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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRIC1IONS <br />The undersigned understands that this perait ..ay be subject to "deed restrictions' which lay be lore restrictive than City <br />regulations. The undersigned aS5uaes responsibility for cOlpliance with any applicable deed restrictions. <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br />If the owner has hired ~ contractor ~~.,c,~tracto~s to un~ertake work, they .ay be required to be licensed in accordance with <br />state and local regulatIons. If the contractor 15 ~t~lcensed as required by law, both the owner and contractor lay be <br />cited for a aisde.eanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing <br />requireaents lay apply for the intended work, they are advised ':c contact the City of 2ephyrhills Building Departlent, (8131 <br />788-6611. <br /> <br />Further.ore, 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. 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 Zephyrhills. <br /> <br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES <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 '~lorida's Construction Lien Law - Ho.eowner's Protection <br />Guide" prepared by the Florida Depart.ent of Agriculture and Consumer 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 coaaenceaent. ' <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 co.pliance with all <br />applicable laws regulating construction, zoning, and land develop.ent. <br /> <br />Application is hereby tade to obtain a perait to do work and installation as indicated. I certify that no work or <br />installation has coaaenced prior to issuance of a pertit and that all work will be perforted to leet standards of all laws <br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also <br />certify that I understand that the regulations of vther governlental agencies may apply to the intended work, and that it is <br />IY responsibility to identify what actions I lust take to be ill co.pliance. Such agencies include but are not lilited to: <br />f Departtent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, <br />Water/Wastewater Trfatlent <br />f Southwest Florida Water KanaQetent District .- Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />f Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways <br />f Departaent of Health ~ Rehabilitative Servirgs, Envirorlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks <br />f US Environtental Protection AQency - Asbestos abateaent <br />I also certify that, if fill aaterial is to be used in Flood ',ne .~. or 'A,ete.', it is understood that a drainage plan <br />addressing a 'colpensating volute" will be subtitted 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 issuanC0 of a pertit prevent the Building Official frot 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 pertit is cOitenced within six months of issuance, or if work authorized by the permit is <br />susp~nded or abandoned for a period of six aonths after the tile ti,e work is COltenced. One 90 day extension of tile, lay be <br />allowed for the perait with fee charge of $15.00. The extensior. s;iaIl be requested in writing to the Building Official. An <br />approved inspection lust be logged during eaet. six to nth periud, or the project will be considered abandoned. <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOT1CE OF COH"ENCEhENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR <br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CUNSULT WITH YOUR lEHDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF <br />COHKENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT ~EED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT'. <br /> <br /> <br />- JjRlc ~ Ib k , Ul........... <br />SIGNATURE:. ONTRACTOR l\~"~~ ELLI'O""'~ <br />~ fIiI....~ ....... ". ~ <br />~~'~-:;..01A4"i.... ~~ <br />;:: ~.' '" r"\ ~ <br />S I ~ <br />STATE OF FLOR~ ~ I'" C..... _III , <br />COUNTY OF //Is =. IIII'ClI .. ,. = <br />The foregoing instr~JCt I .n IflljOged <br />befcq-e me th i s /1- '~""CJ fJ. ~~y <br />L J:> "f 'OF"~O ,.~:~ <br />C? -e..'!le ~ I?Z!'J'!, II 'IllllIlIlllll"\\\\'" <br />Iflhe. is pel- _ona 11 y known to me or who has <br />produced ---- <br />as identification and who did/did not <br />take an o~a. r} /J // <br />J _~-Et2e'/~ <br />, <br />(Signat'-!.!.-e) I // <br />-22/A-N,cf /ilhn-t:/ <br />(Name Typed, Printed Dr Stamped) <br />NOTARY PUBLIC <br /> <br />. OR AGENT ~,,\\\\t; Ellf""",~ <br />~ ....+~..........O}-)o. ~ <br />~ ~~~o1A1t.,:',,~ ~ <br />~ ~~~ ~ ~ <br />STATE OF FlORIDn ~ I \ 'a <br />COUNTY OF rP&t!D E :.., comm. expire.: E <br />- - _ I 11_ e. 1'" , . <br />The foregoing instrQmeAt M~1~ndWljOged <br />~..... ~'RJ:~ <br />before me th j s JJ- cJ ~'" ~_19 ,"~Ji <br />~ _~.. UB .' ~ ~ <br />~ -', ~ ........... 0' ~ <br />c?o.oRf'lB'" 7?i!!lIk ;"'I'I'I'III'",~,~ I~\\\\\\'" <br />who is personally known to m~ Dr who has <br />produced 19 ~.e.-I'A97?_ l)(~.~ <br />as identifi~a~n and W. ho did/did ~ot <br /> <br />take an oat~.JfZl;;~ <br /> <br />(Signat~~e) 1/ ' J~ <br />..1)1#;./ e- b7litf17 <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br />