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<br />{#II> '.J <br /> <br />CONDITIONS OF PERMIT AFFIDAvIT <br />A. NOTICE UF DEED RES1RICTIONS <br /> <br />The.undfrsigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restr.ictive tha~ City <br />regulations. The undersigned assules responsibllitf~!or,"colpliance Nith any applicable dl!ed restrictions. <br /> <br />B. UNLICENSED CONTRACTORS ANDCdNTRACTOR RESPONSIBILITIES <br /> <br />If the ONner has hired a ceon.tractor:or contractors to undertake work, they Day be required to be licensed in accordance with <br />statt and local regulations. If the contractor Is not licensed as required by law, both the owner and contractor lay be <br />cihd for a .isde.unor violation under state laH..r If the ollner or inhnded contractc.rare uncertain as to what licensing <br />re,quiruents uy apply f[,r the intended Hork, they are advised to c[lntact the City [If Zephyrhills Building Deparhent, (813) <br />788-6611. ;., .' <br /> <br />Fur thenore, if theoHneT has hired a contractor or contractors, he Is advi sed to h.ave the c[,ntr actor (s ) sign port ions of the <br />.Contractor Sections. of this application for IIhich they lIill be responsible. If you,as the [,wner sign as the c[,ntractor, <br />you are indicating that you, rather than the contractor, areTl!sponsible for the wc>rk. If the c[.ntractor Nishes you to sign <br />as contractor that lay be an indication that he is not pr[lperly licensed and is not entitled toperaittlng privileges in the <br />City of Zephyrhills. <br /> <br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES <br /> <br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES., AS AMENDED) <br /> <br />1 certify that I, the applicant, bave .~een .pr~vided "i.th a copy of "Florida's Const~uction LienLall -.~o.eollner's Protection <br />Guide" prepared by the Florida Departaent of Agriculture and Consuler Affairs.. If \heapp;lit;ant is sue{,ne other than the <br />"oHner., I certify that I have [lbtai,ned a. copy of the above described docu.ent andprc.mi.se in goodfai th to deliver it to the <br />'ollner' prior to c~l.ence.ent. <br /> <br />":~: ~ ; ; <br /> <br />E. CONTRACTOR'SfOWNER-S AFF1DAVIT <br /> <br />I certify that all the inforl~tion in 'this application is accurate and that all ~ork Hill be done in coapliance llith all <br />applicable lalls regulating construction, zoning, and land developaent. . <br /> <br />Application is hereby .ade to obtain a penH to'do Mork and inshlliltion as indicat.ed. I certify that no work or <br />installation has cOI.enced prior to issuance of a perlit and that all work llill be perfor~ed to leet standards of all laNs <br />regulating constructi[ln, City cod~s, zoning regulati~ns, and land development regulations in theiurisdiction. I also <br />certify that I understand that the regulations of other governiental agencies may apply'to the intended 1I0rk, and that it is <br />IY responsibility to identify IIhat actions I lust take to be in COMpliance. Such agencies includeb'll~le neot li.ited to: <br /> <br />'" <br /> <br />t Depart.e~t of Envir~n.enial ReQulation - Cypress Bayheads, Wetland Areas and EnvironlllentallySensitive l,Hlds, <br />Water/Wastellater Treat.ent <br />f Southwest Florida Water ManaQuent District - Wells; Cypress Bayheads, Wetland Areas, Alteringllatercourses <br />t Any CDrps 'Df EnQineers - Seallalls, Docks, Navigable Waterways <br />f Depart.ent of ~ealth ~ Rehabilitative Services. Environmental ~ealth Unit - Wells, Wastellater Tr~at.en~, Septic Tanks <br />t US Environlental Protection AQency. - Asbestos abate.ent <br /> <br />I also c.ertify that, if fill uterial is to be used in Hood Zone "A" or "A,etc.., it is understo[,d tli~t a drainage plan <br />addTessing a 'co.pensatingvolule" lIill be sublitted lIhich is prepared by a professional engineer regist~ied in the State of <br />Florida prior to per.it issuance. <br /> <br />A perlit issued shall be construed to be a license to proceed with the Hork 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 ~uilding Official froe theTeafter <br />requiring a COTrection of errors in plans; construction, or violations of any code. Every per.it issll~d ihall beco.e invalid <br />unless 1be lIork authorized by such perlit is C[lI.enced Hithin six lonths of issuance, or if Hork authOIJied by the per.it is <br />suspended or abandoned for a period of six lonths after the tiJe the work is commenced. Doe 90 day e~tEnsio\l of tile, aay be <br />allowed for the perlllit llith 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 lIill be considered dbdlldoned. <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 POST A "NOTICE OF COMMENCEMENT". <br />"----.. <br /> <br />SIGNATURE_~-~_~~-~----- <br />CONTRACTOR-~~~ <br /> <br />D~E..__________~/j.!GO~~cfL. -------------- <br />#l--<<?.e' (?-:~;r~ rL~7lZ/ OA" '" <br />~g~~:~c~~~~----- <br /> <br />/ <br />... <br />MY COMM I SS ~lg~AR~~~B~~5'f"ff-eF-ri:OftttH',.,.------ <br />MY COrl'iailSS10N EX.'IRES; NOV. 2.7. 1992:. <br />q,{~~ i<::'~' TH>-o:U NOTARY PUBLlC l!NDE::h:WRITERe. <br /> <br />SlGNATURE_~-Ci~~~~-------- <br />OWNER OR A-~:.rU/":" <br />::~~~-~~~~~J~fl~z.-;,p':--;;;;;;-. -~---_.---:--- <br /> <br />OWNER OR AGENT - r~~~---- <br />';tJ/l . h' '/' --7 . <br />J <br />MY COMMISSION EX~~~B~_~~~~~2l~~~~LQ~C~--- <br />1..1' \.-\J"....I;:;;::;iUN L;l"IRES: NOV. 27. 199"f. <br />!iiUNOEO THkU NOTARY PUBLIC UNDERWRITERS: <br /> <br />---- <br />