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<br />tONDITIONS. OF PERMIT AFFIDAVIT <br /> <br />A.': NOTICE OF DEED RESTRICTIONS ;.. '. <br /> <br />The underslgn~d understinds that this plrllt I.Y bl sub',ct t~ 'dead restrlctiDns' which. ~ay b~ JDre restrictive than City <br />regulations. The undersigned assulas responsibll1\~ for cOlpliance with any applicable deed restriction~, <br />, ..:. I :.\' ~.. ~ "~. . <br />~. ,'d.l <br />B. UNLICENSED CONTRACTORS A~D.~ONTRACTbR RESPONSIBILITIES <br /> <br />If the OHnlr has hired a c~ntractor or contractors to undertake work, they may b& required tD be licensed in accordance with <br />s!ate and loc~1 regulatlCl~s. !f thl contra~tor 11 not llcens~d IS rl!,quired by law, bDth the blfne~ and cClntractc.r lIay be <br />clte~ for a mlsde.ean~r VIolatIon under state law,', If the ownl!r or intended contractor ar~ upcertain.as to what licensing <br />requIrements lay apply for the intended work,they are a~vised lo contact the City of Z~phyrhills Building Depart.ent, (813) <br />7BB-bbll, ','," <br /> <br />Furthllrlon, If the owner has hired a contractor" or contractors; .hl1 is adv'i$ed tohav'e '~he ce,ntractor(s) sign portions Clf the <br />'Contractor Sections' of this application for which thl!Y will be rl!sponslble. If ye,u,' a"s the e,wner sign as the contractor <br />you are indicating that you, rather than the contractor, are responsible for t~c wDrk. If the cDntractor wishes you to si;n <br />as contractor that lay 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 FI~rida Depart.ent of Agriculture and Consumer Affairs. If the applicant is S08EOne other than the <br />"owner", I certify that I have obtained a copy of "the above described document and proli5e in qood faith to deliver it to the <br />"owner" prior to cOI~encement, <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br /> <br />I certify that all the infor~ation in this application is accurate and that all Mork Mill 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 ~erli~ to'do work and installation as indicated. I certify that no work or <br />installation has CO&Renced prior to issuance of a perlit and that all wDrk Hill b~ performed to roeet standards of all laws <br />regulating cc.nstrudie.n, City cc.des, zoning re"gulations, and land development regulatie,ns in the jurisdidie.n. 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 />ay responsibility te. identify IIhat actions llllust"take to be in cOlllpliance,"Such agencies include bill ~le liC.t li'lited to: <br /> <br />I Deparllent of EnviT'oMental ReQulation - Cypress Bayheads, Hetland Areas and EnviroMentally Sensitive Lands, <br />Water/Wastellater Treatment <br />. Southwest Florida \Iater ManaQelent District - Wells, Cypress Dayheads, Hetland Areas, Altering Hatercourses <br />I Army Coros of EnQineers - Seawalls, Docks, Navigable Haterways <br />. Department of Health L Rehabilitative Services. Environmental Health Unit - Wflls, Wastewater Treat~en~. Septic Tanks <br />I US Environoental Protection AQency - Asbestos abatement. <br /> <br />I"also certify tha.t, if fill uterialis to'be used in Fle.od Ze,ne "A' or 'A,dc.', it is underste,e.d tl.~t a drainage plan <br />addressing a 'compensating volu.e" will be sub.itted Hhich is prepared by a professional engineer registered in the State of <br />Florida prior to perlllit 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, or <br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official froft thereafter <br />requiring a correction e.f erTCtrs in plans, cons\ructic,n, or violations e.f any ce,de. EYery per~i t issued :;hall becc..e inval id <br />unless the work authorized by such permit is cOllllenced within six months of issuance, or if 1I0rk auth~rl!ed by the perait is <br />suspended or abande.ned fe,r a peri[.d of six tonths after the tillll! thl! 1I0rk is ce'Menced. One 9(; day ;:~t"j,si(\1I e.f till, Jay be <br />all~lIed for the per~it Hith fee charge of ~15,OO, The extension shall be requested in IIriting to the Building Official. An <br />approved inspection ~ust be logged "during each si~ mDnth periDd, or the project lIill be considered ~baljdoned. <br /> <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY <br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUI~ PROPERTY. IF YOU <br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY <br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE <br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". <br /> <br /> <br />. SIGNATURE__ ft~_ff-$~-'~----- SIGNATU{1E___~b--------- <br />~ OWNER OR AGENT CONTRACTOR <br /> <br />~ [ a <br />DATE__s=l~---;t--~--~~_?~--------~------ <br /> <br />~~~~~YO~SA~~N~~ <br /> <br />MY COMMISSION <br /> <br />DATE___~_~_~~___st7-_LJ-r~L-__~--- -- <br />~~~~~~C~~R~==-~__--~----------- <br /> <br />EX P I RES ______________..,'I'r.:~..r:-"-~ <br />- Nl'tllry Public, State 01 nOrlu' <br />My Commission Expires April 11. 1m <br />Bonded lhJlI !',0Y filin: '[J$!,l(.~ IAsiI ................. <br /> <br />MY <br /> <br />C6MMISSION EXPIRES_________ -------- <br />_ ........ Notary Public, State oi AoriCl. ' <br />My Commission Expires April 21. 1992 <br />"'nded lh~ll TroY fa;n' ini.r.nCl Inc.. <br />