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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this perJit lay be subject to "deed restrictions" wbich lay be lOre restrictive than City
<br />regulations. Tbe undersigned assUles responsibility for COIpliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe 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 tbe contractor is not licensed as required by law, both the owner and contractor laY be
<br />cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for tbe intended work, they are advised to contact tbe City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner bas bired a contractor or contractors, he is advised to have 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 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 tbe
<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 - HoIeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsOler Affairs. If the applicant is soeone other tban the
<br />"owner", I certify tbat I bave obtained a copy of the above described docUlBRt and prOlise in good faith to deliver it to the
<br />"owner" prior to coaenCelent.
<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 bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOlleDced prior to issuance of a perJit and tbat all work will be perforJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleRt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governJental agencies laY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* Departlent of EnvirORleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroRleDtally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water Managelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* Aray Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />* US EnviroDlental 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 tbat a drainage plan
<br />addressing a "cOlpensating volDle" will be suhlitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perJit issuance.
<br />
<br />A perlit issued sball 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 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 authorized by sucb perlit is cOlIBnced within six IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of six IOntha after the tile the work is c_enced. One 90 day extension of tile, laY be
<br />allowed for the perJit with fee charge of $15.00. Tbe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARNING OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMm'S TO YOUR
<br />PROPE IIITENO TO BTAIN FINAIfCING, COIfSULT WITH YOUR LINDER OR AN ArrORHEY BEFORE RECORDING YOUR IIOTICE OF
<br />COMM N U, 0 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCIMEIIT".
<br />
<br />
<br />~~
<br />SIGNATURE: CONT TOR
<br />
<br />(Name Typed, P
<br />NOTARY PUBLIC
<br />
<br />"..~u,,~ CAROL A. SUA8ESON
<br />.if\'~~ .,
<br />I.: :., MV lDIMlS8IOH , CC 2I2Ill5
<br />· : . - IXPlIlU: MIraIl, 1987
<br />"'~.'If ~ lIIIu.....,,.,,;........
<br />';'i,--; -. ..:~.._ ~..
<br />
<br />STATE OF FLORIDA .
<br />COUNTY OF I~
<br />The foregoing instrument w ackn9wledged
<br />before me this ~ (~ , 19...iL by
<br />
<br />R..ICH JlrR. 0 A. fVL 0 It T~ rJ
<br />whe is p8r8QA~11y ~UOWR te me or who has
<br />produced FLA-. VI.... Nt ~ 3 S - 7 t./ / - L./ 7 ~ ~i / - 0
<br />as identification and who -dididid not
<br />takean~a. k ~
<br />
<br />(Signature) ,~
<br />
<br />(Name Typed, Pro
<br />(I)'~"'" A.
<br />NOTARY PUBLIC '~MYCOWIll9OlICC2ll2lll
<br />: EXPR8: MInlh " ,.
<br />.. ...., 11lru ..., NIIll UilIIIMIIIlI
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNfY OF Hi 11 sborough
<br />The foregoing instrument was acknowledged
<br />before me this July 12 , 19-2i... by
<br />
<br />Nelson C. Steiner
<br />who is personally known to me BIDtHJIlxhas
<br />~~e~xxxxxxxxxx
<br />xas:~atioD and who ~did not
<br />take an~ a.. ~
<br />
<br />(Signature) / ~
<br />
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