
<br />
<br />Zoltah Retey
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />~ an~~ IInlJ\
<br />((Si~Ur~)' 0........
<br />Kay F. Myers.
<br />(Nillle Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />SIAII OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19 by
<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 />(Name Typed, Printed or St~d)
<br />NOTARY PUBLIC
<br />
<br />- - ,
<br /><)'\"~b<",., KAY F MYERS
<br />~ ~-.-\ 7ff . My Cornmi"",on CC4802Zl
<br />*/l.~;,:~~,~(1 '* E~~ires Jui. 12, 1999
<br />.("";::&" ...
<br />'" -!:(?.:lifM ~"< Bonded by ANB
<br />~ ~
<br />l"t OF f\.1\ 600-652-5878
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