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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 .ay be lore restrictive than Citv <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 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 lisde.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 Departlent, (813) <br />788-6611. <br /> <br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorts) 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. 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 - HOleowner's Protection <br />Guide' prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the' applicant is sOleone other than the <br />'owner', I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the <br />'owner' prior to cOI.encelent. <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance 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 installation as indicated. I certify that no work or <br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to seet standards of all laws <br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also <br />certify that I understand that the regulations of other governsental agencies lay apply to, the intended work, and that it is <br />sy responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: <br />. Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environsentally Sensitive Lands, <br />Water/Wastewater Treatlent <br />. Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />. ArlY Corps of EDQineers - Seawalls, Docks, Navigable Waterways <br />. Departlent of Health & Rehabilitative Services, Environsental Health Unit - Wells, Wastewater Treatlent, Septic Tanks <br />. US Environlental Protection AQency - Asbestos abate.ent <br />I also certify that, if fill laterial 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 sublitted which is prepared by a professional engineer registered 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 violate, cancel alter, or <br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fro I thereafter <br />requiring a correction of errors in plans, construction, or violations of any code.. Every perlit issued shall becole invalid <br />unless the work authorized by such perlit is CO.lenced within six sonths of issuance, or if work authorized by the perlit is <br />suspended or abandoned for a period of six lonths after the tile the work is cossenced. One 90 day extension of tile, say be <br />allowed for the persit Kith fee charge of $15.00. The extension shall be requested in Kriting to the Building Official. An <br />approved inspection lust be logged during each six lonth period, or the project will be considered abandoned. <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAVING TWICE FOR I"PROVE"ENTS TO YOUR <br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF <br />CDft"ENCE"ENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COM"ENCE"ENT'. <br /> <br />-----t-~- C- ~--~ ~ < <br /> <br />SIGNATURE: OWNER ~ SI~ CONTRACTOR <br /> <br />STATE OF flORIDA ] STATE OF FLORIDA J~ <br />COIIIITY Of 11 S:l', D C1lIINTY OF - a.sr ,() <br />Th~,foregoing ins~~~t was a~~owledged . The foregoing inst7~~lt was aCq~ledged <br />before me this , 19~ by L- before K~ ~~ rOt/1Ft' <br /> <br /> <br />who is personally me or who ~s . who is personally known me Dr who h~ <br />produced _ yt,{~uced y m ~'---' <br />as identification and who did/did not as identification and who did/did not <br />take an oath. take an oath. <br /> <br /> <br />(Signature,>!. / A <br />1\.4-12-1 U. AI N K.&; AJJ <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br /> <br />(Signature) J I <br />'-A l{ 1 <br />(Name Typed, Printed <br />NOTARY PUBLIC <br /> <br />-=ri", I N i QAN <br />Dr Stamped) <br /> <br /> <br />KARl MEGAN <br />State of FlorIda <br />My Comm. ExD. _ tl, t. <br />tee '37'.{O <br /> <br />~~ KARIANNEGAN <br />z . To State of FIorIcIa <br />IIrCollln.tCC~ 11,1995 <br />