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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 than City
<br />regulations. The undersigned assUles 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 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 lisdeaeanor 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 Zephyrbills Building DepartJent, (813)
<br />188-6611.
<br />
<br />Furtherlore, 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 wisbes 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. CONSTRUC'l'ION LIEN LnW (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 - HOIeOMDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleDne 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 />I
<br />
<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no wort or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfoCJed to Jeet 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 goveIDlental agencies laY apply to tbe intended work, and that it is
<br />IY responsibility to identify what actions I lust take Lo be in cOlpliance. Sucb agencies include but are not 11lited to:
<br />I DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />WaLer/Wastewater TreatJent
<br />I Southwest Florida WaLer Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of Bngineers - Seawalls, Docks, Navigable Waterways
<br />I DepartJent of Health , Rehabilitative Services, BnvirODlental Health Unit - Wells, Wastewater IreatJent, Septic lanks
<br />I US BnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a .colpensating volDle- will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit, issuance.
<br />
<br />. A perlit 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 is~u~nce of a perlit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery perlit issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the peClit is
<br />"Suspended or abandoned for a period of six IOntha after the tile the work is cOllenced. One 90 day 81tension of tile, Jilr be
<br />allowed for the per.it 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 IOnth period, or tbe project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMHENCRMBNT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVBIIIIt'S 10 YOUR
<br />PROPERTY. IF YOU INTBND TO OBTAIN FINANCING, CONSULT WITH YOUR LBNDER OR AN ATTORIBY BEFORE RECORDING YOUR NOTICE OF
<br />COHMENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A -NOTICE OF COHKBNCBHBNT".
<br />
<br />A -J3~
<br />SIGNATURE~ OR AGENT
<br />
<br />+1 ^ 13 ~
<br />SIGNATURE: ~CTOR
<br />
<br />. I
<br />
<br />STATK OF FLORIDA
<br />COUNTY OF PASco
<br />The foregoing instrument
<br />before me this Ilu(; 3
<br />
<br />was acknowledged
<br />, 19-1i- by
<br />
<br />STATE OF FLORIDA P
<br />COUNTY OF -.fi S CO
<br />The foregoing instrument was acknowledged
<br />before me this /Ilk; l , 19!1i- by
<br />
<br />PWO#.+wV fr:Jl/IW,J
<br />who is personally known to me or who bas
<br />produced
<br />as identification and wbo did/did not
<br />takp) an oath.
<br />~ ,4.~
<br />(Sw.nature)
<br />-NWu~ /+ ~ Itsl5/;t.,-
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />Pc ru. Ot\lll- W'( f( /tIO""; ,.;
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />~~~oaA~a~
<br />~ignature)
<br />f50AlC,€ f+. M~L,
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />BI\IC8 A Astlel
<br />~'>.My commission CC74llG77
<br />*_.1 ExPi* June 22. 2002
<br />'\1;...
<br />
<br />J ~ BI'UC8 A AIbII
<br />re;*My CommIUlOll tlC7~ar" r
<br />~./ ExplMI J\WlI 21, It\~llie
<br />
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