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<br />CONDITIONS OF PERMIT AFFIDAVIT <br /> <br />A. NOTICE OF DEED RESTRICTIONS <br /> <br />The undersigned understands that this perlit lay be subject to Hdeed restrictions. which lay be lore re5~rictive than City <br />regulations, The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br /> <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 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 Zephyrhills Building Departlent, 18131 <br />788-6611. <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 per.itting privileges in the <br />City of Zephyrhills, <br /> <br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES <br /> <br />D. <br /> <br />CONSTRUCTION LIEN LAW <br /> <br />(CHAPTER 713, FLORIDA STATUTES, AS AMENDED) <br /> <br />I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law - HOleowner's Protection <br />Suide. prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is SOIEone other than the <br />Howner., 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 cO.lencelent, <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br /> <br />I certify that all the infor.ation 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 hereby lade 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 perfor.ed to meet standards of all laws <br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also <br />certify that I understand that the regulations of other governlental agencies .ay apply to the intended work, and that it is <br />IY responsibility to identify what actions I lust take to be in compliance. Such agencies indude but ~ie not lilited to: <br /> <br />I Departl~t of Envir~n.enitl ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, <br />Water/Wastewater Treataent <br />I Southwest Florida Water ManaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways <br />I Departaent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks <br />I US Environlental Protection AQency - Asbestos abateaent <br /> <br />I also certify that, if fill aaterial is to be used in Flood Zone .AH or HA,etc.., it is understood that a drainage plan <br />addressing a .colpensating volule. will be subaitted 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 issuance of a perlit prevent the Building Official from thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued ;hall becole invalid <br />unless the work authorized by such perait is coamenced within six lonths of issuance, or if work authorIzed by the perlit is <br />suspended or abandoned for a period of six lonths after the tile the work is coa.enced. One 90 day extension of tile, lay be <br />allowed for the perlit with fee charge of $15,00. The extension shall be requested. in writing to the Building Official. An <br />approved inspection lIIUS,t be logged during each six lonth period, or the prc.ject will be considered abandoned. <br /> <br />WARNING'TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY <br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR P~OPERTY. IF YOU <br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY <br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE <br />DO NOT NEED TO RECORD AND POST. A II NOT I CE OF COMMENCEMENT ". . [:t. ' __ <br /> <br /> <br />SIGNATURE 7 t?}~ ,^ () (1 , <br />OWN~~ CO~~~~- ----------- <br /> <br />DATE_____ _____~_~iC~~L___________________ <br /> <br /> <br />DATE L ~.J/- 9 / <br />______fl_________J_________________ <br /> <br />NOTARY AS TO ~ _ <br />OWNER OR AGENT~~jq~~-~~~~-- <br /> <br />....otary publiC. State OflJl!4r1i1d.,." <br />Expires Jan. ,... .. <br />MY COMMISSION EXPIRES~!:~~~~~~_____________ <br /> <br />NOTARY AS TO ~_ <br />CONTRACTOH_~':!-.tL-~~~. <br /> <br />Notary Public. ~i:l,,~tf <br />MY COMMISSIOl\1 EXPIRES_~~~~~~~~!.:"~~s.!~n..::.~~994 <br />