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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br /> <br />Th. .undRrsigned understands that this permit .ay bl lub~ect to "deed restricti~ns. which ~ay b~ D~re restr.ictive than City <br />rllgulations. The undersigned a'Ssules responsibill.ty";for.collp1\ancll with any appl icablll deed rostridions. <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br /> <br />If the owner has hired a contractor .or contractors to undertake lIork, .they may be rllquired to be licensed in accordance with <br />state and local regulations. If the contractor is not licensed as required by law, both the ~"ner and contractor nay be <br />cited for a misdemeanor violation under state lall., If the ollner or intended contractor are uncertain as to IIhat licensing <br />reQuirelents lay apply for the intended lIork, they are advised to contact the City of Zephyrhills Building Departaent, (B131 <br />7BB-bb 11. <br /> <br />Furtheraore, if the ollner has hired a contractor Dr contractors, he is advised to have the contractortsl sign portions of the <br />.Contractor Sections. of this application for IIhich they lIill be responsible. If you, as the ownllr sign as the contractor, <br />you are indicating that you, rather than the contractor, are responsible for the wor~. If the cc,ntractor lIishes you to sign <br />as contractor that aay be an indication that he is not properly licensed ~nd is not entitled to per~itting 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 />1 certify that I I the applicant, have been provided lIith a copy of .Florida's Construction Lien Lalt - Ho~e~wner's Protection <br />Guide. prepared by the Florida Department of Agriculture and ConsUler Affairs. Jf the applicant is soe~6ne other than the <br />.ollner", I certify that I have obtained l c6py of the above described document and promise in good faith to deliver it to the <br />.0Hner. prior to cOlllencellent. <br /> <br />~ 1 .. . -;~ ~ <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 de,De in coapliance with all <br />applicable lalls regulating construction, z~ning, and land developDent. <br /> <br />Application is hereby lade to obtain a permit t~' do Kork and install~tion as indicated. I certify that no Hork or <br />installation has commenced pri~r to issuance of a permit and that all work lIill b~ performed to roeet standards of all laMS <br />regulating c~nstruction, City codes, zoning regulati~ns, an~ land d~velopment regulations in the jurisdiction. I also <br />certify that 1 understand that the regulations Df other governmental agencies ~ay apply. to th~ intended work, and that it is <br />ay responsibility tCI identify Hhat actions I must take to be in c~mpliance. Such agencies include bill ~l ~ liC,t liaited to: <br /> <br />I Departle~t of Envir~nmental ReQul~tion - Cypress Bayheads, Hetland nreas and EDvironmentally Sensi tiv~ L~Dd5, <br />Hater/Wastewater Treatment <br />I Southwest Florida Water ManaQement District - Wells; Cypress Bayheads, Hetland Areas, Altering Hatercourses <br />I Army Corps ~f EnQineers - Seawalls, Docks, Havigable Waterways <br />I Departlent of Health L Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tanks <br />I US Environeental Protection AQency - Asbestos abatement <br /> <br />I also certify that, if fill laterial is to be used in F1c.od Zc.ne "A" c,r .A,etc.', it is understc,e,d t1,,1 a drainage plan <br />addressing a .compensating volule" lIill be sublitted which is prepared by a professional engineer regist~red in the state of <br />Fl~rida prior to permit issuance. <br /> <br />A perlit issued shall be construed to be a license to proceed with the 1I0r~ and not as authority to yiol~te, cancel alter, or <br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter <br />requiring a ((.rrection c.f errors in plans; cClnstructic,n, c.r violations of any code. bcry per~it issu\!j ~hall beec,le invalid <br />unless the wc.rk authc,rized by such permit is cCllllllenced within six 1lI0nths c,f issuance, (,r if Ii (,1\: a\lthe" ],ed bi the perlit is <br />suspended or abandoned for a period of six lonths after the ti~e the work is commenced. One 90 day e:lf~5jol\ of tiae, llIay be <br />alloHed for the per~it with fee charge of $15.00. The extension shall be requested in "riling to the Building Official. An <br />approved inspectic,n oust be logged during each six IIlDnth period, c,r the prc,ject liill be ((,nsidered ilb.;\IGC"lfd. <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~~<~~~~~~------ <br />OIrlNER OR AGENT <br /> <br />SIGNATURE <br /> <br />------------------------------ <br /> <br />CONTRACTOR <br /> <br />DATE _~m.L------------~--.-~.-.----.--.------- <br /> <br />DATE___________________________________ <br /> <br />NOTARY <br />OIrlNER 0 <br /> <br /> <br />NOTARY AS TO <br />CONTRACTOR_____________________________ <br /> <br />MY <br /> <br />o~~~_~~----------------- <br /> <br />MY COMMISSION EXPIRES <br /> <br />------------------ <br /> <br />nOTARY PUBLIC. STATE OF FLORID~. <br />IX1 Cm,ihdSS10N EXi-'ll/ES: JAN. 2.8. 1991. <br />c;:nc.:.:;::o THRU NOTARY pua&"IC UNDERWRITERS. <br />