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<br />CONDITIONS OF PERMIT AFFIDAVIT I <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this perait 'aay be subject to 'deed restrictions' which lay be lore restrictive than City <br />regulations. The undersigned assuaes responsibility for cOlpliance with any applicable deed restrictions. <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br />If the owner has hired a contr.ctor or co~tractors to undertake wcrk, they lay be required to be licensed in accordance with <br />state and local regulations. If the contractor is'not licensed as required by law, bot.h the owner and contractor lay,be <br />cited for a aisdeaeanor 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 Zephyrhills Building Departlent, (813) <br />788-6611. <br /> <br />Furtheraore; if the owner has hired a contractor or contractors, he is advised to 'have' the contractor(s) sign portions of the <br />"Contractor Sections" Df 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 lay be an indiration 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 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 Departaent 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 proaise in good faith to deliver it to the <br />"owner" prior to cOlaencelent. <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br />I certify that all the inforaation in this application is accurate and that all work will be done in cClpliance with all <br />applicable laws regulating construction, zoning, and land developlent. <br /> <br />Application is hereby lade to obtain a perait to do work and installation as indicated. I certify that no work or <br />installation has cOlaenced prior to issuance of a perait 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 aust take to be in coapliance. Such agencies include but are not lilited to: <br />f Departlent of EnvironlentaI ReQulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, <br />Water/Wastewater Treatlent <br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />f Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways <br />f Departlent of Health & Rehabilitative Services. Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks <br />f US Environlental Protection AQency - Asbestos abatelent <br />I also certify that, if fill laterial ig to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan <br />addressing a "coapensating volule" will be sublitted wnich 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, nDr shall issuan~e of a perlit prevent the Building Official fro. 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 authori!ed by such perait is cOlaenced within six aonths of issuance, or if work authorized by the perlit is <br />suspe~ded or abandoned for a period of six aonths after the tiae 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 aust be logged during each ~ix .onth period, tr the project will be considered abandoned. <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF CO""ENCE"ENT'. <br /> <br />~~~ll()h~ <br />9IGN . lINER R AGENT <br /> <br />SIGNATURE: CONTRACTOR <br /> <br />STATE OF FLORID~ <br />COUNTY OF if ~ <br />The foregoing ins~rument was acknowledged <br />befc.re me this ..~ I, 19 y.2/ by <br /> <br />~~~ <br /> <br />who is personally known to me or who has <br />produced F~ D 3;{()/7 0$/7300 <br />as identification and who did/did not <br />take an~th. ~ <br />o ~ 11 ()'l-7tJ9~ <br />(Signatu ~ <br />.AI A-Nc Y /.J) y e'12- <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC .";'~::. <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />The foregoing instrument <br />befc.re me th i s <br /> <br />was acknowledged <br />, 19_ by <br /> <br />who is personally known to me Dr who has <br />produced <br />as identification and who did/did not <br />take an oath. <br /> <br />. <br /> <br />(Signature) <br /> <br />(Name Typed, Printed Dr Stamped) <br />NOTARY PUBLIC <br /> <br />-~." Cc"-,." . <br /> <br />r. " S'}, 1994 <br />