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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 'deed restrictions" whicfi. lay be lore res~rictive than City <br />regulations. The undersigned aSSUlel re5~oniibili'y for cOlpliance with any applicable deed restrictions, <br />. -,' " <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br /> <br />If the owner has hired a contractor Dr contractors to undertake Mork, 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 tay be <br />cited for a lisdeleanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing <br />requirelents tay apply for the intended Nork, theY are advised to contact the City of Zephyrhills Building Departlent, (813) <br />788-6611. <br /> <br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) sign ~ortions 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. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) <br /> <br />I certify that I, the applicant, have been provided with a copy of 'FIorida's Construction Lien LaH - HOleowner's Protection <br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOle one 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 cOllencelent, <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 Hill be done in COlpliance Hith all <br />applicable laMS regulating construction, zoning, and land developaent. <br /> <br />Application is hereby aade to obtain a perlit to do work and installation as indicated, I certify that no Nork or <br />installation has COllenced prior to issuance of a pertit and that all work will be perfor~ed to leet standards of all laMS <br />regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction, 1 also <br />certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is <br />IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include bllt ~\e not li.ited to: <br /> <br />I Depart.ent of Environmental Reaulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands, <br />Water/Wastewater Treatlent <br />t Southwest Florida Water "anaaelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Wattrcourses <br />t Arty Corps of Enaineers - SeaMalls, Docks, Navigable Waterways <br />t Departlent of Health L Rehabilitative Services, Environ.ental Health Unit - W~lls, Wastewater Treatlent. Septic Tanks <br />I US Environ.ental Protection Aaency - Asbestos abatelent <br /> <br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood th~t a drainage plan <br />addressing a "cotpensating volule" will be sublitted "hich is prepared by a professi~nal engineer reqistered in the State of <br />Florida prior to permit iss~ance. <br /> <br />A perlit issued shall be construed to be a license to proceed with the Mork and not as authority t~ vi~l~te, cancel alter, or <br />set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frol 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 perlit is cOltenced within six tonths of issuance, or if work auth~flzed by the perlit is <br />suspended or abandoned for a period of silt lonths after the tile the IIbrk is comlllenced. One 90 day e~\Hlsiol\ of tile, laY be <br />allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An <br />. approved inspection lust be logged during each six tonth period, or the project will be considered i:lballdoned. <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. JOBS UNDER $2,500 IN VALUE <br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". <br /> <br />MY COMMISSION <br /> <br />EXPIRES <br />. --------~~ifc----- <br />. StIIla d FIorI. at ..... <br />My ClmlIIsImI--= <br />July 5.1994 <br /> <br />.. <br /> <br />SIGNATURE f1^.u_~~~~_____ <br />~ONTRACTOR <br /> <br />DATE~_~t17"_L~~__--------:- <br /> <br />NOTARY AS TO ~ . / .ft <br />CONTRACTOR_~;I~~~ <br /> <br />MY COMMISSION EXPIRES <br />NOT ARY-PUSU C,-S'f"r7TE-O,?'"FLO R; 0; <br />My c0mmissior1 ('1";::-/:<~ ,I in. ~":':" l')(J5 <br />8ond8J thrG F' :J~ ~~ l~~ r\3~_T~CY <br /> <br /> <br />SIGNATURE__~E~~-------- <br /> <br />DATE__~~~-j~7-~~j{~--------------- <br />NOTARY AS TO 1....// /)) / <br />OWNER OR AGENT_~~~--~-~-~-- <br /> <br />,,, . <br />~ <br />