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<br />.'-------' ,----,-,-,- ,- <br /> <br />CONDITIONS OF PERMIT AFFIDAVIT <br /> <br />A. NOTICE OF DEED RESTRICTIONS: <br /> <br />The und~rsigned understands that this perlit may be subject to "deed restrictions" whicn' ~ay be more res\rictive than City <br />regulations. The undersigned assules responsibility,for cOlpliance with any applicable deed restrictions. <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br /> <br />If the owner has hired a contractor or contractors to undertake wory., 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 o~ner and contractor ~ay be <br />cited for a .isdeleanor violation under state law. , If the owner or intended contractor are uncertain as to what licensing <br />requirements lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departeent, (B13l <br />7BIHbll. <br /> <br />Furtherlore, if the owner has hired a contractor or 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 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 permitting privileges in the <br />City vf 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 C[lnstruction Lien Law - Homeowner's Protection <br />Guide. prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is sOleone other than the <br />'owner., I certify that I have obtained a copy of the above described document and promise 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 ~lop.ent. <br /> <br />Application is hereby .ade to obtain a perlit to do worK ~ installation as indicated. I certify that no work or <br />installation has com.enced prior to issuance of a pertit and that all work Hill be performed to roeet standards of all laws <br />regulating cc1nstructi[ln, City c(,des, zoning regulations, aou 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 ~ork, and that itBl~ <br />.y responsibility to identify what actic.lls I lIIust take to bl! in compliance. Such agencies include but "1 e IiCll liilited to: <br /> <br />I Department 01 Envir'onllental R~ulattOTI - f1prl':!!i~ B~l;e,.,rs, ~'dland ArC!as and Envirflnllientally Sensitil'e lands, <br />Water/Wastewater Treatment <br />I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />I Army CorDS of EnQineers - Seawalls, DOCKS, Navigable Waterways <br />I Departaent of Health ~ Rehabilitative Services. Environ~ental Health Unit - W~'lls, Wastewater Treat~e~t. Septic Tanks <br />I US Environmental Protection AQency - Asbestos abatement <br /> <br />I also certify that, if fill material is to be used in Fl[lod Zone "A" or "A,etc.', it is understood tl."t a drainage plan <br />addressing a .colpensating volu.l!" ~ill be submitted which is prepared by a professional engineer regist~led in the State of <br />Florida prior to permit issuance. <br /> <br />A per.it 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 per'mit prevent the Building Official fro! thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ihall becole invalid <br />unless the work authorized by such permit is co.menced within six months of issuance, or if 1I0rk authorized by the perait is <br />suspended Dr abandoned for a period of six .onths after the tilte the >>ory. is commenced. One 90 day e:tE~sioll of tile, may be <br />allowed for the permit 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 lonth period, or the project lIill be considered abalidoned. <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 A "NOTICE OF COMMENCEMENT". <br /> <br /> <br />SIGNATURE___~~~l -" SIGNATURE~_LL2~----- <br />OWNER OR AGENT ' CONTRACTOR <br /> <br />~~~:-----~~-~-~_?~----------f;l:--- ------- DATE______~__ _~~~t--- ------------ <br />/NOT;;Ry.,.AS TO ~ tNOTARY AS TO <br />____~, CONTRafTOR-'- '-"'1r- ' , ~. <br />::NER OR AG NT :~~~~~~_~_~___~__~__ _~_ MY co::'~' -:: :-~~::~~~_~~~________ <br /> <br /> <br /> <br />i~::':.'7'A~~t P':j~'!.:lrf" ~"i'i ':";:;; \'-t:, '-," :,'....11j.-~v <br />,I.::': 2 :Si'J;,. <br />b,''':;:~;~~'_; i-f:.;_~~) :',":'~~',~'~i' Ptz.~~;,:: <br /> <br /> <br />STi,T'G ('11 l'LCRm~, <br />, '; :,:G~~'BJ-~,_S~ J~~l!C 2~,5: ~?~s._ <br />I,.:' __"', yf1'q:ni ~"iJD.L\C lJ~l!)!:RwJ;;R,,-rLn.S. <br />i:~(r:D::~'~J ir::..'J ....d d_~" r <br />