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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br /> <br />- <br />lh~,undersigned understands that this perlit lay be subject to 'd~~d restricti~ns' which ~ay b~ o~re restr,ictive than City <br />regulations. The undersigned assules responslbl1itf;for,colpliance with any applicable de~d restrictions. <br />..' ' <br /> <br />" <br />E. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br /> <br />If the owner has hired a contractor or contractors to undertake work, they lay b~ r~quired to b~'licensed in accordance with <br />stlte and local regulations. ' If the contractor is not licensed as requir~d by law, both the o~ner and contractor nay be <br />cited for a misdeleanor violation under state law., If the owner Dr intended contract~r are uncertain as to what licensing <br />requirelents lay apply for the intended work, they are advised to contact the City ~f Zephyrhills Building Departaent, (813) <br />7BB-6611. <br /> <br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the c~ntract~r(s) sign portions of the <br />'Contractor Sections' of this application for which they will be responsible. If y~u, as the owner sign as the contractor, <br />you are indicating that you, rather than the contractor, are responsible for the w~rk. If the cc,ntract~r wishes y~u to sign <br />as contractor that lay 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. 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 - H~~eowner's Protection <br />Guide' prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOle6ne other than the <br />'owner', I certify that I have obtained a, CDPY of the above described d~cument and promise in good faith to deliver it to the <br />'owner' prior to cOllencelent. <br /> <br />: 1, "; .:~. ". ' , .' <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br /> <br />I certify that all the inf~r~ation in this application is accurate and that all work will be don~ in coftpliance with all <br />applicable la~s regulating construction, 20ning, and land development. <br /> <br />Application is hereby lade t~ Dbtain a perait to'do worK and install~tiDn as indicated. I certify that no work or <br />installation has cOllenced prior tD issuance of a perlit and that all work will be performed to meet standards of all laws <br />regulating construction, City codes, 20ning regulati~ns, anrl land devel~pment regulations in the iurisdicti~n. I also <br />certify that I understand that the regulations of other governmental agencies ~ay apply to the intended w~rk, and that it is <br />my responsibility tCI identify lihat actions I IIIUSt take to be in compliance. Such agc-f1cic-s include bill ~le IiC,t liftited to: <br /> <br />. J.<I>'_... <br />I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensi tive L~nd5J <br />Water/Wastewater Treatlllent <br />f SDuthwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland ~reas, ~Itering Haterc0Ufses <br />f ArlY Corps of EnQineers - Seawalls, DOCKS, Navigable Waterways <br />I Department of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastc-liater Treat~€n~, Septic Tanks <br />I US Environcental ProtectiDn AQency - Asbestos abatement <br /> <br />I also certify that, if fill material is to be used in Hc,od ZClne 'A' clr '~fetc"f it is undr:rstc,(,d thot a drainage plan <br />addressing a 'co~pensating volule' will be sublitted which is prepared by a pr~fc-ssi~nal engineer registered in the State of <br />Florida prior to permit issuance. <br /> <br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to vio13te, cancel alter, Dr <br />set aside any pr~visions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter <br />requiring a cc,rrE':ction (,f errors in plans; cc,nstructic,n, clr violations of any cc.de. Every per~it isslll!d ohall bece'le invalid <br />unless the lj(lrk authorized by such permit is cCllllllenced within six 1lI0nths of issuance, e,r if He,d; a\1I1,(O\ I,ed bi the p~rlit is <br />suspended or abandoned f(,r a perioll elf six lonths after the ti:ae the IlCirk is ce'Memed. One 90 day C-~lfilsioll of tile, say be <br />allowed for the per~it with fee charge of $15.00. The extension shall be requested in ~riting t~ the Building Official. An <br />approved inspectic,n r..ust be logged during each six month period, Dr the project Iii 11 be considered ilbdl,Ge,";-,d. <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 DETAIN FINANCING, CONSULT WITH YOUR LENDER OR AN Al'TORNEY <br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE <br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT", <br /> <br /> <br />SIGNATURE~~_~-------- SIGNATURE -,,-//.-..L_U-- c.~. <br />OWNER OR AGENT ~TRACTOR~- <br />DATE 3 r / I... 1 ;2... <br />----------------------------------- <br /> <br /> <br />NOTARY AS TO I. _' /l \ r 1.. I-..J J <br />CONTRACTOR__~-1Y-4~-- <br />.. Nota", Public, Stat. of Florida <br />MY COMMISSION EXPIRE"~~~~1993 <br />Ionded thN TrOJ fuiA - In4wr"nce In.. <br /> <br />DA TE __2 ~!.!_"7..L2:.-.::-- --------'------,------- <br /> <br />NOTARY AS TO La,..- t1 ,r P... . J .~.J <br />OWNER OR AGENT _)lJ.LUL-!1.......:~--.- <br /> <br />Notary Public, Stat. of FIoritf<< <br />MY COMMI SS ION EXP IRES-Jly.ComIniJslen b';les'llJ!f.'3t,11193 <br />Ionded Thru Troy F"in. In4Wr"nc, In,_ <br />