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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTiONS <br />The undersigned understands that this perlitlay De subject to 'deed ~estrictions' which lay be lore restrictive than City <br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. <br /> <br />B. UNL I CENSED CONTRACTORS AND CONTRACTOR RESF:pNS.I B I LIT I Ee. <br />If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with <br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be <br />cited for a tisdeteanor violation under state JaN. 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 Zephyrhills Building Departlent, 18131 <br />788-6611. <br /> <br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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. If the contractor wishes you to sign <br />as contractor that tay 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 UTILITY CONNECTION FEE2. <br /> <br />D. CONSTRUCTION LIEN LA~ (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 Departtent 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 document and promise in good faith to deliver it to the <br />'owner' prior to cOllenCetent. <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 developlen!. <br /> <br />Application is hereby lade to obtain a perlit 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 Environlentally Sensitive Lands, <br />Water/Wastewater Treattent <br />f Southwest Florida Water "anaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways <br />f Departlent of Health & Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks <br />f US Environ.ental Protection AQency - Asbestos abatelent <br />1 also cedify \iJat, if fill ia~i::.~;;l i; t" :,;: ;.._:: .: :.~::~J ::-,:", ';.. or 'i\;e!c.", i.t is U:l~f'r~t[lod that a drainilge plan <br />addressing a 'colpensating volute" will be subtitted whic~ is prepared by a professional engineer registered in the State of <br />Florida prior to perlit 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, nor shall issuance of a permit 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 per.it is co.menced within six lonths of issuance, or if work authorized by the permit is <br />suspended or abandoned for a period of six tonths after the tite the work is commenced. One 90 day extension of time, lay be <br />allowed for the per.it with fee charge of '15.0" The extension shall be requested in writing to the Building Official. An <br />approved inspection lust be logged during ?oich ~ix .~nth peJioo, v' the project will be considered abandoned. <br />WARNING TO OWNER: 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF <br />COM"ENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT". <br /> <br /> <br />f}au.dOm~ <br /> <br />SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR <br /> <br />was acknowledged <br />19_ by <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />The foregoing instrument <br />before me this <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />The foregoing instrument <br />before me this <br /> <br />was acknowledged <br />19_ by <br /> <br />known to me or who has <br /> <br />and who did/did not <br /> <br />'~~ho is pel-sonally <br />prDduced <br />as identification <br />take an oath. <br /> <br />and who did/did nDt <br /> <br />who is per5ona~ly <br />produced <br />as identification <br />take an oath. <br /> <br />:.~nCI\l'H1 tc. m~ c.j. ',.:h,.-. h2.~~ <br /> <br />. <br /> <br />(SignatLll-e) <br /> <br />(Signature) <br /> <br />(Name Typed, Printed <br />NOTARY PUBLIC <br /> <br />c,,- Stamped) <br /> <br />(Name Typed, Printed Dr Stamped) <br />NOTARY PUBLIC <br />