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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this per.it c.ay be subject to .deed restrictions" which .ay be .ore restrictive than City <br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. . . <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br />If the owner has hired a tontractor or contractors to undertake work, they lay be required to be licensed in accordance with <br />state and local regulations. IftH!! [t'lritractor is oo.t. licensed as required by law, both the owner and contractor .ay be <br />cited for a lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to Khat licensing <br />require.ents .ay 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 contractor!s) 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. i 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 ZephyrhilIs. <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 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 /><l>',.~~ <br />,t1, <br />. <br />.- <br />\';'7, <br />C\$"" <br />\: <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 cOI.enced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws <br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. 1 also <br />certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is <br />IY responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not lilited to: <br />f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, <br />Water/Wastewater Treat.ent <br />I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways <br />I Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks <br />I US Environlental Protection AQency - Asbestos abateaent <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 voluae. will be sublitted which is prepared by a professional engineer registered in the State of <br />Florida prior to perait 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 perait prevent the Building Official fro. thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall becoae invalid <br />unless the work authorized by such per.it is cOlaenced within six lonths of issuance, or if work authorized by the per.it is <br />suspended or abandoned for a period of six aonths after the tile the work is comtenced. One 90 day extension of tile, .ay be <br />allowed for the perait 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 lonth period, or the project will be considered abandoned. <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CoH"ENCEHENT "AY 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 />CO""ENCE"ENT. JOBS UNDER.S2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". <br /> <br /> <br />,/ {~~~ <br />SIGNA! R. CONTRACTOR <br /> <br /> <br />\ <br />l <br /> <br />~1W7is' R rsonall y <br />produced <br />as identification <br />take an at <br /> <br /> <br />was acknowledged <br />1 Q D-:l b\l <br />, .. I ....:::JJl4 I <br /> <br />STATE OF FLORIDA ~ <br />COUNTY OF YQ5CO <br />The foregoing instrument was acknowledged <br />befnre me thiS~, 19~ by <br /> <br />STATE OF FLORIDA \=Q <br />COUNTY OF 5 r 0 <br />The foregoing ins rument <br />before me this <br /> <br />ho has <br /> <br /> <br />t. me c.r whcl has <br /> <br />not <br /> <br />who is pers .nally <br />produced <br />as identification a <br />take an [I <br /> <br /> <br /> <br />(Nam Typed, <br />NOTARY PUBLIC <br /> <br />Notary MJrt. ft;;' I' Fbfl. -~ <br />My Commission hpires March J 2, 1995 <br />_~ lilt. Trol fQjIJ .l/1ivrllM' In,- <br /> <br />(Name <br />NOTA <br /> <br />- W~my~~~~~'~~~6'~ <br />My Commission Expires Mardt J2, 19U <br />"nclecl fhru Tro1 f/Jin . lniUr'ilnc.lnc. <br />