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<br />CONDITIONS OF PERMIT AFFIDAVIT <br /> <br />A. NOTICE OF DEED RESTRICTIONS <br /> <br />The undersigned understands that this per.it aay be subject to "deed restrictions" which .ay be lore restrictive 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 />, , <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 local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay 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 Department, (813) <br />788-(,(,11. <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 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 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 - HOleowner's Protection <br />Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the <br />"owner', I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the <br />"owner" prior to cOllencelent. <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 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 installation as indicated. I certify that no work or <br />installation has cOllenced prior to issuance of a perlit and that all work will be performed to leet 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 lay 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 ~It ale not lilited to: <br /> <br />I Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Ldnds, <br />Water/Wastewater Treatment <br />I Southwest Florida Water "ananelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways <br />I Depart.ent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatment. Septic Tanks <br />I US Environlental Protection Anency - Asbestos abate.ent <br /> <br />I also certify that, if fill material is to be used in Flood Zone "A" Dr "A,etc.', it is understood thit a drainage plan <br />addressing a "colpensating volule" will be sublitted which is prepared by a professional engineer registered 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 vioi~te, cancel alter, or <br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fro. thereafter <br />requiring a correction of errors in plans, construction, Dr violations of any code. Every p~riit iss\lud ;nall becole invalid <br />unless the work authorized by such peTtit is cOlllenced within six flronths of issuance, (Ir if I'lClrk autllfll Ized by the perlit is <br />suspended or abandoned fror a period of six .onths after the tile the w[lrk is co&menced. One 90 day e~tEnS)Oii of tile, flay 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 iust b~ logged during each six lonth period, Dr the project will be considered dbal~Dned. <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 />SIGNATUR.~~:q__ q~ -":_____ SIGNATURE_.~talA,--1{~-~----- <br />~~~NER OR A~ CONTRACTOR <br />:::::~_::_~~fQ. f--3.1t.1~----------"--- . -- :::::~-:. :_~~_:~}~~L______----~-- .--- <br /> <br /> <br />OWNER OR AGENT''''L!~~_ _~. U CONTRACTOR_~'--/~~_( ~ W ~/ <br /> <br />, Notary ubhc. S t 01 C1U,._" p-{../!:. Notary PubliC. Stat! oe FlOrida <br />MY COMMISSiON EXPIRE ~;-~~~~~:.~~;__..:_l~._~!~__ MY COMMISSION EXPI E~=:o~~.:.:x!:..~~~~~~~~_ <br />