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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peflit laY be subject to 'deed restrictions" wbich laY be lOre restrictive than City
<br />regulations. Yhe undersigned assutes responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they .ay 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 tay be
<br />cited for a .isdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents laY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner has hired a contractor or contractors, be is advised to bave tbe 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 tban the contractor, are responsible for the work. If tbe contractor wisbes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to pertitting 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 AMENDED)
<br />I certify that I, the applicant, bave been prOVided with a copy of 'Florida's Construction Lien Law - HOJeOWner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is soteOne other than the
<br />"owner", I certify that I have obtained a copy of the above described docUJellt and prOlise in good faith to deliver it to the
<br />"owner" prior to cOllencetent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify tbat all the infor.ation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation bas cOllenced prior to issuance of a perlit and that all work will be perforted to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developJent regulations in th~ jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies JaY apply to the intended wort, and that it is
<br />If responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and Environtentally Sensitive Lands,
<br />Water/Wastewater Yreatlent
<br />t Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Healtb & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treattent, Septic Yanks
<br />t US EnvirODlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a 'cOJpeDsating volute" will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it. issuance.
<br />
<br />. A peflit 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 tbe technical codes, nor sball issuance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued sball beCOle invalid
<br />unless the work autborized by sucb per.it is cOllenced within six IOntbs of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is co.enced. One 90 day extension of tile, laY be
<br />allowed for the pertit 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 sixlOnth period, or the project will be considered abandoned.
<br />WARRING '1'0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHEHCBMElft' HAY RESULT IN YOUR PAYING filCH FOR IHPROVEHElft'S TO YOUR
<br />PROPER'IY. IF YOU Ilft'END YO OBUIN FINAMCING, CONSULY WITH YOUR LBJIDBR OR AN AnORRBY BEFORE RBCORDIlfG YOUR NOTICH OF
<br />COHHENCEHBlft'. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A uNOTICH OF COMHBIICEHElft'".
<br />
<br />
<br />~L~
<br />, SIGlfA . OWNER OR AGEtrr
<br />
<br />&~V~
<br />SIGNATURE: COtrrRACYOR
<br />
<br />STAYE OF FLORIDA P
<br />coum OF _{J$; C.O
<br />The foregoing ins~~ent was acknowledged
<br />before me this //)1:!1 . .;})~, 19~ by
<br />
<br />;]'\a.n+J
<br />who is 0 me or who has
<br />produce
<br />a . dentification and who did/did not
<br />t k an oat
<br />
<br />
<br />STATE OF FLORIDA
<br />coum OF PASCO
<br />The foregoing instrument was acknowledged
<br />before me this JAN 9th , 19~ by
<br />
<br />DEBRA W STEVE
<br />who is personally known to me or who has
<br />
<br />~~o~~:~ifi::~:n Land who did/~::;;~)
<br />
<br />tak ath. roO..
<br />
<br />
<br />(SignRture) fi
<br />/ ,f// J4..f:UII /I ~. /"'-/,I]..Ie
<br />(Name Typed, Printed or Stamp d)
<br />NOTARY PUBLIC
<br />
<br />
<br />........., DU'A M GIELLA
<br />~~~v.l'~~ IVV\ .
<br />=*: ~*: MY COt.NlSSION II CC301855 EXPIRES
<br />~... . ; July 14. 1997
<br />"'4:iif.:" -- BONDED THRU TROY FAIN INSURANCE. INC.
<br />
<br />~ MAllSHA L UNOSfY
<br />* * My commission CC451191
<br />......., Expires April 9, 1999
<br />....or " ,.
<br />
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