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<br />Y'""'" <br /> <br />- <br /> <br />."'- <br /> <br />CONDITIONS OF PERMIT AFFIDAVIT <br /> <br />A. NOTICE OF DEED RESTRICTIONS <br /> <br />The undersigned understands that this perlit lay be subject to "deed restrictions. whicn. ~ay b~ mor~ res~rictive than City <br />regulations. The undersigned assules responsibili~y for cOlpliance with any applicabl~ 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 b~ requir~d 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 Z~phyrhills Building Departl~nt, (813) <br />788-6611. <br /> <br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have th~ contractor Is) sign portions of the <br />.Contractor Sections. of this application for which they will be responsibl~. If. you, as the own~r 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 aay 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 - Homeowner's Protection <br />Guide" prepared by the Florida D~part.ent of Agriculture and Consumer Affairs. If the applicant is someone other than the <br />.owner", I certify that I have obtained a copy of the above described docum~nt and promise in good faith to deliver it to the <br />"own~r" prior to cOllenc~lent. <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br /> <br />I certify that all the inforlation in this application is accurate and that all work will b~ done in compliance 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 indicat~d. I certify that no work or <br />installation has co&.~nced prior to issuance of a perlit and that all work will be performed to meet standards of all laws <br />r~gulating 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 b1lt ale not li.ited to: <br /> <br />I Departlent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, <br />Water/Wastewater Treatment <br />I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />I Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways <br />I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewat~r Tr~at~ent, Septic Tanks <br />I US Environlental Protection AQency - Asbestos abatement <br /> <br />I also certify that, if fill laterial is to be used in Flood Zone "A. or "A,etc.', it is understood that a drainage plan <br />addressing a "colpensating volule. will be sub.itled which is prepared by a professional engineer registered in the State of <br />Florida prior to perlit issu,ance. <br /> <br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to yioJ~te, cancel alter, or <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, or violations of any code. Every permit issuud ;hall becole invalid <br />unless the work authorized by such permit is co..enced within six months of issuance, or if work authorIzed by the pertit is <br />susp~nded or abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~t~nsioll of tile, lay be <br />allowed for the per~it with fee charge of $15.00. The extension shall be requested in writing to th~ Building Official. An <br />approved inspection must be logged during each six tonth period, or the project will be considered abalidoned. <br /> <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY <br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU <br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY <br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. J08S UNDER $2,500 IN VALUE <br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". <br /> <br />- <br /> <br />5 I GNATURE...2li:!~LL=~A:.~<;;4:"/------ <br />-. OWNER OR Atf~T, 7 <br /> <br />DATE__~~~~L'J?_:_~~________-__-____-_----_ <br /> <br />NOTARY AS TO /~ /J #LJA---r-~ P <br />OWNER OR AGENT ~L-'1l:i7UL.c:), ~?- <br /> <br />MY COMMISSION EXPIRE~OTARY PUBLIC, STATE OF FLORIDA <br />rvry co1i1riiissT6inrxPiTesJail. ""Z(i,"1"9 9 5 <br />Bonded thru Patterson - Becht Agency <br /> <br />SIGNATURE <br /> <br />------------------------------ <br /> <br />CONTRACTOR <br /> <br />DATE <br /> <br />----------------------------------- <br /> <br />NOTARY AS TO <br />CONTRACTOR_____________________________ <br /> <br />MY COMMISSION EXPIRES <br /> <br />------------------ <br />