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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br /> <br />lh~,und~rsign~d understands that this perlit lay be subject to "dued restricti~ns" which may bl? o~re restr,ictive than City <br />regulations. The undersign~d ass~les responsib~litf~!~r"colpliancu Kith any applicable d~~d restrictions. <br /> <br />" . <br />B. UNLICENSED ~ON!RACTORS AND CONTRACTOR RESPONSIBILITI~S <br /> <br />If the ollner has hired a c~ntractDror contractors to undurtake Kork, they lay bl! rl!quired,.t~ b'e licensed in accordance Kith <br />state and local regulatiDns. ' If the contractor is not licensed as rl!quired by law, b~th thl! ~Hn~r and contractor lay be <br />cited fot a ,misdeleanDr viDlation under state law. If the Dwner Dr intended contractor arl! uncertain as to w~at licensing <br />require.ents lay apply for the intended work, they are advised tD cDntact the City of Zephyrhills ~uilding Departlent, (813) <br />7BB-6611, <br /> <br />Furthermore, if the Dwner has hired a cDntractor or cDntractDrs, he is advised to have the contractor!s) sign portions of the <br />"Contractor Sections" of this application for which they will be responsible, If y~u, as thl! owner sign as the c~ntractor, <br />you are indicating that you, rather than the contractor, are respDnsible for thl! work. If the contractor wishes 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. TRAN,5PORTATION 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 provi'ded with a CDPy Df "FIDrida's Construction Lien Law - HOleoHner's Protection <br />Guide' prepared by the FIDrida Depart.ent of Agriculture and Consuler Affairs, If the ~pplicant is s~~e6ne other than the <br />'Dwner', I certify that I have Dbtained l c~py of the abDve described dDcument and prDlisl! in good faith to deliver it t~ the <br />'Dwner' priDr to COlmencement. <br /> <br />.. <br /> <br />:1.';,.':: '. <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br /> <br />I certify that all the infor~ation in this applicatiDn is accurate and that all MDrk will be donI! in cDapliance Hith all <br />applicable laws regulating cDnstructiDn, 2Dning, and land development. <br /> <br />ApplicatiDn is hereby ~ade tD obtain a per.it to'do Mork and install~tiDn as indicated. I certify that no work or <br />installatiDn has co.menced prior to issuance of a per.it and that all wDrk will be performed tD ~eet standards of all laws <br />regulating constructiDn, City cDdes, 2Dning regulati&ns, an~ land development rcgul~trons in the jurisdictiDn, I also <br />certify that I understand that the regulations of other go~ernmental agencies ~ay apply'to the intended ~ork, and that it is <br />my responsibility tc, identify what actions I must take to be in compliance. Such agencies include bllt ~Ie IiC,t liaited to: <br /> <br />.... <br /> <br />I Departle~t of Envir~nmental ReQul;tion - Cypress Bayheads, Iletland Areas and Environm~~taJJy S~nsitive Ldnds, <br />Water/Wastewater Treatment <br />. SDuthllest FIDrida W~ter' Mana~e!ent District -,Hells; Cypress Bayheads, Wetland nreas, Altering HatercOufsES <br />I Arty CD~PS ~f EnQineers - Seawalls, Docks, Navigable Waterways <br />f Depart.ent of Health L Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treal~en:. Septic lanks <br />f US Environaental PrDtection AQentI -,~~bes\os ~bpte=ent <br /> <br />I also certify that, if fill aat!?rial is tD be used in FJc,od Zc,ne "A" c,r "n,etc,', it is understCoC,d tldl a drainage plan <br />addressing a 'collpensating voluJlie" wil) besu~.itted which is prepared by a prc,fessie,nal cngin!:cr ri:i)ist2ii:d in the State of <br />FIDrida 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 authDrity to violate, cancel alter, or <br />set aside any provisions of the technical codes, nor shall issuance of a permit prl!vent the DuilJing Official fro~ thereafter <br />requiring a correction of errDrs in plans; cDnstructiDn, Dr violations Df any cod!:, Every per~it issued ~hall bec~!e invalid <br />unless the we,rk authorized by such permit is ce'''lIenced within six months c,f .issuancl!, e,r if H(o\k aull,eq ],cd bi the per.it is <br />suspended or abandc,ned f(o1" a periDd of six .Dnths after the tille the \lurk is cc'K\lel1cEd. Oile 90 da'i i:~t€i,sioJl of tile, !lay be <br />alle,wed for the perfllit with fee charge of $15.00, The extensie,n shall be reques-t!:Q in. liriting to thl.' 8llilding Official. An <br />approved inspectic,n f.lus~ be logged during each six Mnth period, CoT the prc,ject Iii II be cc,nsidl.'r!;d db,;\,de,nfd. <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 "NOT I CE OF C.OMMENCEMENT'" ) <br /> <br /> <br />SIGNATURE U~ ) lunL- SIGNATUREc1~~-,=--------- <br />-------6~~~~-6~-ji~~i------------- ~CoNT~ <br />DA TE ____~?:J _~f_J-2~----------'------.------- DA TE - - - -- J_~ ~_:? ~~L ~ L - - -- -- - - - -- -- - - -- <br />NOTARY AS TO ~~ r ,j __ NOTARY AS ~~--p r7/.. - <br />OWNER OR AGENT _~j;;<<;:;::MU~..~..;;;!-t';f;-"- CoNTRACToR_=-_~~- <br />NotlrY hbIiC. State of RoritIa" . ~tary Public, State of Ronda <br />MY COMMISSION EXPIRES_...~JIri,.1I-1_1!92 MY COMMISSION EXPIRaAL~!!.'J!l!!~OJlJ.!~~tAI!!'!!.J.LJ992 <br />..,ade4 JlIltIIJ01 fele: __ .... .... Jonded Th,u TroY f.ill: I,ooul.na! Iui <br />