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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 t~ "deed restrictions" which .ay be .ore restrictive than City <br />regulations. The undersigned assu.es responsibilIty for co.pliance with any applicable deed restrictions. <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br />If thl owner has hired ~ 1:0ntract,0r:,."oL\~211tracto~s h un~ertake work, t~ey .ay be r,tlquired to be licensed in accordance with <br />state . and local regulatIons. If the unllll!tor IsfiO.tlltlcensedas requued by law," both the owner and contractor tay be <br />cited for a lisdeltlnor violation, under ,state law. If the owner .or intended contractor are uncertain as to what licensing <br />r~quir~lents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, IBI3) <br />79B-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 tllis application for.,hicb they wHlpe responsible. If you, as the owner sign as the contractor, <br />you are indicating tha.t you, rather than the contractor, are responsible for the Nork. If the contractor Nishes you to sign <br />as contractor .that .ay be an indication that he is not properly. licensed and is not. entitled to per.itting 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 Nith a copy of "Florida's Construction Lien Law - HOleowner's Protection <br />Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the <br />'ollner", I certify that I have obtained a copy of the above described dotuaent and promise in good faith to del i vel' it to the <br />"oNner" prior to. co..ence.ent. <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 />Application is hereby .ade to obtain a per.it to do 1I0rk and 'installation as indicated. I certify that no work or <br />installation has co..enced prior to issuance of a per.Hand that all w~rk will be perforled to .eet standards of all laws <br />regulating construction, City codes, zoning regu~atibns, and land deyeloplent regulations'in the jurisdiction. I also <br />certify that I understand that the regulatiol1l of other govel:n.enta.1 aqencies .ay apply to the. intended work, and that it is <br />IY responsibility to identify what ~cti1l1'151 lust take to be in co.pliance. Such agencie~ include but are not li.ited to: <br />I Depart"nt of Environ.ental ReQutation - Cypre!ii~.B,aybeads, lIetland Areas and Environlentally Sensitive Lands, <br />. If,iterllastewater Treat.en" <br />I Southwest Florida Water "anaae.ent District - Wellsl Cypress. Bayheads, Wetland Are~, Altering lIatercourses <br />I Arty Corps of EnQineers- Sea"an~;,'})ocks, Na,1{igaiJe Water~ays <br />I Depart.ent of Health.&'RehabilitativeSlrvitt5. Enviro~ll!ntal Health U~i~ - lIells, lIastewater Treatlent, Septic Tanks <br />I US EnYiron.eldtl1 Protection Age~Y- kllestos abate.ent <br />I also certify lhat, if fill ia~erial is t~ :. u;ed in Flo~d Z~n~ "~. Dr "~,etc.", it is understood that a drainage plan <br />addressing a "co.pensating volu.e" will be sub.it,ed which is prepared by a professional engineer registered in the State of <br />Florida prior to per.it issuance. <br /> <br />A per.it 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 I nor shall issuance of a pertit prevent the Building Official frol thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becole invalid <br />unless the work authorized by such per.it is co.tenced within six lonths of issuance, Dr if work authorized by the pertit is <br />suspended Dr abandoned for a period of six .onths after the ti.e the work is coaienced. One 90 day extension of tile, lay be <br />alloNed for the per.it 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 .onth period, Dr the project \IIill be considered abandoned. <br />IIARNING TO OIlNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR <br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT IIITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF <br />COMKENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT". <br /> <br />SIGNATURE: CONTRACTOR <br /> <br />SIGNATURE: OIlNER OR AGENT <br /> <br />was acknowledged <br />, 19_ by <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />The foregoing instrument <br />befcll-e me th i s <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />The foregoing instrument <br />befcl)-e me th is <br /> <br />was acknowledged <br />, 19_ by <br /> <br />who is personally known to me or who has <br />produced <br />as identification and who did/did not <br />take an oath. <br /> <br />who is personally known to ~e or who has <br />pl-oduced <br />as identification and who did/did not <br />take an oath. <br /> <br />(SignatUl-e) <br /> <br />(Signature) <br /> <br />(Name Typed, Printed Dr Stamped) <br />NOTARY PUBLIC <br /> <br />(Name Typed, Printed Dr Stamped) <br />NOTARY PUBLIC <br />