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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this perlit 'lay be subject to 'deed restrictions' which lay be lore restrictive than City <br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. ' <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE~ <br />[f the owner has hired a contractor or co~tractors to undertake work, they aay be required to be licensed in accordance with <br />state and local regulations. [f the coni?actor is not -licensed as required by law, both the owner and contractor lay be <br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing <br />require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8131 <br />788-6611. <br /> <br />Further.ore, if the owner has hired a contractor or contrac ors, he is advised to have the contractor(sJ sign portions of the <br />'Contractor Sections' of this application for which they wi be responsible. [f you, as the owner sign as the contractor, <br />you are indicating that you, rather than the contractor, a e responsible for the work. If the contractor wishes you to sign <br />as contractor that lay be an indication that he is not pr perly 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 Departlent 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 />'oNner' prior to cOllencelent. ' <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 per.it 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 leet 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 governlental agencies lay apply to the intended work, and that it is <br />IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to: <br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, <br />Water/Wastewater Treataent <br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways <br />f Departlent of Health L Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks <br />f US Environlental Protection AQency - Asbestos abatelent <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 volule' will be subaitted which is prepared by a professional engineer registered in the State of <br />Florida prior to pertit issuance. <br /> <br />A pertit issued shall be construed to be a license to proceed with the Mork 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 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 Mork authorized by such pertit is cOleenced Mithin six lonths of issuance, or if work authorized by the pertit is <br />suspended or abandoned for a period of six lonths after the tile the work is cOllenced. 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 each six lonth period, or the project "ill be considered abandoned. <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT "AY RESULT IN YOUR PAYING TWICE FOR IHPROVEHENTS TO YOUR <br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF <br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECGRD AND POST A "NOTICE OF COMMENCEMENT". <br /> <br /> <br />A ~ut. ~O.A-- <br />SIGNATURE: OWNER OR AGENT <br /> <br />./ <br /> <br />,~ q~;; <br />SIGNATURE: CON~OR <br /> <br />(Name Typed, Printe <br />NOTARY PUBLIC <br /> <br /> <br />- <br /> <br /> <br />la.s aC~~lledged <br />, 19 (I bv <br />. . <br /> <br />STATE OF FLOR~ <br />COUNTY OF ~Cb (' 0 <br />The foregoing instrume t waS~Wledged <br />before me this 0\ , 1 by <br /> <br />- -~~~.~~ --.-. <br /> <br />who is Ee~allY known to me or who has <br />produced~'Je{~ \ -4 \. c. Q 'f\~-<2- <br />as identlfication and who did/did not <br /> <br />take a~o~~~ ~~ ~ <br />(8:'.g atw-e') <br /> <br />~nV\~ WlV\~(eV <br /> <br />(Name Typed, Printed or Stamped) <br />NOTAR'{ PUBLF-I'~'AtIY PUBLIC. STATE OF FLORIDA. <br />!:::tfh COMMISSION EXPIRES: MAR. 20, 1994. <br />.O,NOED THRU NOTARY PUBLIC UNDERWRITERS. <br /> <br />HOTARY PUBLIC, ST.\TE OF FLORIo'\' <br />ftiv l;OMMISSION il<PIRES: OCT. 2. 19Ua <br />.Oflg.g THltl,l HOTAln PUIIUC 'INO.._.....MJ; <br /> <br />.. <br />