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<br />CONDITIONS OF,PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br /> <br />The,und~rslgned understands that this perlit lay be subject to 'deed restrictions' which may be ~ore restr,ictive than City <br />regulations. The undersigned assules responslbilitf:for, compliance with any applicable de~d restrictions. <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br /> <br />If the own~r has hired a contractor ,or contractors to undertake work, they lay 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 ouner and contractor ~ay be <br />cited for a misdemeanor 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 Departaent, (813) <br />788-6611. <br /> <br />Furtherlore, if the owner 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 Hhich 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 Hishes 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 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 with a copy of "Florida's Construction Lien Law - Ho~eowner's Protection <br />Guide' prepared by the Florida Depart_ent of Agriculture and Consumer Affairs. If the applicant is sOleCne other than the <br />'owner", I certify that I have obtained ~ copy of the above described document and promise in good faith to deliver it to the <br />'owner' prior to cOlmencement. <br /> <br />;1"".: <br />I. '". <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 Hill be done in co~pliance with all <br />applicable laws regulating construction, zoning, and land development. <br /> <br />Application is hereby made to obtain a permit to'do work and install~tion as indicated. I certify that no work or <br />installation has commenced prior to issuance of a perlit and that all work Hill be perfor~ed 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 ~ay apply'te, the intended work, and that it is <br />.y responsibility tel identify what actions I must take to be in compliance. Such agencies include bill ~l e n(,t li~ited to: <br /> <br />... <br /> <br />I Deparhe~Jt elf Envir~nllenial ReQul~tion - Cypress Bayheads, Hetland Areas and Environmentally Sensi tj\ie Ldnds, <br />Hater/Wastewater Treatment <br />. Southwest Florida Hater ManaQelent District - Wells; Cypress Bayheads, Hetland Areas, Altering HatercDurses <br />f Arty Corps ~f EnQineers - Seawalls, DDcks, Navigable Waterways <br />f D~partlent of Health L R~habilitative Services, Environ~ental Health Unit - W~lls, Wastewater Treat~en:, Septic Tanks <br />f US Environaental Protection AQency - Asbestos abatement <br /> <br />also c~rtify that, if fill material is to be used in Helod Ze,ne 'A' (lr 'A,dc,', it is underste,(,d tl.31 d drainage plan <br />addressing a 'colpensating volume' will be sub.itted which is prepared by a professional enqin~cr icqist~rcd 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 work dnd not as authority to yiol~te, cancel alter, or <br />set aside any provisions of the technical codes, nor shall issuance Df a permit prevent the Building Official fro~ thereafter <br />requiring a ce,rrection elf errors in plans; constructi(,n, e,r violations of any ce,de, [very per~it issued :haJI becl.le invalid <br />unless the we,rk authe,ri1ed by such permit is celuenced within six 1lI0nths e,f issuance, (,r if l"iCoJ f; dulI,(" ],ed by the perlit is <br />suspended Dr abandoned for a period of six lonths after the ti~e the Hork is commenced. One 90 ddt c:tensioll of ti&e, aay be <br />allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the 8uilding Official. An <br />approved inspectie,n !!lust be logged during each six month period, or the project liill be cc,nsiderr:d dDol,de,ned. <br /> <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY <br />RESULT I N YOUR PAY I NG TW I CE FOR I MPROVEMENTS TO YOUf~ PROPERTY. I F YOU <br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN Al-TORNEY <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 />I , <br /> <br />SIGNATURE__(~~_~_~=_~~-------- <br />Grace M. Fer;u~PWNER OR AGENT <br />DATE ___cv.U__L~__~_~l_____-------,------- <br /> <br />~~~~~YO~SA~~N~~~_(;__~_~_~_ <br /> <br />13cmita. G. Jones <br />MY COMMISSION EXPIRES',''" <br />--- ~ ..ulillClo "lltiti-oTflorid"-- <br />!!I--....... ~I'M Feb. 28, 1994 <br />--..--~~ <br /> <br />SIGNATURE <br /> <br />------------------------------ <br /> <br />CONTRACTOR <br /> <br />DATE <br /> <br />----------------------------------- <br /> <br />NOTARY AS TO <br />CONTRACTOR_____________________________ <br /> <br />MY COMMISSION EXPIRES <br /> <br />------------------ <br />