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<br />I <br /> <br />CONDITIONS OF PERMIT AFFIDAVIT <br /> <br />A. NOTICE OF DEED RESTRICTIONS <br /> <br />The undersigned understands that this per.it .ay be subject to "deed restrictivns" which ~ay be more restrictive than City <br />rl!guhtions. The undersigned assules re5ponsibilitYf~f cOl\\pliance with any applicable deed restriction~. <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br /> <br />If the owner has hired a contractor or contractors to undertake Hork, they may be required to be licensed in accordance with <br />state and local rl!gulations, If the contractor is not licensed as required by law, bvth the owner and contractor .ay be <br />cited for a lisdeleanor violation under state law, If the owner or intended contractvr are uncertain as to what licensing <br />require.ents lay apply for the intended work, they are advised to contact the City vf Zephyrhills Building Departeent, (813) <br />788-6611. <br /> <br />Furthermore, if the owner has hired a contractor Dr 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 yvu, as the vwner sign as the cvntractor, <br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractvr wishes you to sign <br />as contractor that lay be an indication that he is not properly licensed and is not entitled to permitting privileges in the <br />City of 2ephyrhills, <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 Departlent of Agriculture and Consumer Affairs. If the applicant is SOIEone other than the <br />"owner", I certify that I have obtained a copy of the above described document and prvmise in good faith to deliver it to the <br />"owner" prior to cOlmenCel\\ent, <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br /> <br />I certify that all the information in this application is accurate and that all work will be done in co~pliance with all <br />applicable laws regulating construction, zoning, and land development, <br /> <br />Application is hereby lade to obtain a perlit to do work and installation as )ndicated. I certify that no work or <br />installation has commenced prior to issuance of a perlit and that all work will be p~rform~d to meet standards of all laws <br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also <br />certify that I understand that the regulatiDns Df other governmental agencies may apply to the intended wurk, and that it is <br />IY responsibili ty to identify what actions I lust take to be in compliance. Such agencies include bllt ill e not 1 iili ted to: <br /> <br />I Department of Envi~onmental ReQulation - Cypre~5 Bayheads, Wetland Areas and Environmentally Sensi tiv~ Lands, <br />Water/Wastewater Treatment <br />I Southwest Florida Water ManaQement District - Wells, Cypress Fayheads, Wetland Areas, Altering Watercourses <br />I Ar.y Corps of EnQineers - Seawalls, DOCKS, Navigable Waterways <br />I Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - W~l]s, Hast~Hater Treat~Ent. Septic Tanks <br />I US Environmental Protection AQency - Asbestos abatement <br /> <br />I also certify that, if fill Itaterial is to be Ilsed in Fle,od Zone "A" or "A,etc.", it is underste,e,d tllilt a drainage plan <br />addressing a "colp~nsating volume" will be sublitted which is prepared by a professional engineer registcicd in the State of <br />Florida prior toperltit iss~ance, <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, 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 coamenced within six months of issuance, or if \'lurk authorIzed by the per.it is <br />suspended or abandoned for a periDd of six .onths after the tilte the work is commenced. One 90 day e:te~5ioll 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 inspectie,n must be logged during each six 1Il0nth period, or the pruject \'Ii 11 be ([,nsidered dballde,ned. <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 /> <br />SIGNATURE_~~A~______ SIGNATURE_~~1------- <br /> <br />DATE________~/;?~-qJ---------------------- DATE_______:7~~ :r{___________ <br /> <br />NOTARY AS TO ~ <br />OWNER OR GENT _~___ _ <br /> <br />MY IRES___ _ ______ MY COMMISSION EXPIRES__________________ <br /> <br /> <br /> <br /> <br />'ft-~OT.!\.1]Y rr'pr~~l :.c.. :-:,":"'\'"F~P, c~::, r7..C!:.ID.'\. <br />Jrt'jt' ~:t: .~~?':: <"\::~', ,j'.~:'" ' 'f.,,. . -~ '~15. <br /> <br />T-;r- '~, ~',")/ <br /> <br />r,~~-l_~2.;:;-;;; -::'";'i.,. j :\ ,'," <br />