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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />.A. 'NOTICE OF DEED RESTRICTIONS ,
<br />!lie undersigned understands that tbis pertit Jay be subject to "deed restrictions I whieb Jay be lOre restrictive than City
<br />regulations. !he undersigned asSUle& responsibility for cmpliance witb any applicable deed restrictions.
<br />
<br />'l ."'C"'!'f''''r..,..:.,:"""",''l_''',,,,,,,,.;....:,,''.''.'4'"''^ :V-::"'''\",":"
<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 witb
<br />state and local regulations. If tbe contractor is not licensed as required by law, botb tbe 0III1eI and contractor JaY be
<br />cited for a lisdeteanor violation under state law. If tbe owner or intended contractor are uncertain as to what licensing
<br />requiretents Jay apply for tbe intended work, they are advised to coa.tact tbe City of Zepbyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtbertOre, if the owner has hired a contractor or contractors, be is advised to have tbe contractor(s) sign portions of tbe
<br />"Contractor Sections" of tbis application for whieb tbey will be responsible. If you, as tbe owner sign as tbe contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If tbe contractor wishes you to sign
<br />as contractor that Jay be an indication that he is not properly licensed and is not entitled to pertitting 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 Ifitb a copy of "Florida's CODStruction Lien Law - BcIIeoImer's Protection
<br />Guide" prepared by tbe Flori4a DepartJent of Agriculture and COIISUIer Affairs. If the applicant i8 tDeODe otber than the
<br />"owner", I certify that I have obtained a copy of tbe above described docutent and prOlise in good faitb to deliver it to tbe
<br />"owner' prior to C08enCetellt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tbe infortation in tbis application is accurate and that all work will-be done in COIIpliance witb all
<br />applicable laws regulating construction, loning, and land develolEDt.
<br />
<br />Application is bereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />insWlation has cc.I8I1ced prior to issuance of a pertit and that all work Ifill be perfOtJed to teet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developteDt regulations in the jurisdiction. I also
<br />certify tbat I understand tbat tbe regulations of other 9OYerJIIl!DW agencies Iilf apply to the intended IfOIk, and that it is
<br />., responsibility to identify what actions I lUSt take to be in COIpliance. Sueb agencies include but are not lufted to:
<br />t Departtent of BnviIOlll8lltal Regulation - Cypress Baybeada, Wetland Areas and Bnvirontentally Sensitive Lands,
<br />Water /Wastewater IreatJent
<br />t Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t AIIf Corps of Engineers - Seawalls, Docks, Ifavigable Waterways
<br />t DepartJent of Hea1tb i Rehabilitative Services, BnvirOJlleJ1tal Healtb Unit - Wells, Wastewater Ireatlent, Septic lanks
<br />t US BnviIO.lllenW Protection Agency - Asbestos abatl!llent
<br />I also certify that, if fill Jaterial is to be used in Flood Zone "A" or "A, etc. ", it is understood tbat a drainage plan
<br />addressing a "COIIpeDSating volute" will be subaitted whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A ~it issued shall be construed to be a license to proceed Ifitb tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a pertit prevent the Building Official fI(ll thereafter
<br />requiring a correction of errors in plans, constructiOD, or violations of any code. Ivery pertit issued sha11 becme invalid
<br />unless the work authorized by sueb pertit is ~ced Ifitbin slllODtbs of issllaDce, or if work authoriled by the pertit is
<br />snspended or abandoned for a period of sillODtbs after tbe tite the 1fOI1 is cc.I8I1ced. One 90 day eltension of tite, lay be
<br />allowed for tbe pertit witb fee charge of $15.00. !he eltension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sil IODtb period, or the project will be considered abandoned.
<br />IlARlfIIfG 10 OIlIER: YOUR FAILURE 10 RECORD A lforICI OF aJIMBICIIIDI HAY RESULI 1M YOUR PAYIMG !lIICI FOR ,IIfPROVIIIIftS 10 YOUR
<br />PROPERlY. IF YOU IImD 10 OBIm FIJIBCIIG, COBSULI WIIH YOUR LBJIDIR O~RftORDY BiFOHB BICOIDIIG YOUR IfOIICI OF
<br />llIIlIIICIIIlIl. JlIIIIIIIIIIJI '2.500 II VILIlIl 00 lOr III/J 10 RmD lID POll! ~ . ~..
<br />
<br />
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<br />SIGIA'fURB: OIIID OR AG.DI Sfl : COIIRACfOR
<br />
<br />SIAIE OF FLORIDA
<br />COUNIY OF HILLSBOROUGH
<br />The foregoing instrument was acknowledged
<br />before me this June 12 , 19~ by
<br />
<br />SIAlE OF FLORIDA
<br />COUNIYOF HILLSBOROUGH
<br />The foregoing instrument was acknowledged
<br />before me this. .Tune 12 , 19..22....- by
<br />
<br />D. SCOTT BASTING
<br />who is personally known to me or who has
<br />produced Pp.rsonallv Known to Me.
<br />as identification and who did~ot'
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<br />J~ KIE G. HAGEN ~~~
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