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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 to "deed restrictions' which may be mDre restrictive than City <br />regulations. The undersigned assules responsibility for co~pliance with any applicable deed restrictiDns. <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br /> <br />If the owner has hired a contractor or contractors to undertake work, they may 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 Ollner and contractor ~ay be <br />cited for a ~isdeleanor violation under state law. If the owner or intended cDntractor are uncertain as to what licensino <br />requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (8131 <br />7BB-bbll. <br /> <br />Furthermore, if the ollner has hired a contractor or contractors, he is advised to have the contractortsl sign pe,rtions 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 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 - Homeowner's Protection <br />Guide' prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is so~eone e,ther thon 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 cOimencement. <br /> <br />E. CONTRACTOR'SIOWNER'S AFFIDAVIT <br /> <br />I certify that all the infor~ation in this application is accurate and that all wor~ will be done in cOipliance with all <br />applicable laws regulating construction, zoning, and land developlent. <br /> <br />Application is hereby made to obtain a per.it to do work and installatioD as indicated. ] certify that no work or <br />installation has comreenced prior to issuance of a per.it and that all work will be performed to meet 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 may apply to the intended work, and that it is <br />flY responsibility to identify what actions I must take to be in c[llT'pliance. Such agencies include bll! ~I e ;,[,l li'lited tel: <br /> <br />I Department of Environmental Reoulation - Cypress iayheads, WeLiand Areas and En~ir0nlentalli Sensi tjj~ ldnds, <br />Water/Wastellater Treatment <br />I Southwest Florida Water ManaQe!ent District - Wells, Cypress Bayheads, Wetland Areas, Aitering WatercDurses <br />I Army Corps of EnQineers - Seawalls, Ducks, Navigable Waterways <br />I Departient of Health L Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tan~s <br />I US Environeental Protection AQency - Asbestos abatement <br /> <br />I also certify that, if fill Jl:aterial is to be used in F!c1cld ZClne "A" or "I\,etc.", it is undl'rs,te,od lio,,( ~ d'ainage plan <br />addressing a 'colpensating volu~e' will be submitted which is prepared by a professional engineEr reglste;ud in the State of <br />Florida prior to permit issuance. <br /> <br />A per~it issurd shall be construed to be a license to proceed with the work and not as authority to ,ioj~te, cancel alter, or <br />set aside any provisions of the technical ((Ides, nor shall issuance elf a pl!rmit prevent the Building tJff;ci~1 fl('1Ii thefeaftel <br />requiring a correction of ernrs in plans, ((Instruction, [lr vicolatie,ns of any codc,. Every peri!lit iSSIIl!d "hall beC(dlie in'lalid <br />unless the wClrk authclri2ed by such permit is cC'llilllenced within six illonths elf issuance, or if \'I[,ry. aut!,!.. j,eC h)' the per~it is <br />suspended or abandoned for a period of six lonths after the time the ~ork is commenced. One 90 day f=te~5ID" of ti&e, may be <br />allowed for the per0it with fee charge of $15.00. The extension shall be requested in writing to thE Building Official. An <br />approved inspection roust be logged during each six month period, or the project will be considered dbdl,doned. <br /> <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY <br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERfY. IF YOU <br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY <br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE <br />DO NOT NEED _ _______)D__; 7!_?_P_:_S_T__,_, _____ CE OF COMMENCEMENT". <br /> <br /> <br />SIGNATURE OWNER ~~~ SIGN~T~~_________ <br /> <br />DATE______~~~_~~_~~_____________________ DATE__~~:~~~~~________________ <br /> <br /> <br /> <br />~~~~:YO~SA~~N~_~----- <br /> <br />NOTARY AS TO /' } :-J-' I J J' ..;, <br />CONTRACTOR_____~-~-- <br /> <br />MY COMMISSION EXPIRES______________________ <br /> <br />C Nota'! Public, Stat. 0' Fforief<t"'l <br />My Comrmssicl'l E:z;;J;l'!; fJ,;'J. :n, ~1J9'" <br /> <br />Bonded Toru TrOt' r\Ji;1 . :'...,ct:r\~;:.~~-~~,~::, .- <br /> <br />MY COMMISSION EXPIRES <br />NOTARY PUBLIC, 51' A TE- of' F'COlffn.!\. - - -- <br />MY COMMISSION EXI');n'S: N"v. 19, :\~H. <br />BONDED THRU NOTARY Pl.LaUC UNUEHWrllfERS. <br />