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<br />CONDITIONS OF PERMIT AFFIDAVIT <br /> <br />A. NOTICE OF DEED RESTRICTIONS <br /> <br />The undersigned understands that this per.it .ay b. subject to "d.ed r.strictions" which .ay be .ore r.s~rictive than City <br />regulations. The undersigned ISlu.el responsibility,for co.pli.nc. with any applJcable deed restrictions. <br />, . ,. ~: <br />'. . , <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br /> <br />If the owner has hired a contractor or contractors to undertake Nork, they .ay be required to be licensed in accordance Nith <br />stat. and local regulations. If the contractor Is not licensed as required by IaN, both the owner and contractor ..y b. <br />cited for a .isde.eanor violation under state IaN. If the owner or intended contractor are uncertain as to Nhat licensing <br />require.ents .ay apply for th, intended Nork, they are advised to contact the City of Zephyrhills Building Depart.ent, (813) <br />788-6611. <br /> <br />Further.ore, if the ONner 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 Nhich they Nill be responsible. If you, as the ONner sign as the contractor, <br />you are indicating that you, rather than the contractor, are responsible for the Nork. If the contractor Nishes you to sign <br />as contractor' that .ay 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 />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) <br /> <br />I certify that I, the applicant, have been provided Nith a copy of "Florida's Construction Lien LaN - Ho.eONner's Protection <br />Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er -Affairs. If the applicant is so.eone other than the <br />"oNner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the <br />"owner' prior to co..ence.ent. <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 work will be done in co.pliance with all <br />applicable laws regulating construction, zoning, and land develop.ent. <br /> <br />Application is hereby .ade to obtain a per.it to do Nork and installation as indicated. I certify that no work Dr <br />installation has co..enced prior to issuance of a per.it and that all work Nill be perforted to .eet standards of all laws <br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also <br />certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended work, and that it is <br />,y responsibility to identify what actions I .ust take to be in cOlpliance. Such agencies include but ille IIOt lilited tOI <br /> <br />I Departlent of Environ.enl41 ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive lands, <br />Water/Wastewater Treat.ent <br />I Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />I Ar.y Corps of EnQineers - SeaNalls, Docks, Navigable Waterways <br />I Depart.ent of Health & Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks <br />I US Environlental Protection AQency - Asbestos abate.ent <br /> <br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan <br />addressing a "co.pensaling volute" Nill be sub.itled which is prepared by a professional engineer registered in the State of <br />Florida prior to per.it issuance. <br /> <br />A per.it issued shall be construed to be a license to proceed Nith 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 per.it prevent the Building Official frol thereafter <br />requiring a correction of errors in plans, construction, Dr violations of any code. Every per.it issued shall beco.e invalid <br />unless the Mort authorized by such per.it is cOI.enced Mithin six .onths of issuance, Dr if work authorized by the per.it is <br />suspended or abandoned for a period of six .onths after the ti.e the work is cOllenced. One 90 day ext.ensioll of tile, .ay be <br />alloNed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An <br />approved inspection .ust be logged during each six .onth period, or the project Mill be considered abaudoned. <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 YOU ER OR AN ATTORNEY <br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT'. J:JS UNDER ~lJ'500 IN VALUE <br />DD NOT NEED TO RECORD AND POST A "NOT! CE OF COMM C M]T". V <br /> <br /> <br />SIGNATURE y/ ~~~_~ SIGNATURE r _________ _~~\_----- <br />. -,f4 OWNER-ijl["AGENT CONTRACTOR -)' <br /> <br /> <br /> <br />DATE____________ ________ <br /> <br /> <br />~~~Y~S~~------~- _------------ NDTARY AS ~~_____ _ __ ~;f-------- <br />MY CDHHISSION EXPIRES_____~ ~~~_______ :~N::::::;;ON/~XPIRES______(f_~_~~~_ <br /> <br />