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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The und~rsigned understa~ds that this perlit ~ay be subject to "deed restrictions" IIhich lay be lore restrictive than City
<br />regulations. The undersigned assules responsIbility for cOlpliance with any app~icable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake 1I0rk, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by lall, both the ollner and contractor lay be
<br />cite~ for a lisdeleanor violati~n under state law. If the ONner or intended contractor are uncertain as to Ilhat licensing
<br />requlrelents lay apply for the Intended 1I0rk, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the Dllner has hired a contractor or contractors, he is advised to have the contractorls) sign portions of the
<br />"Contractor Sections. of this application for Ilhich they Ilill be responsible. If you, as the ollner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the Ilork. If the contractor wishes YDU 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 Ilith a copy of "Florida's Construction lien lall - HOleowner's ProtectiDn
<br />Guide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />.ollner", 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 1I0rk Ilill be done in cOlpliance Ilith all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby lade to obtain a perlit to do Ilork and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work Ilill 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 gDvernlental agencies .ay apply to the intended Ilork, 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 />, Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
<br />Water/Wastellater Treatlent
<br />t Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastellater Treatlent, Septic Tanks
<br />t US Environlental 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 "colpensating volule" Ilill be sublitted Ilhich is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A perlit issued shall be construed to be a license tD proceed lIith the Ilork 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 frol thereafter
<br />requiring a correction of errors in plans, construction, Dr violations of any code. Every perlit issued shall becole invalid
<br />unless the Ilork authorized by such per.it is co..enced Ilithin six lonths of issuance, or if Ilork authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the ti.e the work is cO.lented. One 90 day extension of tile, lay be
<br />allowed for the per.it with fee charge of $15.00. The extension shall be requested in Ilriting to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project Ilill be considered abandoned.
<br />WARNING TO OWNER: 'YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO"KENCEKENT. JO~ UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKENCEKENT".
<br />/ ,/
<br />
<br />~~~A--
<br />SIGNATURE: OYNE R A NT
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />The foregoing instrument was acknowledged
<br />before me this May 11 th, 19~ by
<br />
<br />Sidney Haxwell
<br />who is personally known to me or who has
<br />produced
<br />as identif' not
<br />take an 0
<br />
<br />
<br />(Name Typed, Printed
<br />NOTARY PUBLIC
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Hi1lsborouqh
<br />The foregoing instrument
<br />befc,re me this May 11th
<br />
<br />was acknowledged
<br />, 19..23-- by
<br />
<br />Michael J. Grabenhorst
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />take ~~~FjJ -{JO QJ ond
<br />(Signatu..-
<br />Crystal Pollard
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />"!o\ary Pl~blic. State of florida
<br />(.R'iSTAL POLLARD
<br />My c.",mm. Exp. Dec. 30. 1995
<br />Climm. No. CC 172010
<br />
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