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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit 'lay be subject to "deed restrictions" which lay be lore restrictive thin City
<br />regulitions. The undersigned alsu..s responsibility fOT co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner hiS 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 lay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents aay apply for the intended work, the~ are advised to contact the City of Zephyrhills Building Departlept, (813)
<br />788-6611. '
<br />
<br />Furtheraore, if the owner has hired a contractor or contractors, he 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 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.
<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 "Florida's Construction Lien Law - HOleowner's Protection
<br />6~\de- prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />"owner-, I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />-owner- prior to COllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation 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 lade to obtain a perlit to do work and installation as indicated. I certify that no work Dr
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled 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 governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Departtent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environaentally Se~sitive lands,
<br />Water/Wastewater Treataent
<br />f Southwest Florida Water KanaQetent District - Wells, Cypress Bayheads, Wetland Areas, ,Altering Watercourses
<br />f Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departaent of Health L Rehabilitative Services. Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abatetent
<br />I also certify that, if fill taterial is to be used in Flood Zone -A- Dr -A,etc.", it is understood that a drainage plan
<br />addressing a -cotpensating volute- will be subtit~ed which is prepared by a professional engineer registered in the State of
<br />Florida prior to peni t 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, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a perait prevent the Building Official froa thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such per.it is cottenced within six tonths of issuance, or if work authorized by the perlit is
<br />suspended Dr abandoned for a period of six lonths after the tite the work is cO.lenced. 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 six tonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO R NOTICE OF
<br />COK" HCEKEHT. JOBS UNDER $2,500 I D NOT NEED TO RECORD A D POST A "NOTICE OF COMMENCEKE
<br />
<br />
<br />
<br />STATE OF flORIDA
<br />COUNTY OF P R'Sc.. 0
<br />The foregoing instrument
<br />before me thisJllY'\L 1'1
<br />
<br />was acknowledged
<br />,19C1'l by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PASCO
<br />The foregoing instrument
<br />befc1re me th is"J~ 11
<br />
<br />"las acknc.wledged
<br />19~ by
<br />
<br />....kxo ~ W. po_r k.~.{
<br />who is personally known to me O~ who Ra~
<br />p1 udUL.:ed
<br />~e"'if~. . and who ~/did no'
<br />take ",n oa ~~aJL0-----
<br />
<br />(Signature)
<br />
<br />...k.- 6 me- vJ, flOvr \Lef
<br />who is persc'nall y knc,wn to me pr Hh~ h~
<br />f7" odul..t'J
<br />a. id."tifie'L~i~, and who ~/did no'
<br />take an oath. _~~~
<br />
<br />(SignatUl-e)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />"':.'1iIV"9""<>"lo-:-,...-;:'
<br />
<br />
<br />NATALIE SWAN
<br />Notary Public. State of Florida
<br />My Comm. Exp. Oct. 12. 1999
<br />Comm, No. CC 501333
<br />
<br />
<br />NATALIE SWAN
<br />Not8ry Public. State of Florida
<br />My Comm. Exp, Oct 12. 1999
<br />Comm. No. CC 501333
<br />
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