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<br />"'lil'Fi.r <br /> <br />w ,..,. <br /> <br />*" - <br /> <br />CONDITIONS OF PERMIT AFFIDAVIT <br /> <br />, , . <br /> <br />A. NOTICE OF DEED RESTRICTIONS <br /> <br />The undersigned understands that this penH laY be subject to "deed restrictions" which !lay be lore restrictive than City <br />regulations. The undersigned assules responsibility. for ~olpliance lIith any applicable deed restrictions. <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br /> <br />If the ollner has hired a contractor or contractors to undertake work, 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, both the ollner and contractor lay be <br />cited for a aisdeleanor violation under state lall. If the ollner 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 />788-1,1,11. <br /> <br />Furtherlore, if the ollner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the <br />.Contractor Sections. of this application for IIhich they lIill 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 .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. <br /> <br />CONSTRUCTION LIEN LAW <br /> <br />(CHAPTER 713, FLORIDA STATUTES, AS AMENDED) <br /> <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 Consu.er Affairs. If the applicant is so.e6ne other than the <br />"ollner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the <br />.ollner. prior to cOllencelent. <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br /> <br />I certify that all the information in this application is accurate and that all lIork lIill be done in cOlpliance lIith all <br />applicable laws regulating construction, zoning, and land develop.ent. <br /> <br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or <br />installation has co..enced prior to issuance of a per.it and that all work will be perforMed to teet standards of all lalls <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 govern.ental agencies .ay apply to the intended lIork, and that it is <br />IIY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but ife not lilited to: <br /> <br />. ..."'" <br />I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, <br />Water/Wastewater Treat.ent <br />I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterllays <br />I Departlent of Health ~ Rehabilitative Services, EnvironMental Health Unit - Wells, Wastellater Treatment, Septic Tanks <br />I US Environ.ental Protection AQency - Asbestos abatellent <br /> <br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.., it is understood thit a drainage plan <br />addressing a .co.pensating volulle" will be sub.itted which is prepared by a professional engineer registered in the State of <br />Florida prior to pertit issuance. <br /> <br />A per.it issued shall be construed to be a license to proceed with the work and not as authority to vioiate, cancel alter, or <br />set aside any provisions of the technical codes, nor shall issuance of a perllit prevent the Building Official frot thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued ~hall becole invalid <br />unless the lIork authorized by such perllit is COllenced within six lonths of issuance, or if work authol lIed by the per.it is <br />suspended or abandoned for a period of six lonths after the tile the work is cOlmenced. One 90 day e~tensioii of tile, aay be <br />allolled for the permit 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 tonth period, or the project will be considered dbdiidoned. <br /> <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY <br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU <br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY <br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE <br />DO NOT NEED TO RECORD AND PQST A "NOTICE OF COMMENCEMENT". <br />))L.$ ft {,5'L( ~ 8"6~ -I/o -/~S' ~ <br /> <br />SIGNATUR~~~-'-~- SIGNATURE___________ ___r3_~________ <br />OWNER OR AGENT CONTR CTOR <br /> <br />MY COMMISS <br /> <br />EXPIRES____JA~.~lONE----- <br />Notary Pubhc, State of Florida <br />My comm. expires May 16,1995 <br />CC110274 <br /> <br />DATE~----~~:-~~~~~T-------------- <br />Tefl.,S'Nt/.411y /)'JVowi-/ 'TO /ytc::' <br /> <br />~~~~:~C~~ ~~ __________~~_~---- <br /> <br />EXPIRES JAMES A. STONE <br />-1WtaryMttc:-stamlil' Florida <br />My camm. expires May 16, ,995 <br />CC110274 <br /> <br />MY COMMI <br /> <br /> <br />DATE_________~~~:-~~----------------- <br /> <br /> <br />T /J~ <br /> <br />_ _______it___________ ------ <br /> <br />-~ <br />