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<br />. .... r <br />" ~ <br /> <br />CONDITIONS OF PERMIT AFFIDAVIT <br />NOTICE OF DEED RESTRICTIONS <br /> <br />A. <br /> <br />lhe,underslgned understands that this per.lt .ay bl sub3ect ~o 'deed restricti~ns" which may b~ oor~ restrjctive than City <br />regulations. The undersigned assu~e5 responsib~1it"~for"cor.pliance with any applicabl~ deed restrictions. <br />" ..' <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br /> <br />If the own~r has hired a contractor ,~r contractors to undertake Hork, 'they Ray be required to be licensed in accordance with <br />state and local regulatic>ns. ' If the contractor is not licensed as required by law, be,th the e.uner and contractc>r nay be <br />cited for a Disdemeanor violation under state law" If the owner or intended contracte.r arc uncertain as tD what licensing <br />requirelents ~ay apply for the intended Hork, they are adviscd to contact the City of Zephyrhills Building Dcpartlcnt, 18131 <br />7BB-bb II. <br /> <br />Furthermore, if the Oliner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions Df thc <br />'Contractor Sectic>ns' of this application fc>r 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 contradH that aay bc an indicaticln that he is not prclperly liccnsed ~nd is not entitled te, per~ittir,g privileges in H,C <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~ FLORID~ STATUTES, AS AMENDED) <br /> <br />I ccrtify that I, thc applicant, have been provided with a copy of 'Florida's Construction Lien Law - Ho~eowner's Protection <br />Guide' prcparcd by the Florida Departlent of Agriculture and Consuler Affairs. If the "pplicant is soteonc othcr than the <br />'owner', I ccrtify that I have clbtained a, co'py of,the above describcd document and prc.IT.ise in ge,od f.iH, to deliver it \0 the <br />'ollner' prior to cOIr.encellent. I <br /> <br />; " '~':~:, ". . ; : . <br /> <br />E. CONTRACTOR'SIOWNER'S AFFIDAVIT <br /> <br />I certify that all thc infor~ation in this application is accurate and that all \tork Mill be done in co~pliancc with all <br />applicable laws rcgulating construction, zoning, and land developDcnt. <br /> <br />., . , <br />Application is hereby ..ade to obtain a permit to"do ~ork and install~tion as indicated. I certify that no liork or <br />installation has cOI~enced prior to issuance of a perlit and that all work will be perfor~ed to ~eet 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'to the intended work, and that it is <br />my rcsponsibility tel identify lihat actions I /Dust take to be in compliance. Such agerlcies ir,clude bu\ :Ole Ji{,t linited to: <br /> <br />... <br /> <br />I Deparhe~,t (If Envir~M!!ntal RCQul;tion - cypr~ss Bayheads, lIetland Areas and Envirclnm!!ntally Sensi ti\;~ L~ndsr <br />Water/Waste~ater Treatm~nt <br />I South~est Florida Water'ManaQer.ent District - Wells; Cypress Bayheadsr H~tldnJ ~r~ds, Altering HatercOUfses <br />I ArDY Corps ~f EnQineers - Seawalls, Docks, Navigable Haterways <br />f Departlcnt of Health L R!!habilitative Service5, Environ~ental Health Unit - W~lls, Wastewater Trea\~en: I Septic Tanks <br />I US Environcental Protection ~Qencl - Asbestos abatement <br /> <br />also certify that, if fillaatE:rial is to be used in FIMd Zone '~. Clr "~,dC,', it is underst(,(,d 1I,:\t a drainage plan <br />addressing a 'co~p~nsating volu~e' will be sublitted which is prepared by a professional engineer r~gi5t~f~d in the state of <br />Florida prior to permit issuance. <br /> <br />A permit issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, or <br />set aside any provisiDns ~f the technical tDdes, nor shall issuance of a permit prevent the Building Officiil fro~ thereafter <br />requiring a C{lrrection elf errors in plans; c(.nstrudicln, elr violations of any cc,de. EYery pl'r~i\ iSS\II~j ohall bece.lC inv~lid <br />unless the wDrk authe,ri2ed by such permit is cCoJlll\enced within six months (If issuance, e,r if 11(<1\: at,t!,c" ),ed by the per.it is <br />suspended or aband(lner! feor a peri{ld (If six lonths after the tbe the lfork is cc'Menced. One 9(; day ~~\~"SiOIl of tiH, tUY be <br />allowcd for thc pcr~it with fec charge of $15.00. The extension shall be requested in Hriting \0 the Building Official. An <br />approved inspedi(.n /'Just b~ logged during cach six Illonth period, or the project Hill be ce,nsidered db,;l.de",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 PROPERTY. IF YOU <br />INTEND TO OBTAI~ FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY <br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE <br />00 NOT NEED TO RECORD AND POST A II NOT I CE OF Cm1MENCEI'1ENT to . <br /> <br /> <br />SIGNA;URE_~1L-...~ SIGNATURE~_~--------- <br />OWNER OR AGENT CONTRACTOR <br /> <br />DA TE_____M(j])-'--~-L-?_tL'~-----,------- <br /> <br />DATE______~~~~-~L~~~J------ <br /> <br />NOTARY AS TO //~. / ---r f ~ I NOTARY AS TO f\ .. ' Q ,2 . A 0 <br />OWNER OR AGENT -0Q~ . CONT~ACTOR--~-------~~ <br /> <br />MY COMMI SSION EXPIRESNOIAHY_!:l1.~.!.S-~T!;~~~~.?~~~ MY COI'I1'11 SS ION EXP I RES__________________ <br />My commission expire B. ht AgencY <br />Bonded thrU Patterson - ec <br /> <br />NOTARY PUBLIC, STATE OF FLORIDA <br />Jt4Iy commission expires Oct. 2. )992 <br />Bonded tbnI Patterson - Becht A&ency <br />