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<br />CONDITIONS OF PERMIT AFFIDAVIT <br /> <br />A. NOTICE OF DEED RESTRICTIONS <br /> <br />- <br />The .undersigned unders\ands \ha\ this per.it aay be subjec\ to "deed res\ricti~ns' ~hich ~ay be o~re rcs\r.ic\ivc than City <br />regulations, The undersigned aSSUleS responslblli\f;for. cOlpliance with any applicable deed rcstric\ions. <br />..' . . <br /> <br />'. <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S <br /> <br />If the owner has hired a c~n\rac\~r .or con\rac\ors \0 under\akn work, .they lay be required t~ be licensed in accordance with <br />state and local regulati~ns. . If \he con\rac\or Is not licensed as required by law, b~th the ~Hner and contractor nay be <br />cited for a misdeaeanor violation under statn law,. If the ~wner ~r intended contractor are uncertain as .to what licensing <br />requirelents lay apply for the intended work, they are advised to contact the Cily of Zephyrhills Building Departlent, (813) <br />788-bbll. <br /> <br />Furtheraore, if the owner has hired a contrac\or or contractors, he is advised t~ have the contr.clor(s) sign portions ~f the <br />"Con\rac\or Sections' of this application for which \hey will be resp~nsible. If you, as the owner sign is the c~ntractor, <br />you are indicating that y~u, rather than the contractor, are responsible for the Hork. If the contractor wishes you to sign <br />as contractor that lay be an indicati~n that he is not properly licensed ~nd is not entitled to per~ilting 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, \he applicant, have been provided Kith a copy of "Florida's Construction Lien Law - Ho.eowner's Protection <br />Guide' prepared by the Florida Depart.en\ of Agriculture and Consumer Affairs. If the applicant is soee6ne other than the <br />"owner", I certify that I have ~btained ~ c~py of the above described document and promise in good faith to deliver it to the <br />"owner" prior to cOllencemen\. <br /> <br />~ 1 '. .:: " <br />, . <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br /> <br />I certify that all the infor~ation in this applicati~n is accurate and that all work will be done in coftpliance with all <br />applicable laws regulating construction, zoning, and land development. <br /> <br />Application is hereby made to obtain a permit t~. do work and install~tiDn as indicated. I certify that no work or <br />installati{.n has conenced prior to issuance of a per.it and that all w{lrk will be performed tel meet standards of all lalCs <br />regulating construction, City c~dcs, zoning regulations, anrl land development regulations in the jurisdiction. 1 also <br />certify that I understand that the regulations of other governmental agencies ~ay apply. to the intended work, and that it is <br />ay responsibility te, identify what actions I llIust take to be in compliance. Such agencies include bid ~H flCol liaited to: <br /> <br />#- <br /> <br />I Departle~t ~f Envir~nmental ReQul;tiDn - cypr~ss Bayheads, H~tland Areas and Environmentally Sensi ti,ie L~nds, <br />Water/Wastewater Treatment <br />I S~uthwest Florida Water ManaQement District - Wells; Cypress Bayheads, Hetland ~reas, Altering Hatercourses <br />I Army Corps ~f EnQineers - Seawalls, Docks, Navigable Haterways <br />f Department of Health L Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treal~ent. Septic Tanks <br />I US EnvirDn~ental Protection AQency - Asbestos abatement <br /> <br />I also certify that, if fill l!Iatcrial is to be used in He,od Ze,ne "A" (of 'A,etc.', it is undcrsle,e,d U"t a drainage plan <br />addressing a 'colpensating voluie' Hill be sublitted which is prepared by a professional engineer registered in the state of <br />Florida prior to permit issuance. <br /> <br />A per.it issued shall be construed to be a license to proceed with the work and not as authority to viol~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 CCorrection elf errors in plans; cClnstructic,n, elr violations of any code. Every pNilIit issud "hall bece'll? invalid <br />unless the work authorized by such permit is cetlllllenced within six 1Il0nths of issuance, (Ir if li(,1 k autl,e" J,cd by the perait is <br />suspended or abandoned for a periDd Df six months after the tiJE the Hork is co~menced. One 90 day e:I~~sjDI\ of tiae, lIIay be <br />allowed for the permit with fee charge of $15.00. The extension shall be requested in "riling to the Building Official. An <br />approved inspectie,n oust be lClgged during each six month period, e,r the prclject liill be ((InsidN~d ab,;I,dcli,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 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 />SIGNATURE_~~~~~~ <br /> <br />~. ..,.. <br />SIGNATURE~_ -~~~------ <br />OWNER R AGE~~----- <br />DATE __________11=J-~--=9.1-----------.------- <br /> <br />CONTRACTOR <br /> <br />DATE_________L~l~~~J---------------- <br /> <br />NOTARY AS TO ~~. _' <br />OWNER OR AGENT~~~-~--- <br /> <br />MY COMM I SS ION EXWtRES"pLIC ~T~,TE 0F FLO~IDA cr . <br />.. '.... ~:~rtH+.t~f';-'l't~r't't,,4~Fr----- <br />BO':':,=",~:D T:'1~:';.~J G,~.,~,1'~.Ri\L ! NS~ UND.. <br /> <br />NOTARY AS TO <br />CONTRACTOR____~~-~ <br /> <br />MY COMMISSION EXPIRES__________________ <br /> <br />~:.~~~.>!f;~;:~,[~, ~~~ ~.E ~,:~~ ~\~.; 0~~ <br /> <br />v" ...u 1.1.\..: ~r.i\~h.tH... INS.. Ut.lO. <br />