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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this pertit .tay be subject to "deed restrictions' which lay be lore restrictive than City <br />regulations. The undersigned assutes responsibility for co.pliante with any applicable deed restrictions. <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br />If the owner has hired a contracto~ or contractors to undl!rtake work, they may be required to be licensed in accordance with <br />state and local regulations. If tlii!' c'bnfractor is" not'ilicensed as required by law, both the owner and contractor tay be <br />cited for a tisde.eanor violation under state IaN. If the owner Dr intended contractor are uncertain as to what licensing <br />requiretents tay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (8131 <br />788-6611. <br /> <br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the <br />'Contractor Sections" of this application for which they ~~II 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 aay be an indication that he is not properly licensed and is not entitled to peraitting privileges in the <br />City of 2ephyrhills. <br /> <br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~ <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 - Hoteowner's Protection <br />Guide" prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is soaeone other than the <br />"owner", I certify that I have obtained a copy of the above described document and promise 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 infor.ation 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 developaent. <br /> <br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or <br />installation has coamenced prior to issuance of. a perlit 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 ~urisdiction. I also <br />certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is <br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liaited to: <br />f Departtent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, <br />Water/Wastewater Treat.ent <br />f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />f Aray Corps of EnQineers - Sea"alls, Docks, Navigable Waterways <br />f Departaent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Hastewater Treatlent, Septic Tanks <br />f US Environ.ental Protection AQency - Asbestos abate.ent <br />I also certify that, if fill material is to be used in Flood Zone "A' Dr "A,etc.', it is understood that a drainage plan <br />addressing a "colpensating volule" will be sublitted which is prepared by a professional engineer registered 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 violate, cancel alter, or <br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official froa thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beeole invalid <br />unless the work authorized by such perlit is cOllleneed within six tonths of issuance, Dr if workauthc'Ihed by the perllit is <br />suspended or abandoned for a period of six tonths after the tiae the work is comuenced. One 90 day extension of tiie, lay be <br />allowed f~r the per.it 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 lonth period, or the project will be considered abandoned. --- <br />WARNING TO OHNER: YtlUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR <br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF <br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT", <br /> <br />S~,"l <br /> <br />STATE OF FLORID~ <br />COUNTY O{ -!-o.s CO <br />The foregoing instru~ent was acknowledged <br />before me thismdr9:l I( , 19...12 by <br /> <br />D=-\ m 0-.$ C ~'\ ~ \ ~~____ ~ <br />who is personally known ~o me Dr who has <br />produced f\ ~'\ \. d"h c9 '\\ '-.:Ie r"s , \ t-e nS q. <br />as identification and ..,hc. ,~did nc,t <br />take an oaG ~ (-;f WL~_ <br /> <br />(Signature) L I . I " n <br />~ f;:)r-t:: e 17 . . vv \J ~ c.J <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br /> <br /> <br />SIGNATURE: CONTRACTOR <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 or who has <br />pl-oduced <br />as identification and who did/did not <br />take an oath. <br /> <br />(Signature) <br /> <br />(Name Typed, Printed OJ Stamped) <br />NOTARY PUBLIC <br /> <br />;~\ii\~:r;:t... DOREEN L. WOOD <br />{*; ,.ib.~ :*~ Mf COMMISSION fJ CC 191575 ecPIRES <br />~~~l April 29. 1996 <br />"Rf..rr.~ BONOEIl THRU TROY FAIN 1NSlIWG.1IIl. <br />