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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 perlit lay be subject to "deed restrictions" which' ~ay be more restrictive than City <br />regulations. The undersigned assules responsibility.fof compliance with any applicable deed restriction~. <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br /> <br />If the owner has hired a contractor Dr contractors to undertake work, they may 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 OMner and contractor ftay be <br />cited for a lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing <br />require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart~ent, (813) <br />788-6611. <br /> <br />Furtheraore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(sl 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 wor~. 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 per&itting privileges in the <br />City of Zephyrhills. <br /> <br />C. TRANSPORTATION IMPACT FEES AND V~ILITY 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 C(,nstruction Lien Law - HOleowner'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 pre,mise in good faith to deliver it to the <br />"owner" prior to cOlmencement. <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 per.it to do work and installation as indicated. I certify that no work or <br />installation has commenced prior to issuance of a per.it and that all work will be performed to meet standards of all laws <br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also <br />certify that I understand that the regulations of other governmental agencies IDay apply to the intended wor~, and that it is <br />IY responsibili ty to identify what actions I lust take to be in compliance. Such agencies include bllt ~i e IiC,t 1 jili ted to: <br /> <br />I Department of Enviionmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive Lands, <br />Water/Wastewater Treatment <br />f Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses <br />f Army Coros of EnQineers - Seawalls) np[~[, ~av;gable Watprways <br />f DepartMent of Health ~ Rehabilitative Services, Environmental Health Unit - W~IIsl HasteHater Treatment. Septic Tanks <br />f US Environmental Protection AQency - Asbestos abatement <br /> <br />I also certify that, if fillaaterial is to be used in Fletod Zone "A" or "A,etc.', it is underste,e,d t1"t a drainage plan <br />addressing a "colpensating volume" will be sub.itted which is prepared by a professional engineer regi5l~rp.d in the State of <br />Florida prior to permit issu~nce. <br /> <br />A permit 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 provis}C!f's of the technical celdes, nor shall issuance of a permit prevent the Building Official fTC'" thereafter <br />requiring' a correcti~ri bf errors in plans, construction, or violations of any code. Every permit issued ;hall becole invalid <br />unless the work authorized by such permit is commenced within six months of issuance, or if work authorIzed by the perMit is <br />suspended or abandoned for a period of six lonths after the time the work is commenced. One 90 day e~tEo5ioll of tile, lay be <br />allowed for the per~it with fee charge of $15.00. The extension shall be requested in Mriting to the Building Official. An <br />approved inspection ~ust be logged 'during each six month period, Dr the project Mill be considered dbalidoned. <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 Po "~mT ~ CE OF COMMENCEMENT II . <br /> <br />SIGNATURE_____~~~----- <br />DA TE _______ _____!l-=~_qJ_._____________________ <br /> <br />STGNATURE___~~~_----- <br />CONTRACTOR <br /> <br />DATE____________~~_:r~j_____________ <br /> <br />NOTARY AS TO ~ (it-.- '-. ~ <br />OWNER OR AGENT _____~~___J'n.i.----------- <br /> <br />NOTARY AS TO ~ JL . <br />CONTRACTOR______~~___:?~~_____~~ <br /> <br />N'~,I;:~,,'" ~.. h:" :;..:\--,1:,:-' '"I C~r.: idJ <br />MY COMM I S5 I ON EX P I RES --f.,.,~-~..........-.-..:..:..;;.,_:':_.;....-.:...--~- <br /> <br />~ l ~,- '-' <br /> <br />MY COMM I SS ION EXP I RE~ot::!:::.!'.!:'tr!:::...ft't"-;,:L':lG.L.;J3 <br />E::'IX..1>n)~1's~.,.;-':;_~.,-~:~',;~.'~~.. :';,y '. \-:~ r <br />.' ("'("",1,:(" <br />