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<br />CONDITIONS OF PERMIT AFFIDAVIT <br /> <br />A. NOTICE OF DEED RESTRICTIONS <br /> <br />The undersigned understands that this perlit lay be subject to "deed restrictie,ns" whiCh ~ay b~ &Dre restrictive than City <br />regulations. The undersigned assules re5ponsibilitY,for compliance with any applicable deed restrictions. <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br /> <br />If the owner has hired a contractor or contractors to undertake "or~, they may b~ r~quired to be licensed in accordance with <br />state and local regulations. If the contractor is not licensed as required by law, both the OHner and contractor ftay be <br />cited for a lisdeleanor 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 Z~phyrhills Building Department, (813) <br />788-6611. <br /> <br />Further.ore, if the owner has hired a contractDr or contractors, he is advised to have the contractor Is) sign portions of the <br />'CDntractor 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 wor~. If the contractor wishes you to sign <br />as contractor that aay be an indication that he is not properly licensed and is not entitled te, 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 - Homeowner's Protection <br />Guide' prepared by the Florida Departaent of Agriculture and Consumer Affairs. If the applicant is somEone other than the <br />'owner', I certify that I have obtained a copy of the above described docuffient and proffiis~ in good faith to deliver it to the <br />"owner" prior to cOlmencement. <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br /> <br />I certify that all the information in this application is accurate and that all Hork will be done in co~pliance with all <br />applicable laws regulating construction, zoning, and land development. <br /> <br />Application is hereby aade to obtain a pertit to do work and installation as indicated. I certify that no work or <br />installation has commenced prior to issuance of a perlit and that all work Hill be performed to meet standards of all laws <br />regu1ating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also <br />certify that I understand that the regulations of other governm~ntal agencies may apply to the intended ~or~, and that it is <br />.y responsibility to identify what actic,ns I llIust take to bl' in compliance. Such agencies include bllt ~l e Iiot liilited to: <br /> <br />I Department of Envi,onmental ReQulation - Cypr~s~ Bayh~~t5, Hetland Areas and Environmentally Sensjtiv~ Lands, <br />Water/Wastewater Treatment <br />I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />I ArlllY Corps of EnQineers - Seawalls, Docks, Navigable Waterways <br />I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - W~lls, Wastewater Treat~ent. Septic Tanks <br />I US Environaental Protection AQency - Asbestos abatement <br /> <br />I also certify that, if fill material is to be used in Flc,od Zone "A" or "A,etc.", it is underste,od th,l a drainage plan <br />addressing a 'colpensating volule" will be sub.itted which is prepared by a professional engineer regi5l~ied in the state of <br />Florida pric.r to permit issu,ance, <br /> <br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, or <br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter <br />requiring a correction of errors in plans, construction, or viDlations of any cod~. Every permit issued ;hall becole invalid <br />unless the work authorized by such permit is co..enced within six months of issuanc~, Dr if work authoilzed by the perlit is <br />suspended or abandoned for a period of six lonths after the time the Hor~ is commenced. One 90 day e=te~5ioll of tile, aay be <br />allowed for the per~it with fee charge of $15,00, The extension shall be request~d in Hriting to the Building Official. I\n <br />approved inspedic1n !!lust be logged during each six llIonth period, (tr the pre.jed liill be ce,nsidered dbcilidoni'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 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY <br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE <br />DO NOT NEED TO RECORD AND POST A "NDTICE OF COMMENCEMENT". <br /> <br />SIGNATURE_~~-~~) ~~~C~~~--------- <br />OWN#~R AGENT <br /> <br />SIGNATURE__~J-~(}_)(l ~6C~~~~~---- <br />. CONT~R <br /> <br />I 11 J.' { (2- <br />DATE_______~-~.~-~-I--~~--------------- <br />NOTARY AS TO ^/ / '/ f? ~~ <br />OWNER OR AGEN~~~~~ '.~~ <br /> <br />j, f '" ,~ <br />DATE________~~~~~~_~_L_~__ <br /> <br />NOTARY AS TO. / /, [? <br />CONTRACTOR_~~-C:..L. <br /> <br /> <br />MY COMM 155 I ON EXP ~ R~,~--,a;:-:::-,.r.;-::;n.,v;i"---------- <br />~~~ti~~7~;~\~i~~'~;; . '~';;;;';",:,: '~'~{~:; <br /> <br />MY C6MMISSION EXPIRES <br />N:,mny r:ut\I:C, S~::.", -;~-:.-:---------------- <br />c: -:,'~~': ~ ~i:~' :1.,:,.' <br /> <br />