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<br />CONDITIONS OF P~RMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit .ay be subject to .deed restrictions' which lay be lore restrictive tt~, titv
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictIons. ' .
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ONner has hired a contractor, or. Gtntractors. 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 />requirelents lay apply for the intended work, they are advised to contact the City of 2ephyrhills Building Departlent, (813)
<br />7BB-bb 11.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 FEE~
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<br />D. CONSTRUCTION LIEN LA~ (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 />Guide. 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 promise in good faith to deliver it to the
<br />.owner" prior to cOlaencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this applic~tion 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 aade to obtain a perlit to do work and installation as indicated. I certify that no worK or
<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 regulat;ons, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental 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 Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and EnvironlentallySensitive Lands,
<br />Water/Wastewater Treatment .
<br />I Southwest Florida Water ManaQement District - Wells, Cypress Barheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, DOCKS, Navigable Waterways .
<br />I Departaent of Health t Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />I US Environlental Protection AQency - Asbestos abateaent
<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 volute. Mill be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perait issued shall be construed to be a license to proceed Mith 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 perait prevent the Building Official frol 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 perlit is cOlaenced within six lonths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the tile the Mork is cO&ienced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. The ex;ension shall be requested in writing to the Building Official. An
<br />approved inspection.lust be logged during each six lonth p~riod, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPER Y. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />C"" "'NI lOBS UN~O ~'OO '01 "'0 10 R'CORO RNO POSI . '.OIIC' OF CO",'NC"'NI',
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<br />. OR AGENT SIGNATURE: CONTRACTOR
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<br />
<br />STATE OF FLORIDA
<br />COUNTY OF HILLSBOROUGH
<br />The foregoing instrument was acknowledged
<br />;'",fcol-e me th i s 29H:L (JAN) . 1993 bv
<br />
<br />STATE OLFLORIDA ~ _ / /
<br />COUNTY OF ~/'~/~
<br />The foregoing instr~~was acknowledged
<br />h",-f"r"-,,, iJ1'" +hic:. 2::::> .- ; 19-2'?t-v
<br />
<br />
<br />who
<br />
<br />has
<br />
<br />John F. Gaver
<br />is personally known to me or who has
<br />personally known
<br />ification and who did/did ~ot
<br />
<br />(SignatLwe
<br />
<br />(S. ~ture) f
<br />D+\~ . 4 p...v~R... . ---
<br />(Name Typed, Pp)lted.ol- $ta'}lpedJ, "
<br />!jOTARY PUBLIC~~Lc.. G.l \i_ \__l t (y~' \, ).
<br />
<br />7/#7~ C / / ~...?k~L:,j/'
<br />(Name Typed~ Printed Dr Stamped)
<br />NOTARY PUBLIC
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<br />o. 4 I~IAL SEAL
<br />faANIl Co LICHNII
<br />.. COMMISSION EXPIIIS
<br />OCTO.a 27. It"
<br />MMISSION NO. AA71,,,1
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<br />OFFICIAL SEAL
<br />DEBI W. TUCKER
<br />My Commllllon Explr..
<br />Jun. 23, le96
<br />Comm. No. CC 210184
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