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<br />CONDITIONS, OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br /> <br />Thr undrrsigned undrrstands that this perlit aay be subject to "deed restricti~ns" which ~ay be o~r~ restr.ictive than City <br />regulations. The undersigned assules responsibility~for, cOlpliance with any applicable deed restrictions, <br />,,' . , <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S <br /> <br />If the owner has hired a c~ntract~ror contractors to undertake work, 'they lay be required t~ be licensed in accordance with <br />state and local regulati~ns. If the contractor is not licensed as required by law, both the owner and contractor ~ay be <br />cited for a misdemeanor violation under state laH. If the owner or intended contractor are uncertain as to what licensing <br />require.ents Day apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8131 <br />788-bbll. <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' of this application for which they Hill be responsible. If you, as the ~wner 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 aay be an indication that he is not properly licensed ~nd is not entitled to permitting 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 - Ho~eowner's Protection <br />Guide' prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is s~te6ne other than the <br />"owner", 1 certify that 1 have e.btained a, cripy of the above described de,cullient and prt,rrli:e in good faith to deliver it to the <br />.owner' prior to cOI~encement. <br /> <br />" 1 '. ~: 7 " <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br /> <br />1 certify that all the information in this application is accurate and that all 110rk will be done in co~pliance with all <br />applicable laws regulating construction, zoning, and land development, <br /> <br />Application is hereby made to obtain a perait t~'dD work and installction as indicated. 1 certify that no wor~ or <br />installation has cOI=enced prior to issuance of a per.it and that all work will be performed to meet standards of all laws <br />regulating construction, City codes, zoning regulations, an~ land development regulations in the jurisdiction. I also <br />certify that I understand that the regulatiDns of other governmental agencies may apply'to the intended work, and that it is <br />/tY responsibility te. identify Hhat actions I must take to be in compliance. Suc!. agencies include bllt ~le Ii(,t linited to: <br /> <br />... <br /> <br />I Departle~t of Envir~nmenial ReQul:tion - Cypress Bayheads, Hetland Areas and Environmentally Sensi live L3nds, <br />Water/Wastewater Treatment <br />I SouthKest Florida Water ManaQelent District - Hells; Cypress Bayheads, Hetland nreas, Altering Hatercourses <br />I ArlY Cotps ~f EnQineers - Seawalls, Docks, Navigable Waterways <br />f Depart.ent of Health L Rehabilitative Services, Environroental Health Unit - Wells, Wastewater Treal~en~. Septic Tanks <br />f US Environaental Protection AQency - Asbestos abatement <br /> <br />I also certify that, if fill aatl:rial is to be used in HClod Ze,ne NAN elr 'n,etc,', it is ur,derst(,e,d t1,~t a drainage plan <br />addressing a 'colpensating vDlume" will be sub.itted which is prepared by a professional engineer regi5t~red in the State of <br />Florida prior to perlit issuance. <br /> <br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, or <br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter <br />requiring a ce,rrection e,f errors in plans; ce.nstructie.n, e.r violations of any c(,de, Every per~it iSSIIl,j "hall bec(,le invalid <br />unless the lj(or~ authorized by such permit is ceoJllIIenced within six months Df issuance, (,r if lIe,d: aut!.[" ],ed by the perlit is <br />suspended or abandoned for a period of six lonths after the t;~e the work is commenced. One 90 day e:tensioll of tile, aay be <br />alloHed for the per~it with fee charge of $15.00. The extension shall be reque~ted in writing to the Building Official. An <br />approved inspectie,n /!lust be le,gged during each six Illonth period, e,r the proj['ct 11ill be c[,nsidered dbdl,d[,r,fd. <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 Al'TORNEY <br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE <br />DO NOT NEED TO RECORD AND POST A II NOT I CE OF COMMENCEr1EN r" ,'/" ) <br /> <br /> <br />SIGNATURE ~.. ~ _ i.ffM,..~-- SIGNATURE_2L2,~ <br />1-1-~~~ J ~ <br />DATE__~_~_L~ DATE_______________________ <br />~ <br /> <br />NOTARY AS TO <br />OWNER OR AGENT <br /> <br />" <br /> <br /> <br />MY COMMISSION <br /> <br /> <br />NOTARY AS TO <br />CONTRACTOR <br /> <br />MY COMMISS <br /> <br />...;):t1 <br />~ iJIil <br /> <br />, ., . <br /> <br />MELVIN JAMES MARSHALL <br />Notary Public. State of Florida <br />My comm. Expires Sept. 3, 1996 <br />No, CC '&67tIJ . <br /> <br />l ~: '. MelVIN JAMES MARSHALL <br />{ , ~I\ Notcry Public, State of F\OrIda <br />, . My comm, ElCplrw Sept. 3, 1996 <br />_ CC 226760 <br />__..1-._ <br />