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<br />",~"'7!:7~;:;70'"~/,,<~7';'~~~', ~ ..,..;MIlililiJl.l <br /> <br />CONDITIONS OF PERMIT AFFIDAVIT <br /> <br />A. NOTICE OF DEED RESTRICTIONS <br /> <br />lhe undersigned understands that this perlit lay be subject to "deed restrictions" whicfi'may be lore restrictive than City <br />regulations. lhe 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 Dr contractors to undertake work, they may 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 lisde.eanor violation under state laM. If the owner Dr 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 Depart.ent, (BI3) <br />7BB-6611. <br /> <br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the 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 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 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 - Ho.eowner's Protection <br />Guide" prepared by the Florida Departlent of Agriculture and Consumer 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 co..encement, <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br /> <br />I certify that all the information in this application is accurate and that all wor~ 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 per.it to do work and installation as indicated. I certify that no work Dr <br />installation has CO.lenced prior to issuance of a permit and that all work will be performed 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 governmental agencies may 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 include bllt ile not lilited to: <br /> <br />I Department of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, <br />Water/Wastewater lreatlent <br />f Southwest Florida Water ManaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways <br />f Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Waste~ater Treat~ent. Septic lanks <br />I US Environlental Protection AQency - Asbestos abatelent <br /> <br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", itis understood that a drainage plan <br />addressing a "colpensating volume" will be sublitted which is prepared by a professional engineer registered in the State of <br />Florida prior to pertit issu.ance. <br /> <br />A pertit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr <br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro. thereafter <br />requiring a correction of errors in plans, construction, Dr violations of any code. Every permit issued ~hall becole invalid <br />unless the work authorized by such perlit is co..enced within six lonths of issuance, or if work authorlzed by the pertit is <br />suspended Dr abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~\~hsioll of tile, lay be <br />allowed for the permit with fee charge of $15.00, lhe extension shall be requested in writing to the Building Official. An <br />approved inspection must be logged .during each six tonth period, Dr the project will be considered dbal~oned. <br /> <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY <br />RESULT IN YOUR PAVING TWICE FOR IMPROVEMENTS TO YOUR PROPERTV. IF VOU <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 "NOTICE OF COMMENCEMENT". <br /> <br /> <br />SIGNATURE_~~--gJ:?.d!~NATUREL~ <br />~-OW-~-OR AGENT CONTRACTO <br /> <br />DATE_____y!f'k-----------------.,-------- DATE __~----L~-ft.----.------- <br /> <br />NOTARY AS TO A//1A 1/ /J f} /)/1 , -. NOTARY AS TO /J /)f)" "'- <br />OWNER OR AGENT __fI).(gj.Jf~J~-:.~~ CONTRACTOR___-I'-~-J{.--~ <br /> <br />MY COMMISSION EXPIRES;~~~;~~~]_~;~~~~Ai99~Y COMMISSION EXPIRES__________________ <br />BONDED THRU NOTARY PU."'C UN_RW.'TEU. NOTARY PUBLIC. STATE I)F FLORIDA. <br />MY COM~HSSION EXPI..i.....: MAR. 26. 19~ <br />BONDED THRU NO'tARY ~\!~\o,(; ,=,"C~~'Y~~r~~ <br /> <br />