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<br />. ~ <br /> <br />CONDITIONS OF PERMIT AFFIDAVIT <br />A": NOTICE OF DEED RESTRICTIONS:, , <br /> <br />The undersigned understands that this per.it lay be subject to "deed restrictie,ns' which ~ay be ~ore res~rictive than City <br />regulations. The undersigned assules responsibili~Y"fo~ compliance with any applicable 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 work, they may b& required t,o be licensed in accordance with <br />state and local regulations. If the contractor 15 not licensed as required by law, be,th the O\fner and contracte,r ~ay be <br />cited for a .isdeaeanor violation under state law. , If the ollner or intended contractor arE uncertain as to what licensing <br />requiruents laY apply fe.r the intended work, they are advised to ce,ntact the City e,f Zephyrhills Building Deparlunt, (BI3) <br />7BB-6611. <br /> <br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the ce,ntractor(sl sign portions of the <br />.Contractor Sections. of this application for which they lIill be responsible. If you, as the ollner sign as the contractor, <br />you are indicating that you, rather than the contractor, are responsible for the lIork. If the contractor lIishes you to sign <br />as contractor that aay 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 /> <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 llith a copy of .Florida's Ce,nstruction Lien Law - Ho~eowner's Protection <br />Guide. prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is someone other than the <br />.owner., I certify that I have obtained a copy of the above described document and promise in good faith tD deliver it to the <br />.0Hner. prior to cOimencement. <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 Mill be done in co~pliance lIith all <br />applicable laws regulating construction, zoning, and land development. <br /> <br />Application is hereby lade to obtain a penit to do HorK and installaticln as indicated. I certify that no HClrk or <br />installation has com~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 development regulations in the jurisdiction. I also <br />certify that I understand that the regulations of other governmental agencies may apply to the intended Mork, and that it is <br />my responsibility to identify llhat actions I must take to be in cclmpliance. Such agencies include bllt ~le IIC'\ liilited to: <br /> <br />I Department of Envi(on~ental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensj\iv~ L~nds, <br />H~ter/Wa~tehit~r Treatment <br />I Southllest Florida Hater ManaQelent District - Wells, Cypress Bayheads, Hetland ~r~as, Altering HaterCQCfSes <br />I Ar~y C~ros of EnQineers - SeaMalls, D~cks, Navigable Waterways <br />I Departlent of Health L Rehabilitative Services. Environmental Health Unit - W~lls: Wastewater Treat~en~. Septic Tanks <br />I US Envir~no~ntal Protecti~n ~Qency - Asbestos abatement <br /> <br />I also certify that, if fill material is to be used in Fle,od ZClne .~. or 'A,etc.', i l is understclcld tl.,l a drainage plan <br />addressing a .colpensating volu~e. will be sublitted which is prepared by a professional ~ngineer regisl~ied in the State of <br />Florida priclr to perllii t issu,ance. <br /> <br />A per~it issued shall be construed to be a license to proceed with the w~r~ and nvt as authvrity to violjte, cancel alter, or <br />set aside any provisions of the technical codes, nor shall issuance of a p~rmit prevent the Building Official fro. thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Ev~ry per~it iS5U~d ~hall becole invalid <br />unless the work authorized by such permit is com~enced llithin six months of issuance, vr if work auth~rlzed by the perlit is <br />suspended Dr abandDned for a period of six looths after the time th~ ~ork is commenc~d. One 90 day ~:te~5ioll Df tile, may be <br />allowed for the per~it llith fee charge of ~15.00. The extension shall be requested in writing tCI the Building Official. An <br />approved inspectie,n !!lust be lelggedduring each six Mnth period, or the prcljed liill be ct,nsidered dD,;udclr,ed. <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 NO~E OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE <br />DO NOT NEED TO R~E~~OR~/Pfl\f~/pr~: A "NOT I CE OF COMMENCEMENT". <br /> <br />/;/~//-t: /~ / ...--/ <br /> <br />SIGNATURE __ _ ~~ __ ~ / <-~ S I GNATUnE __~_WJWj--l--_n___- <br />, O~NER ~ AGENT . CmnRACTOR <br /> <br />DATE_______1~_~~:-~L---------------------- DATE__~::~~_~~(-------------------- <br /> <br />MY COr'IM I 5S I Or~ <br /> <br /> <br />'- -~---- <br /> <br />NOTARY AS TO ~"). J. ' ') <br />OWNER OR AGENT __ __ _ ,.:::ti.t~---- <br /> <br />, Notary Public, State of Rorida <br />MY COMM I 55 I ON EX P I RESMy-(V'.I...ission--Expires-May-1it;-f99~ <br />Bonded Th,u Troy Fain ~ Insurance Inc. <br /> <br />NOTARY AS TO <br />CONTRP.CTOi{ <br /> <br />.. <br /> <br />ES Notary Public, State of Florida <br />My Commlssio; E;P~; -May -2"1:1993 <br /> <br />Bond.d Th.u Troy Fain' Insul.nc. Inc,. <br />