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<br />CONDITIONS OF P~RMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this perait .ay be subject to "deed restrictions' which lay be lore restr,ictive than City <br />regulations. The undersigned assuaes responsibility fOT COlpliance with any applicable deed restrictions. <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br />If the owner 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 OMner and contractor lay be <br />cited for a aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to Khat licensing <br />requirelents lay apply for the intended Kork, they are advised to contact the City of Zephyrhills Building Departlent, (813) <br />788-6611. <br /> <br />furtherlore, 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 ZephyrhilIs. <br /> <br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES <br /> <br />D. CONSTRVCTIQN LI~N LAW (CHAPTER 7!~. ~l nPTn~ STATUTES, AS AMENDED) <br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien LaM - HOleoMner's Protection <br />Guide" prepared by the Florida Departaent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the <br />" ollner " , I certify that I have obtained a copy of the above described doculent and proli se, in good f ai th to del i ver it to the <br />"owner" prior to cOllencelent. <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br />I certify that all the inferlation in this application is accurate and that all 1I0rk will be done in cOlpliance with all <br />applicable lalls regulating construction, zoning, and land developlent. <br /> <br />Application is hereby lade to obtain a perlit to do 1I0rk and installation as indicated. I certify that no work or <br />installation has cOllenced prior to issuance of a perait and that all work will be perforled to leet standards of all laMS <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 coapliance. Such agencies include but are not lilited to: <br />f Departlent of Environaental ReQulation - Cypress Bayheads, We~land Areas and Environlentally Sensitive Lands, <br />Water/Wastellater Treatlent <br />I Southllest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />I ArlY Corps of EnQineers - Seallalls, Docks, Navigable Waterways <br />f Departlent of Health ~ Rehabilitative Services, Environaental Health Unit - Wells, Wastellater Treat_ent, Septic Tanks <br />I US Environ.ental Protection Aqency - Asbestos abatelent <br />I also certify that, if fill aaterial i~ to be ussd in FIDDd ?~~e "A' or "A,eie,", it IS understood that a drainage plan <br />addressing a "coapensating volule" lIill be sublitted IIhich 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 1I0r~ and not as authority to violate, cancel alter, or <br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fro. thereafter <br />requiring a correction of errors in plans, construction, Dr violations of any code. Every per_it issued shall becole invalid <br />unless the 1I0rk authorized by such perait is coalenced within six .onths of issuance, or if work authorized by the per.it is <br />suspended or abandoned for a period of six aonths after the tile the work is cOI.enced. One qQ day extension of tile, lay be <br />allowed for the perlit Kith 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 .onth period, or the projeet will be considered abandoned. <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR <br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEV BEFORE RECORDING YOUR NOTICE OF <br />CO""ENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A,'NOTICE OF COMMENC MENT". <br />I <br /> <br /> <br /> <br />STATE OF flORIDA A~. <br />COUNTY OF <br />Th~.forego~~;n~tr~ent was ~knOwledged <br />befc.re me "tliis 30 ~ , 19~ by <br /> <br />~;l~ W(~~ <br /> <br />who is personally know to me or who has <br />produced ~ <br />~ identification and ~d/did not <br /> <br />tU~r-K_~ <br /> <br />(Signatur~).-.. <br />/$Ftrch~k . C'0:-,T-~(,.....CO <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLI~ <br /> <br />STATE OF FLORIDA it () /) <br />COUMTY OF fj~ <br />. The foregc.ing i~strument vias ac;lmc,wledged <br />befc.re me this 36 , 1~ by <br /> <br />~~'rJtJ~ aJ. ~ f;f <br />who is personally known tc me or who has <br />produced )uJ <br />~ identification and '<Jho di-d/did not <br /> <br />ta~~A-? (l C~ee <br /> <br />(SJ.Jgnature) <br />I~A~(J.-Ft -1< - CO.::; -rc=:r-Cl') <br />(Name Typed, Printed or Stamped) <br />NOTARY P~]LIC. <br /> <br />.......It..... <br />~. I'uilt~'... <br />: ~. <br />to ~ <br />to . <br />. . <br />\~1rOF~.... <br />........... <br /> <br />OFFiCIAL SEAL <br />B ,,-hMB R. Costello <br />My C,):nmlsslon Expll'es <br />Nov. 2, 1994 <br />Comm. No. CC 054525 <br /> <br />..........ll".. <br />*."..p~trI ~t"" <br />.* ~'1l \. <br />! .. I <br />\ t!ff:A! <br />~.Ui'" <br /> <br />OFFIC' -\L S~)~,L <br /> <br />Barbllltm R COlltll,jO <br />My Coml'l'ilil!lIOn ExtJirtll <br />NoV. ~. 1994 <br />o.~m. Ne. as eB4S21 <br />