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<br />CONDITIONS~O~,PERMIT AFFIDAVIT <br />NOTICE OF DEED RESTRICTIONS <br /> <br />A. <br /> <br />.', " <br /> <br />The,undersigned understands that this perlit aay be sub~ect to "deed restricti~ns" which ~ay be ~ore restr.ictive than City <br />regulation!>. The undersigned nsules responsibility:;for;,coapliance with any appl icable deed restrictions. <br /> <br />, _,.,t'... <br />" _ '. t, <br />E. UNL ICENSEDCONTRACTORS AND CONTRACTORRESPONS I B IL I'T I ES <br />, . <br /> <br />If the owner has hired a contractor Dr contractors to undertake work, 'they lay be required to be licensed in accordance with <br />state and loc~l regulations. If the contractor il not licensed as required by law, both the own~r and contractor ~ay be <br />cited for a Ilsde.eanor violation under state laH'i,If the owner or intended contractor are uncertain as to what licensing <br />requirelents lay apply for the intended Hork, they are advised to contact the City, of Zephyrhills Building Departlent (813) <br />78B-66ll. ' , '" ' <br /> <br />Furtherlore, if the owner has hired a contractor Dr 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 yc.u, 'as, the c.wner sign as the ceontractor, <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 aay be an indication 1hat he is not properly licensed and is not entitled to permitting 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 Hith a copy of "Florida's Construction Lien Law - HOleowner's Protection <br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOlec.ne other than the <br />'oHner" , I certify that I have obtained a, copy of,the above described dc,culIlent and prc'~lise in ge,od faith to deliver it to the <br />"owner' prior to co..encement. <br /> <br />: l. .: ,:.~;;. ~. ~ ; :' . <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 coapliance with all <br />applicable laws regulating construction, zoning, and land development. <br /> <br />Application is hereby lade to obtain a per.it t~' do Mork and install~tion as indicated. I certify that no work or <br />installation has cOI.enced prior to issuance of a perlit and that all work will be performed to ~eet standards of all laws <br />regulating construction, City codes, zoning regulati~ns, and land development regulations in the jurisdiction. I also <br />certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended work, and that it is <br />IY responsibility to identify what actions I must take to be in compliance. Such agencies include bill ill e ne,t lillited to: <br /> <br />. ".~ . <br />. n~part=ent of tnviron~ental Req~l~~iQ~ - Cypress Bayheads, Wetland nreas and EnvirDnmentally Sensi tive Lands, <br />\later IWastellater Ir ea till,en~ <br />. Southwest Florida Water'Mananement District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses <br />I nrlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways <br />I Departlent of Health L Rehabilitative Services, Environmental Health Unit - Wells, Hastewater Treat~en~. Septic Tanks <br />I US EnvironDental Protection AQenct - Asbestos abatement <br /> <br />I also certify that, if filllaterial is to be used in He.od Ze.ne "n" Dr "A,etc,', it is underste,e,d t!.~t a drainage plan <br />addressing a 'coapensating volule" will be sublitted which is prepared by a professional engineer regist~red in the State of <br />Florida prior to permit issuance. <br /> <br />A perlit issued shall be construed to be a license to proceed with the WDrk and not as authority to violite, cancel alter, or <br />set aside'any pre,visic.ns of the, technical codes,lIor shall issuance of a permi t prevent the Bui lding Official fn." thereafter <br />reqUIring a'corredion e.f errors in 'plans; con~truction, e,r violations of a~y ce,de. Every perillit issll~,j :hall bece,le invalid <br />unless the w"H,authe,rized by such permit is couenced within six "onths of issuance, e,r' if liClr'k 'atlthc,!) zed by the perli t is <br />suspended or abandoned feor a period of Sill lonths after the t);IIe the Ilork is (['KI,menced. One 90 day e~t"i.si~1I of tille, aay be <br />aIle.wed fer the per",it with fee charge of U5.00, The extensie,n shall be requested in.lirHinl) t(o the BtJjlding Official. An <br />approved inspectie,n ",ust be lc,gged during each six month period, e,r the prcojeclliill be c(,nsidered db.;llde'i1i:d. <br /> <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 OETAIN 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 />SIGNATUR~~~~~------- SIGNATURE_~~---- <br />DATE_~__~~7"-~,L-~----_._------ DATE___~__~dP1:c_li2cLq_g_L____------ <br />~e~~~YD~SA~~NT~~~~~-"- ~~~~~~C~~~'~C"""'~l- <br />MY COMMISSION EXPIFl-ES - ' "U MY COMMISSION EXPIRES::'~~'~:'::<':'- ..:..:.~Hut <br />,.._.-,..,..----------------- My (,::'?':'F'::,U':': t;:;::rcs'1ui'} .:l r;,~g-4'" <br />Bu!-, JeJ Thfll Trpi rein - ln~\"ironc:e Inc. <br />