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<br />CONDIT.IONS OF PERMIT AFFIDAVIT <br /> <br />A": NOT I CE: OF DE:E:D RESTR I CT IONS:. . <br /> <br />The under5ign~d underst~nds that this per.it .ay be sublect to "deed restrictions' which may b~ ~or~ restrictive than City <br />regulations. The undersigned assules responsiblli'~...f~.~ co.pliance with any applicabl~ deed restrictions, <br />.:' ':.~" ',. '. . ~ <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br /> <br />If the ONner has hired a contractor or contractors to undertake Hor~, they may b~ required to be licensed in accordance with <br />state and local regulations, If the contractor is not licensed as required by law, both the OMner and contractor ~ay be <br />cited for a misdemeanor violation under state laM. . If the OHner or intended contractor are uncertain as to what licensing <br />r.g.I.....,. .., .,,1, f.. 'h. I.t..d.d ...k, th" ... ."I.,d ,. ".1." ,.. "" ,. z.,.,.hl'l. ,,,\"., ,.,..1..." "'31 <br />7BB-bbll, <br /> <br />Further.ore, if the owner has hired a contractor Dr contractors, he is advised to have the ce,ntractor!s) sign portions of the <br />'Contractor Sections' of this application for which they Hill be responsible. If you, as the owner sign as the contractor, <br />,.. ... I.dl"".g th.t "', ..Ih.r th.. tho ,..t,.,t.., ... ,..p...lbl. ... 'h. ...k. \. 'h. ,..'r."" ...h.. ,.. ,. "g. <br />as contractor that aay be an indication that he is not properly licensed and is not entitled to ?er~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 ,..,11, 'h., I, tho .ppl"..I, h." b... p..,ld,d .I'h . ,.p, ,. 'FI,.ld.'. "..,.."... L'" L.. - H..,...,.'. p..,.,I'.. <br />Guide" prepared by the Florida Departsent of Agriculture and Consumer Affairs. If the applicant is SO~Eone other than the <br />....,.., I ""," th.t I h'" .b'.I.,d . ,.p, .f Ih, .b'" d.".,b.d d.'...., .,d p""" i. g..d f,"h I. d,\"" " ,. ,.. <br />"owner' prior to cOi~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 wort will be done 1n co~pliance with all <br />applicable laws regulating construction, zoning, and land development, <br /> <br />Application is hereby aade to obtain a ~erlit to do Mork and installation as indicated. I certify that no work or <br />installation has co&!enc~d prior to issuance of a perlit and that all wor!: Hill be performed to roeet standards of all laws <br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also <br />""," Ih.t 1 ..,...,..d Ih.1 'h' ,."I.tl.., .f ,Ih,. g.,......,.l .g..,'" ,., .~p\, ,. ,.. .",.d., "", ." 'h., ., .. <br />., ",p,,'ibil ii, t. ",,' ii, .h., "Ii,", I ",t to" ,. b. i. ",pli .".. S"h .,.""" i" \.d. b", ". ,." \ i .i1,d '" <br /> <br />I Department of Environ~ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensi\iv~ L3naS, <br />Water/WasteMater Treatment <br />I Southwest Florida Hater ManaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Hatercourses <br />I Army CorDs of EnQineers - SeaHalls, Docks, Navigable Waterways <br />I Depart.ent of Health L Rehabilitative Services, EnvirDn~ental Health Unit - W(lls, Wastewater. Treal~en~, Septic Tanks <br />I US Environoental Protection AQenci - Asbestos abatement <br /> <br />I also certify that, if fillllaterial is to be used in FIMd Zone "A' or 'A,etc.', it is understc,c,d th,t a drainage plan <br />addressing a 'co.pensating volule" will be sublitted which is prepared by a professional engineer reqist~ied in the State of <br />Florida prior to perlit iss~ance. <br /> <br />A p,..I' I".,d ...11 b. ",,'r..d " b, . 11".., t. p..",d .ilh 'h. ...k "d ..1 .. ..,...i', " "'\"', ,..,.1 .1"., ,. <br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter <br />.".1.1., . "..,,".. ,. ,..". ,. pl"', ,...I..,ti.., " ,i.\.,I... ,. .., "d.. ".., "..., .,.".. ,h.ll b.,.., ",,\'d <br />unless the work authorized by such permit is commenced within six months of issuance, or if work aulhofl]ed by the perlit is <br />...p..,., o. ....d..., f,. . p..I,d .. .1, .,.th. .f'.' tho 'i., ". .or' ., ,.....,.d. 0.. 9' d., "1..,1,,, ,I ,..., .., b. <br />allowed for the per~it with fee charge of $15,00, The extension shall be requested in Hriting to the Building Official. An <br />approved inspec\ie,n /!lust be lc.ggedduring each six Mnth period, CoT the prc,jl:d \iill be [(,nsidered dl)diidoned. <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 />EEFDRE RECDRDING YDUR NDTICE DF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE <br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". <br /> <br /> <br />SIGN~~-- <br />. CONTRAC~- <br /> <br />__,/ \,;-:Z ~ <br />SIGNATURE_~~~ ~ -- -----~----- <br />OWNER OR AGEN <br /> <br />DATE___:t~_~~_:1j----------------------- <br /> <br />::~::::::::::T:~~~~0~~~~ <br /> <br />.-~~~~--~~T,f~~fS~~~IT~ <br /> <br />DATE___:I:=:-~~--~~---------------- <br /> <br />NOTARY AS TO ~~ . "M ' <br />CONTRACTO~___ '-<!..~:'~-;:'.7F-cf!.- <br />~ ."''1 [l'i.:"}C ST~.TF./OF fLOn,)!\ <br />MY COMMISSION EX,:: \,~,?2:i.wLLii'_,)'i~':-:';;4~2'!.- <br />B()\\J;;;; 'In'd CS',;:":;".:. 1:';". \j,IL'. <br />