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<br />/3 /L. CONDITIONS OF. PERMIT AFFIDAVIT <br />(l" . '-- <br />> A. NOTICE OF DEED RESTRICTIONS <br /> <br />. , <br />/2.. k 5""""Z' <br />12- )('l.-r. <br /> <br />/ <br /> <br />- <br />The undl!TSignl!d understands that this penit uy be subject to "deed restrictic.ns" which /Ilay be more restr.ictivl! than City <br />regulations. The undersigned assules responsibiHtf;for,.colpHance with an.y applicable deed restrictions. <br />. , <br /> <br />8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br /> <br />If the owner has hired a contractor ~r c~ntractors to undertake wor~, 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 lay be <br />cited for a .isde.eanor 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 Depart.ent, (813) <br />788-6611. <br /> <br />Furthenore, if the owner has hired a contractor or contractors, he is advised to have the ccontractor!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 wor~, If the contractor wishes you to sign <br />as contractor that say be an indication that he is not properly licensed and is not entitled to 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 - HOleowner's Protection <br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOle~ne other than the <br />"owner", I certify t.hat I have cobtained a. copy of the above described dc,culllent ilnd pre,rr.ise in good faith to deliver it to the <br />"owner' prior to cOllencelent, <br /> <br />'I .:' <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 development. . <br /> <br />Application is hereby lade to' obtain a perlit to. do work and install~tion as indicated. I certify that no work or <br />installation has CO.lenced,prior to issuance of a perlit and that all work will be performed to lIleet standards of all laws <br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also <br />certify that I understand that the regulations of other govermaental agencies liay apply to the intended work, and that it is <br />IY responsibility to identify what actions I tiust take to be in compliance. Such agencies include bill ~I e He,t lillited to: <br /> <br />. ".r < <br />I Depart.ent of EnvironlentalReQtllati~n - Cypress BaYltead~> hrtlaoG ~reas and Envirvnmentally Sensitive,lands, <br />Water/Wastewater Treatl~nt <br />I South~est Florida Water ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses <br />I Arty CClrps .of EnQineers - Seawalls, !locks, Navigable Waterways <br />I !lepartlent of Health ~ Rehabilitative Services, Environmental Health Unit - W~lls, Hastewater Treat~ent. Septic Tanks <br />I US Environaental Protection AQency - Asbestos abatement <br /> <br />I also certify that, if fillaaterial is to be used in Flc.od Zcone "A" or "A,etc,', it is understc,c.d that a drainage plan <br />addressing a 'coapensating volute" will be sublitted which is prepared by a professional engineer reqist2,cd in the State of <br />Florida prior to permit issuance. <br /> <br />A permit issued shall be construed to be a license to proceed with the work and not as authorily tv vivlate, 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 correction of errors in plans; construction, or violations of any code, Every permit issll~d :hall beco.e invalid <br />unless the work authorized by such permit is r:c'lIl\enced within six months [of issuance, or if wc.rk autl,ollZed by the perlit is <br />suspended or abandoned for a period of six lonths after the tiJe the "ork is co~menced. One 90 day c~tro5iOIl of tile, lay be <br />allowed for the per~it with fee charge of $15.00. The extension shall be requested in "riling to the Building Official, An <br />approved inspecticon i!lust be logged during each six Ilonth period, or the pre.ject wi II be cc,nsidered tlbdlldconed. <br /> <br />WARNING TO OWNE~: 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 ,500 IN VALUE <br />DO NOT NEED TO RECORD AND POST A "NOT I CE OF COMM~. NC ENT". <br /> <br /> <br />SIGNATURE________________________---------- SIGNATURE ~ <br />OWNER OR AGENT kJ, F l<fV~ LCONT. ACTOR :.'. <br />FC 1)1< -it Flc3S- SIO - 32-4(,,0 (E: -93) <br />DATE12L:L~~_~?_______________________ <br /> <br /> <br />-, <br /> <br />DATE <br /> <br />------------------------------~_._------ <br /> <br />NOTARY AS TO <br />OWNER OR AGENT______~--------------------~- <br /> <br />MY COMMISSION EXPIRES <br /> <br />---------------------- <br /> <br />NOTARY AS TO~ -. ~ J~ 1. <br />CONTRACTOR c.!:JUW-. <br />-----------PO~~~-su1fD~--- <br />MY COMMISSION EXPIRES <br />NOTARY PUBLIC <br />My commis . . STATE OF FLORIDA <br />Bonded thr~JO;a~XDlres Jan. 28, 19~j <br />. erson - Becht Agen~y <br /> <br />-----------------.- <br />