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<br />;-.;;,;;..--;::.::.:.:..-.....,,~,."1!'__..... <br /> <br />.-.,..,...... -...-..""....._"~'L'T~.,;;;;;;;;;,.:;;.~ii.i.1. ....-r~_~.... 1. <br /> <br />CONDITIONS OF PERMIT AFFIDAVIT <br /> <br />A. NOtICE OF DEED RESTRICTIONS <br /> <br />. <br />The ,undersigned understands that this perlit lay be subject to "deed restrictions' which may be more restr.ictive than City <br />regulations. The undersigned assules responsibi1ity::!or. co.pliance with any applicable deed res~r!ctions. <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br /> <br />If the owner has hired a contractor Dr contractors to undertake work, .they lay 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 owner and contractor ftay be <br />cited for a .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing <br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) <br />788-6611. <br /> <br />Furtherlore, if the owner has hired a contractor or contractors, 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 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 to perlitting 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 - HOleowner's Protection <br />Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOleone other than the <br />'owner', I certify that I have obtained a.ccipy of the above described dt,culent and prt,~,ise in good faith to deliver it to the <br />'owner' prior to cO.lencelent. / <br /> <br />..: -.:. <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 done in coapliance with all <br />applicable laws regulating construction, zoning, and land developlent. . <br /> <br />Application is hereby lade to obtain a perlit to do work and install~tion as indicated. I certify that no work Dr <br />installation has cOI.enced prior to issuance of a perlit 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 governlental agencies fiay apply'to the intended "or~, and that it is <br />IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bill ~l e Iiot lilited to: <br /> <br />... <br /> <br />I Departle~t of Envir~n.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive L~nds, <br />Water/Wastewater Treatlent <br />I Southwest Florida Water'ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses <br />I Any Ctlrps ,of EnQineers - Seawalls, Docks, Navigable Waterways <br />I Departlent of Health ~ Rehabilitativ~ Services. Environmental Health Unit - Wells, Wastewater Treat~e~~. Septic Tan~s <br />I US Environlental Protection AQency - Asbestos abatement <br /> <br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.', it is understood th~l a drainage plan <br />addressing a 'colpensating volule" will be sublitted which is prepared by a professional engineer fegist~(ed in the State of <br />Florida prior to perlit issuance. <br /> <br />A perlit 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 frol thereafter <br />requiring a correction of errors in plans; construction, or violations of any code. Every permit issll~d ~hall bee ole invalid <br />unless the work authorized by such perlit is coalenced within six months of issuance, Dr if Hork authDI lied by 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:lensioll of tile, lay be <br />allowed for the permit with fee charge of ~15.00. The extension shall be requested in Hriting to the Building Official. An <br />approved inspection must be logged during each six tonth period, Dr 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 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 Ii I\lOT I CE OF COM~1ENCEMENT II . <br /> <br />SIGNATURE__~~-~~-------- <br />OWNER OR AGENT <br /> <br />SIGNATURE___~-~------ <br />CONTRACTOR <br /> <br />( <br />NOTARY AS TO /" -: ~ <br />OWNER OR AGENT_~~~-~j1~---------- ~-~- <br /> <br />DATE______________l(l=l~:-~--------- <br /> <br />~g~~~~c~~R~~___~~n~~ <br /> <br />DATE ________ _____J.0--:.LQ:-c.1.L---.----.------- <br /> <br />MY COMMISSION EXPIRES___~~w__~~-~~~~~~~I~~~ <br /> <br />MY COMMISSION EXPIRES <br /> <br />" <br /> <br />--~--------------- <br /> <br />b <br />