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<br />CONDITIONS,OF PERMIT AFFIDAVIT <br />; I <br /> <br />A. NOTICE OF DEED RESTRICTIONS <br /> <br />Th. undlrlign~ und.rltrndl th.t thil p.rlit ..y bl lub;.ct to 'd.ld r..trictions' which lay be lorl rll~rictiv, th.n City <br />reguhUon~,~: ;~! ~e~!~~.i.~~~~,~~'~II' r~~!Dn~.ibi~Ul..,fDr CDlpllann wUh .ny appncabl. dlld rl~tricUons. <br /> <br />, .' " ,# . <br /> <br />B. UNLICENSED CONTRACT9RS AND CONTRACTOR RESPONSIBILITIES <br />. ",.' :~IIi""'''~'+-'"''' J..)....,,",...:!.;.,i~...~,,~"'...'-'.._...',',"+'''.,.-)i>'' -i. ,.;...,~, : ' <br /> <br />If the owRtr ba. hind. CDntr.dor or contra don to undlrhh work, they lay bl r.quind to bl Hunl.d in .ccord.nn wUh <br />l\att .nd lotal;ttgul.tionl,"~lfth. CDntrador il not llcenlfd .. required by llW, both th. owner Ind contractor I'y b. ,: <br />cited for . lildlle~nor.,Y4~lltion under.tat. law, If th. owner or intended contractor ar. uncertain IS to whit licensing <br />requirelents IIY .pply for th,"int.ndedwork, they Ire adviled to contact the City of Zephyrhills Building Deplrtl.nt, (813) <br />788-6611.. <br /> <br />~ '! '1' !; ~,~: <br /> <br />.r ~ <br />... . . _.' " c. ..,> i "i' ~ <br /> <br />. " <br />, <br /> <br />~:{ 1 <br /> <br />Furth.rlor.. if the owner hll hired I contractor or contrlctorl, hi il advised to have the contrlctorls) sign portions of th.' <br />'Contractor S,dionl" of' thillppllcation for which they IIUl b. responsible. If you, .. the owner sign II the CDntractor, '..' <br />youan,Jndit,U~9 thatVD.u.tnthtr thl' th.con~rador, In n~ponlible for the 1I0rk. If the contrador wishes you to lign, <br />'IS contractorithlt IIY bt an lildi,taUon th.t h, .. not prop.rly llunled Ind is not entitled to penUting prlvilegtlin th.t <br />l . . . 'i" ' . ~ <br />CUy of".z.ep~rrh.!l1s. , . <br /> <br />p <br /> <br />. <br /> <br />C. <br /> <br />TRANSPORTATION IMPAC~ FE~S A~D UTILITY CONNECTION FEES <br /> <br />.~.; : <br /> <br />D. CON~:r~U~!I9N, ..~~EN L~t" 41,(S~APTER 713, ,FLORIDA STATUTES, AS AMENDED) <br /> <br />I certify that ,I, the appliclnt, h.ve been provided lIith a copy of 'Floridl's Construction Lien LaM - HOleowner's Protection <br />Guide' preplred by-the Floridl Departlent of Agriculture Ind Consuler ,Affairs. If the applicant is sOleone other thin the <br />.ollner', I nrtify .that I have obtained I ,copy, of the Ibove described doculfnt and prolist in good hUh to deliver it to the <br />'ollner' prior)o~co'"nn.ent,' ,',' ,.',' '" ' " , ' " <br /> <br />.... <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br /> <br />.. <br />1 certify thlt 111 the inforlation in this applic.tion is accurlte and that all work lIill be done in cOlpliance with all <br />applicable hilS regullting construction, loning, Ind Ilnd,d~velop.ent. <br />, .~ \ ", I ' ' . . , \ <br /> <br />Application is hereby 'Ide to, obtain I ptrlU to, do lIork InO Inlh11.\ion II indicated, I certify thlt no 1I0rk or <br />lnstlllltion hal cOI.enced prior t. lIIUIAC. of I plrllt and &hlt .11 1I0rk lIill bl perforled to leet st.ndards of 111 lalll <br />regullting con_truetion. City cod.., zoning,r.gulltlonl, and llnd dev,loplent (egulltions in the jurisdiction. J Ilso <br />certify that I understlnd that the regulltions Df other gDvernlental Igencies lay apply to the intended 1I0rk, and that It is <br />IY responsibility to identify IIh..t Ictio.ns tlult take to be in co.plilnce, Such agencies include bllt all! 1I0t lilUed tOI <br /> <br />. Dl!Dartl!nt of Envir.nlen~ Reaulatioo,;, Cypr'ls Blyheads, Wetland Arels Ind Environlentally Sensitive lands, <br />, ' Water/Waltelllter Treatlent" <br />I Southwest Florida Wlter "Inlaelent Diltrict - Uells" Cypress Blyhllds, Wetllnd Arels, Altering Watercourses <br />. Arlv CorDS of Enaineers - Selwllls, Dockl, Nlvig.ble Wlterways <br />I Departlent of Hellth l Reh.bilitative Services. Environlental Hellth Unit - Wells, Wastelllter freat.ent, Septic Tlnks <br />. US Environlental Protection Aaency - Asbeltos abltelent ' ' <br /> <br />I Ilso certify thlt' if fill laterill is to be used in Flood 'Zone ~A' Dr "A,etc,', it is understood that a drainlge plan <br />addressing a~CD.penIlUngvolulI~;1I111Ibe subliUed which is ,prepared by a professional engineer registered in the State of <br />Florida prior; t, plrlH hlDlnn" ':', ,': l;i! ',',' ' . <br /> <br />, I, ; '~. J' ~; : ': <br /> <br />.". .:~ '~I" ,. <br /> <br />A perlit issued shill be construld to be I licenle to proceed lIith the work and not as authority to violate, cancel alter, or <br />set aside Iny provilions of the technital cod.l. nor sh.ll i_sulnce of a perlit prevent the Building Official frol thereafter <br />requiring I correction of error. in plan..~Rltruction, orviol.tions of Iny code. Every perlit issued shall becole invllid <br />unless th.'lIDrk authorized by such perlUHlrco.enced within six lonths of issuance, or if work luthor i zed by th. perlU is <br />suspended ot;lblndonedJoT I plrlOdofr.iI;.."thllner theUlethe 1I0rk il"c~!I!nced. One 90 day C!xtensioll of tilf, lay be <br />allowed for th, perlit lIith fie charge:of!.15~OO. The txteRslon shill be reque.ted'in writing to the Building Officill, An <br />approved inspection.lult b,e logged during Ilch six lonth period, or the project' IIi 11 be considered abandoned. <br />, .' ~ )'; ,I ~' _ <br /> <br />WARNING .TO OWNERs YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY <br />RESUL T.,.IN~ YOUR PAYING 'TWICE FOR IMPPOVEMENTS TO YOUR PROPERTY. IF YOU <br />INTEND ,TO OBTAIN.FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY <br />BEFORE,RECQRDING YOUR NOTICe: OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE <br />DO NOT~ NEED ~,:r0: RECORD "AND, ;POST A II NOT I CE OF COMMENCEMENT II . <br /> <br /> <br />SIGNATUR~~~~---- SIGNATURE~~ <br />DATE_~_~~:~~~~.i~_~~~~_2___--~--------- DATE___________L_~~~---f <br />. .. -.- ~~:~~~R~~___~~- <br /> <br />MY CO~MISSION EXPIRES_____~~~~~_~___ <br /> <br /> <br />