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<br />., <br /> <br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this per.it.ay be subject to 'deed restrictions' which .ay be lore restrictive than City <br />regulations, The undersigned assu.es responsibility for cOlpliance with any applicable deed restrictions, <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br />If th, Dwn,r has hired a contractor or contractors to undlrtak. work, they .ay be required to be licensed in accordanc. with <br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor .ay be <br />cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing <br />require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (813) <br />788-6611, <br /> <br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) 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 .ay be an indication that he is not properly licensed and 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. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) <br />I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - Ho.eowner's Protection <br />Guide' prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is sOleone other than the <br />'owner', I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the <br />'owner' prior to cOllence.ent. <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br />I certify that all the infor.ation in this application is accurate and that all work will be done in cOlpliance with all <br />applicable laws regulating construction, zoning, and land develop.ent, <br /> <br />Application is hereby .ade to obtain a perlit to do work and installation as indicated. I certify that no work or <br />installation has cOllenced prior to issuance of a per.it and that all work will be perforled to .eet standards of all laws <br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction, I also <br />certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended work, and that it is <br />,y responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to: <br />f Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, <br />Water/Wastewater Treatlent <br />f Southwest Florida Water "anaQelent.District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways <br />f Departlent of Health & Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks <br />f US Environlental Protection AQency - Asbestos abate.ent <br />I also certify that, if fill .aterial is to be used in Flood Zone 'A' or 'A,etc.., it is understood that a drainage plan <br />addressing a 'colpensating volu.e' will be sub.itted which is prepared by a professional engineer registered in the State of <br />Florida prior to perlit issuance. <br /> <br />A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or <br />set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Officipl frot thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becole invalid <br />unless the work authorized by such per.it is co..enced within six tonths of issuance, or if work authorized by the pertit is <br />suspended Dr abandoned for a period of six lonths after the ti.e the work is cottenced. One 90 day extension of tile, tay be <br />allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official, An <br />approved inspection tust be logged during each six .onth period, or the project will be considered abandoned. <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK"ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR <br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF <br />COft"EMCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COKKENCEKENT'. <br /> <br /> <br />~~~----------------- ~~ -CONTRACTO,-------------------------------- <br /> <br /> <br /> <br />i/.... <br /> <br />STATE OF FLORIDA <br /> <br />COUNTY OF ____________________________________ <br />The foregoing instrument was acknowledged <br />before me this __________, 19____ by <br /> <br />---------------------------------------- <br /> <br />who is personally known to me or who has <br /> <br />produced _______________________________ <br />as identification and who did/did not <br />take an oath. <br /> <br />----------------------------~------------ <br /> <br />(Signature) <br /> <br />----------------------------------------- <br /> <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br /> <br /> <br />STATE OF FLORIDA <br />COUNTY OF ____y_~~_Q9___________________________ <br />The foregoing instrument was acknowledged <br />before me this Y~~_3J_____' 1931___ by <br /> <br />Jay C Brown <br />---------------------------------------- <br />who is personally known to me or who has <br />produced _____~~J~~~~~~J_$~~~__________ <br />as identification and who did/did not <br /> <br />~:~:_::_::~LiI~~~~-- <br /> <br />(Signature) <br />______~oJL~i~~_115~~~~~~___________________ <br />(Name Typed, F~r"-i 1'\.tedor Stamped) <br />NOTARY PUBLIC' iIoTARY PUBlIC STATE OF FLORIDA <br />MY COMMISSION EXI SEPT.17.1993 <br />IONDED TtfRU GENERAl 1 HS. UNO. <br />