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<br />CONDITIONS OF PERMIT AFFIDAVIT <br /> <br />A. NOTICE OF DEED RESTRICTIONS <br /> <br />The undersigned understands that this permit may be subject t~ "deed restrictions" which may be ~ore restrictive than City <br />regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br /> <br />If the owner has hired a contractor Dr contractors to undertake work, they may be required t~ be licensed in accordance with <br />state and local regulati~ns. If the contractor is not licensed as required by la~', both the owner 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 />requirements lay apply for the intended work, they are advised to c~ntact the City of Zephyrhills Building Department, (8131 <br />7B8-bbll. <br /> <br />Furthermore, if the ~wner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the <br />'ContractDr Sections' of this application fDr 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 "or~. 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 te. 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 Departient of Agriculture and Consumer Affairs. If the "pplicant is so~eone other than the <br />'owner', I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the <br />'ollner' prior to commencement. <br /> <br />E. CONTRACTOR'SIOWNER'S AFFIDAVIT <br /> <br />I certify that all the infor~ation in this application is accurate and that all >>or~ will be done in c~~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 installation as indicated. I certify that no work or <br />installation has com~enced prior to issuance of a per.it and that all work will be performed te, meet standards ~f 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 aDDlv to the intended work, and that it is <br />flY responsibility to identify what actions I must take to be in ce,mpliance. Such agencies ir,clude bid "' r i1[,l li,~ited to: <br /> <br />I Department of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensi tij~ l~nds, <br />Water/Wastewater Treatment <br />* Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Hatercou,ses <br />I Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways <br />f Department of Health ~ Rehabilitative Services. Environmental Health Unit - W~I]s, Hastewater Treat~~~:. Septic Tanks <br />I US Environmental Protection Aoency - Asbestos abatement <br /> <br />I also certify that, if fill material is to be used in Floc,d ZCtne "A" or "A,etc.', it is unders,toe,d \h:d d d,ainage plan <br />addressing a 'compensating volu~e" will be submitted which is prepared by a professional engineer reqist0f~d in the State of <br />Florida prior to permit issuance. <br /> <br />A per~it issu~d shall be construed to be a license to proceed with the work and not as authority to yioj~te, cancel alter, or <br />set aside any provisic,ns of the technical codes, nor shall issuance [If a pl:rmit prevent the Building Llii',ci"l ilCoa, thereaftel <br />requiring a celrrection elf errc<rs in plans, C[,nstructicln, e,r vie,latie'Tls of any code. Every per;lIit iSSlIl,J shall bece'ie invalid <br />unless the work authCtri2ed by such perlllit is CClJflBlenced within six months Ctf issuance, (If if Hod; aut}"" j,ed by the perillit is <br />suspended Clr abandoned felr a perield [If six 1I0nths after the tiille the Ilort; is CC<Kimenced. One 90 day ,:.,:\(,,51011 (,f time, may be <br />allowed for the per0it with fee charge of $15.00. The extension shall be requested in writing to the Building Oificial. An <br />apprclved inspecti[,n must be logged during each six lIlclnth period, or the prelject Iii II be considf?red dbailrj[,j,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 PROPERfV. IF YOU <br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEV <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 />SIGNATURE____~E~~:---------- <br /> <br />DATE__~~~~wL7-tL---------------------- <br /> <br />NOTARY AS TO ~ _, ^.4r:-. <br />OWNER OR AGENT__~~~- <br /> <br />SIGNATURE~----------- <br />CONTRACTOR <br /> <br />DATE_~~~-~~!-?-C-~----------------- <br /> <br />~g~~:~C~~RT~~ ~~ <br /> <br />~--------------------- <br /> <br />';""_~,'.;,'~.:;";-' :~":-:I'~/-'ij'~ ..,":.,.....:.~: -". -,'::,~-; -, <br />MY COf1MISSION EXPIREiS'o: ;.:;>:,>,:::,;:' i ,:;"~' "::,,/,,,,' :',;?::,~'MY COMMISSION ~IQ~C::DTTro,--=r""''''c.A''''''''''_'''''''''''.-- <br />,:.f..;:.:J:l'f=':\..'i'i:!Jt<l..'...!t....'M""'"*"""'-.f-;-O..........-..........~,'" Ity't'tJ.......,"""'."., c. v.' "L<V"U"" <br />MY COMMISSION EXPIRES: August 1:5, 1995. <br />1l0NDIW TURU NOTARY PUBLIC UNDERWRITERS. <br />