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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this peraitaay be subject to Oared restrictions' which lay be lore restrictive than City <br />regulations. The undersigned assuaes responsibility for cOlpliance ~ith any applicable deed restrictions. <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br />If the owner has hired a contractor o~ ~oniractors t~ undertake ~~rkl ihey lay be required to be licensed in accordance with <br />state and local regulations. If the contractor is nlii licensed :!3 r~quired by lal"" both the owner and contractor lay be <br />cited for a aisdcteanor violation under stat~ la~. If the o~np.r "r intended contractor are uncertain as to what licensing <br />requirelents lay apply for the intendeo work, t~?V dIE advis2d ,J contJct the City of 2~phyrhills Building Departlent, (8131 <br />788-6611. <br /> <br />Furthereore, if the owner has hired a contractor ~r cnntractorsl he is advised to have the contractor(s) sign portions of the <br />'Contractor Sections" of this application for which they Mill bE responsible. If you, as the owner sign as the contractor, <br />you are indicating that you, rather than the contractor, are respnnsible for the work. If the contractor Mishes 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 UTlLITY CONNECTION FEE2. <br /> <br />D" CONS_TRUG"T T9H....!."JF::N1,.A~J ' CH0.PTER 718, FLOFU DA STATUTES ~ AS AI'1ENDED) <br />I certify that I, the applicant, have been provided IIHh a copy (f/ "dorida's Construction Lien Law - HOlec'lIner's ProiediDii <br />Guide" prepared by the Florida Departaent 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 promise in good faith to deliver it to the <br />"owner" prior to cOleencelent. <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVI~ <br />I certify that all the inforlation 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 dl!vel;):.~~nt <br /> <br />Application is hereby lade to obtain a ~l!r8~t ~~ ~o work and j;;f~~ll~t.\on as indicated. I certify that no work or <br />installation has cOllenced pri~r to issu?nc~ of " per.it and t,!?t a:l ~or~ will be oerformed to leet standards of all laws <br />regulating construction, City codes, zon:;19 (€:gu!ations, and :.~ 1 d"'!f:lopilent regulations in the jurisdiction. I also <br />certify that I understand that the regulations Gf nth2f g~ve,n~fntal ilQencies lay apply to the intended work, and that it is <br />IY responsibility to identify what actions I eust take to be i~. cQ~~liance. Such agencies include but are not lilited to: <br />. Departlent of Environaental ReQulation - Cypress Bayheads, Wr~lanri ~reas and Environlentally Sensitive Lands, <br />Water/Wastewater Treatment <br />t Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />t ArlY Corps of EnQineers - Seawalls, DOCKS, Navigable Waterways <br />f Departlent of Health ~ Rehabilitative Services, Environlental Hea'th Unit - Wells, Wast~"ater Treatlent, Septic Tanks <br />t US Environlental Protection AQency - Asbestos abatelent <br />I al:;i) ;:Eitif, th;:.t, if fil: >;:}'_;,-:,,,' i~ I'" ,.~"~;,, j::1~1'" 7,1' "f-,' ',r 'A,eic,', it is undl'rstood that a drainage plan <br />addressing a "colpensating volule" will be subeitted which is prepare~ by a professional engineer registered in the State of <br />Florida prior to pereit issuance. <br /> <br />A pereit issued shall be construed to be a license to proceE~ ~ith 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 perait prevent the Building Official frol 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 pertit is cOllenced within six lonths of issuance, Dr if work authorized by the permit is <br />suspended or abandoned for a period of six lonth~ after the tihl! ~he work is COlienced One 90 day extension of tile, lay be <br />allowed for the perlit 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 eac!! six lonth period, or the project will be considered abandoned. <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTILf OF COKKENCEt:ENT KAY RESULT IN YOUk PAYING TWICE FOR IMPROVEMENTS TO YOUR <br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LtNOER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF <br />CO""ENCEKENT. UNDER $2,500 IN VALUE DO NOT NEED TO RECORD ANb POST A "NOTICE OF COMMENCEMENT". <br /> <br /> <br />d~?/d~/ <br /> <br />SIGNATURE: CONTRACTOR <br /> <br />s <br />I <br /> <br />STATE OF FLORIDA <br />l.u~nll ur ,~~~~_ <br />Tne foregoing instrument was acknowledged <br />befe,}-e me this M~ ~ I ,19q~ by <br /> <br />(]~Y'lie /IJ. ::Pea-I <br />who is personally known to me Dr who has <br />produced Fl "])rit/v Lic..;JI.J) c,(t'D. IIV.'I7- '/1'1 <br />as identification and who ~iq/did not <br />take an, s.ath. L <br />If). /cA'T.J-,~ L!J.~ <br />(Signature) <br />J). ~a.'l-AeritVeMdr fj fIJ <br />(Name Typed, Printed Dr stamped) <br />~9TARY PUBLI C <br /> <br />STATE OF FlORID~ <br />CliUrHY OF / /~/~~ <br />The foregoing instrument <br />before me this ~~ /~r <br />/ <br /> <br />was acknowledged <br />, 19,'.ol by <br /> <br /> <br />who . <br /> <br />who has <br /> <br />'It, t <br /> <br />NOTARY PUBLIC. STATE OF FLORIDA. <br />MY COMMISSION EXPIRES: August 26, 1995. <br />BONDED THRU NOTARY llUBLlC UNDERWRITERS. <br />