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<br />- <br /> <br />it 1''f JJ : l; J L ~t::,J <br /> <br />CONDITIONS OF PERMIT AFFIDAVIT <br /> <br />A. NOTICE OF DEED RESTRICTIONS <br /> <br />. <br />Th~ undersign~d understands that this perlit lay b~ subj~ct to "deed r~strictions" which lay be lore restr.ictiv~ than City <br />r~gulations. The undersigned assules responsibility"for cOlpliance with any applicable d~ed r~strictions. <br />, , <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br /> <br />If the owner has hired a contractor or contractors to undertake work, 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 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 Zephyrhills Building Departlent, IBI3} <br />788-6611. <br /> <br />Furtherlore, if the owner has hired a contractor or 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 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. <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 - HOleowner's Protection <br />Guide" prepared by the Florida Departlent of Agriculture and Consueer Affairs. If the applicant is sOlec.ne 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 cOllence.ent. <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br /> <br />I certify that all the information in this application is accuiate and that all work will be done in cOlpliance with all <br />applicable laws regulating construction, zoning, and land developeent. <br /> <br />Application is hereby lade to obtain a perlit to do work and install~tion as indicated. I certify that no work or <br />installation has coe.enced prior to issuance of a perlit and that all work will be performed to meet standards of all laws <br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also <br />certify that I understand that the regulations of other governlental ~gencie5 lay apply'to the intended work, and that it is <br />,y responsibility te, identify what actions I lust take to be in cOlpliance. Such agencies include bllt ~l e not lilited to: <br /> <br />r <br /> <br />I Departle~t of Envir~n.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, <br />Water/Wastewater Treatlent <br />I Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses <br />I ArtY Corps of EnQineers - Seawans, Docks, Navigable Waterways <br />f Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat;en~. Septic Tanks <br />f US Environtental Protection AQencv - 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 tl13t a drainage plan <br />addressing a .colpensating voluee" will be sublitted which is prepared by a professional engineer regist2icd in the State of <br />Florida prior to permit issuance. <br /> <br />A pereit issued shall be construed to be a license to proceed with the work and not as authority to viol~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 issued ;hall becole invalid <br />unless the work authorized by such per.it is coa.enced within six aonths of issuance, or if work authoi Ized by the perlit is <br />suspended or abandoned for a period of six tonths after the tile the work is commenced. One 90 day e~t€nsioll of tile, aay be <br />allowed for the permit with fee charge of lI5.00. The extension shall be requested in writing to the Building Official. An <br />approved inspection lust be logged during each six lonth period, or the project will be considered ~bdl~oned. <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 NEr1!.ifdlE4f.O ~ A "NOTICE OF COMME~~~:~~_-:::::::?, <br /> <br /> <br />SIGNATURE)(-----OWNER-OR-AGENT------------- SIGNATU~/~C~----- <br />DA TE_____Z~~L_:1:.L________________._______ DATE~_____Z~~~=~!!.--------------- <br />~~~~:V O~S A~~NT J.-!fZLtd~ ~g~~:~C~~R~~J2.~;!~~~: I <br /> <br /> <br />NOTARY FUBLlC, STrITE OF FLOi'llDA," Y~OTl\RV PUBLIC, fTI>:rl::. CF I7LO".!D\. <br />r'iY Cm11"iISSION EXPIRES MY CO;'1i111SSi'J!~ .X'lPi::i.I: OCL to, l~lM, COMI-HSSION EXPIRE%y CO(".'.1lS;;lot{ 1:'4",;0':';;::"0',",(.'. '."" <br />_-aoH.~ftU-ft'.rr"JIrrrr-'P'OB"J;'I"<f"'c;.rn5:R W R I ~.:nSJ. 'BuNOZO 111 HJ""'rrQ"t~t':"'"tt~i)t:rc-m..;-; ~ :-~w itli ~r <br />