<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertit lay be subject to Ideed restrictions I which lay be lOre restrictive than City
<br />regulations. rhe undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR ~SPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they lay 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 owner and contractor JaY be
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licenSing
<br />requireaents JaY apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813)
<br />788-6611.
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<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of the
<br />.Contractor Sectionsl of this application for wbicb 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 wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<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 IFlorida's Construction Lien Law - HOIeOWDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If the applicant is sOJeOne other than the
<br />"owner", I certify that I bave obtained a copy of the above described docUJent and proaise in good faith to deliver it to the
<br />"owner" prior to cOllenceaent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforJation in this application is accurate and that all work will be done in cOJpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<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 CDIIeDced prior to issuance of a pertit and that all work will be perfoIJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govemaental 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. Sucb agencies include but are not lilited to:
<br />t DepartJent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Oepartlent of Health & Rebabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnvirODJeDtal Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone IAI or "A,etc.., it is understood that a drainage plan
<br />addressing a "cOJpensating volllle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit. issuance.
<br />
<br />A pertit 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 froa thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued sball becOle invalid
<br />unless the work authorized by such perait is cOllenced within six IOnths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is CDIIeDced. One 90 day eltension of tile, Jay be
<br />allowed for the perait with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IOntb period, or the project will be considered abandoned.
<br />WARNUIG TO OWNER: YOOR FAILURE TO RECORD A NOTICE OF COMMENCKMBIf1' MAY RESULT IN YOUR PAYING rwlCE FOR IMPROVEMKIft'S TO YOUR
<br />PROPERTY. IF YOU IIf1'IlIfD TO OBTAIIi FIIWfCING, CONSULT WITH YOUR LJlIfDIlR OR AN AnORNIlY BEFORE RIlCORDING YOUR IIOTlCE OF
<br />COMMENCRMKIf1' . JOBS UliDER $2,500 IN VALUIl 00 NOT HEED TO RIlCORD AND POST A "NOTICE OF COMMEHCKMBIf1'''.
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<br />~ ~
<br /><~~ ?i?
<br />. S AfORE: ONIIER OR AGEIf1' /" SIGNATURE: If1'RACTOR
<br />
<br />Sf ATE OF FLORIDA
<br />COUIf1'Y OF Pasco
<br />The foregoing instrument was acknowledged
<br />before me this oJll1 y 1 , 19~ by
<br />
<br />David Hauqen
<br />who is personally known to me UONtmXllas
<br />podul!d{ N/A
<br />as identification and who ~/did not
<br />
<br />~~~:.L~\ '\:::\~~~
<br />~) .
<br />
<br />STATE OF FLORIDA
<br />COUHTY OF Pasco
<br />The foregoing instrument was acknowledged
<br />before me this ,Julv 3 , 19~ by
<br />
<br />Charles Poole
<br />who is personally known to me C01011llllDS
<br />pQ:lQI1H<<ed{ N / A
<br />as identification and who ~~/did not
<br />
<br />~\~~~t~, 'c~~
<br />~ureJ .
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />N,otary Public, State of Florida
<br />JUNE M. HERNDON
<br />My commission Exp. Feb. 1, 1997
<br />Comm. No. 252632
<br />
<br />Notary Public, State of Florida
<br />JUNE M. HERNDON
<br />My commission Exp. Feb. 1, 1997
<br />Comm. No. 252632
<br />
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