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<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 lay 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 the owner has hired a contractor or contractors to undertake work, they may 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 .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 Depart.ent, (813) <br />788-6611. <br /> <br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) 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 so.eone 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 co..ence.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 co.pliance with all <br />applicable laws regulating construction, zoning, and land develop.ent. <br /> <br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or <br />installation has co..enced prior to issuance of a per.it and that all work will be perfor.ed to leet 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 .ust take to be in co.pliance. Such agencies include but are not li.ited to: <br />f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, <br />Water/Wastewater Treat.ent <br />f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways <br />f Depart.ent of Health L Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks <br />f US Environ.ental 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 'co.pensating volu.e' will be sub.itted which is prepared by a professional engineer registered in the State of <br />Florida prior to per.it 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 Official fro. thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beco.e invalid <br />unless the work authorized by such per.it is cot.enced within six .onths of issuance, or if work authorized by the perlit is <br />suspended Dr abandoned for a period of six .onths after the ti.e the work is co.tenced. One 90 day extension of tile, lay 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 lust be logged during each six .onth period, Dr the project will be considered abandoned. <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR <br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF <br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". <br /> <br /> <br />/tJp~ /fY aS~ <br />SIGNATURe': OWNER OR ~ENT SIGNATURE: CONTRACTOR <br /> <br />STATE OF FLORIDA <br />COUNTY OF PI1S~ D <br />The foregoing instrument <br />before me this f€~. I~ <br /> <br />was acknowledged <br />, 19J..2. by <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />. The foregoing instrument <br />befol-e me this <br /> <br />was acknowledged <br />19_ by <br /> <br />HtMJ2V iA.J I t51.LR.11 S <br /> <br />who is personally known to me or who has <br />produced IJ Y 1>( B /)./,,'/5 sJ3lfi 7857'1'3 II U ~ <br />as id.ntificatiD~.d who did/did not <br /> <br />~~~~(. ~ <br /> <br />(Si.g,Qature) ~ <br />.J..) tJ 1M /Y}. LJ/t,u 11::..'-> <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br />NOTARY PUBLIC, STATE OF FLORIDA <br />My commission expires Oct. 24, 1992. <br />Bonded thru Patterson. Becht Agency <br /> <br />who is personally known to me or who has <br />produced <br />as identification and who did/did not <br />take an oath. <br /> <br />(Signature) <br /> <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br />