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<br />=~- <br /> <br />.. ~':r::r_~~~,.q;n.....~""-_.----- '-- <br /> <br />CONDITIONS OF PERMIT AFFIDAVIT <br /> <br />A. NOTICE OF DEED RESTRICTIONS <br /> <br />. <br />The.undersigned understands that this per.it lay be subject to "deed restrictions" which may be more restr.ictive 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 work, they lay be required to be licensed in accordance with <br />stlt, and local regulltions. If the contractor il not licensed as required by law, both the owner and contractor nay be <br />cited for a lisdeleanor violation under state law, If the owner or intended contractor are uncertain as to what licensing <br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813) <br />788-bbll. <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 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 wory.. 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 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 with a copy of "Florida's Construction Lien Law - Ho.eowner's Protection <br />Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is so.e6ne other than the <br />"owner", 1 certify that 1 have obtained a. copy of the above described docu.ent and proffiise in good faith to deliver it to the <br />"owner' prior to cOlmencelent. I <br /> <br />"1-":: <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br /> <br />I certify that all the information in this application is accurate and that all wory. will be done in cOlpliance with all <br />applicable laws regulating construction, zoning, and land develop.ent. . <br /> <br />Application is hereby .ade to obtain a perlit to'do work and install~tion as indicated. I certify that no work or <br />installation has COllenced prior to issuance of a per.it and that all work will be performed to leet standards of all laws <br />regulating construction, City codes, zoning regulations, and land development regulatio~s 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 lust take to be in compliance. Such agencies include blll ~le no~ lillited to: <br /> <br />... <br />. ,. <br />I Depart.ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, <br />Water/Wastewater Treatment <br />I Southwest Florida Water ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses <br />I Ar.y Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways <br />I Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tanks <br />I US Environlental Protection AQenc~ - Asbestos abatement <br /> <br />1 also certify that, if fill.atedal is to be used in Hood Zone "A" or "A,etc,', it is underste,e,d tl.~l a drainage plan <br />addressing a 'colpensating volu.e" will be sub.itted which is prepared by a professional engineer regist~ied in the State of <br />Florida prior to perlit issuance. <br /> <br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or <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, or violations of any code, Every permit issued ;hall beco.e invalid <br />unless the work authDrized by such per.it is co.menced within six months of issuance, or if wOI.k authol lIed by the per.it is <br />suspended or abandoned for a period of six .onths after the tiJe the wory. is commenced, One 90 day e:tension of tiie, aay 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 inspectit.n must be lc.gged during each six lonth period, or the prt.ject will be cc,nsidered ilb.;lIdt.ned. <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 />SIGNATURE_____~~-~~-------- <br />OWNER OR AGENT <br /> <br />SIGNATURE____~-~~----- <br />CONTRACTOR <br /> <br />DATE __________\..fr-LO..::.31-----.------.------- <br /> <br />.... <br /> <br />DATE_________LO:-L(!~-~l--------------- <br />~g~~~~c~~R~~___~~~l~~~~- <br /> <br />NOTARY AS TO ,,''''''r-.. ~ \ AIIr\ <br />OWNER OR AGENT__~-~J!.l~-~- <br /> <br />MY COMMISSION EXPIRES Notary Publlc. St:1t~ (If F10ridi <br />-MV"eumm'O~(W1:1r'.t~s""T'T'j'J.- :-.,..,,,,~- <br />Bonded b:/ Pc.:::co 1:-<;. f\;(';,:Cj, Li':. <br /> <br />MY COMMISSION EXPIRE!JlbbN IVk:, 0"", .,c:- <br />E M~.7'0"~~~:~~:-'"7:--:------- <br /> <br />, ' ,'.,. <br /> <br />" <br />