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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A.' NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this perait 'May be subject t~ "deed restrictions' which may be aore restrictive than City <br />regulations. The undersigned assules responsibility for c~apliance with any applicable deed restrictions. <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br />If the owner has hired a contracto~ or contractors to undertak~ work, they may be required to be licensed~in.acc~rdance with <br />state and local regulations. If the' c'ont'Tactor is noto'licensed as required by law, both the (,wner and contractor lay be <br />cited for a lisdeleanor violation under state laft. If the owner or intended contractor are uncertain as to what licensing <br />requirelents aay apply for the intended Nork, they are advised to contact the City of Zephyrhills Building Deparhent, (BI3) <br />7BB-bb 11. <br /> <br />Further.ore, if the owner has hired ~ 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 responsiLle 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 perlitting 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 />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 Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOleone 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 cOllence.ent. <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br />I certify that all the inforlation 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 develop.ent. <br /> <br />Application is hereby .ade to obtain a pertit to do work and installation as indicated. I certify that no worK Dr <br />installation has cO.lenced prior to issuance of. a per.it and that all work will be perfor.ed to leet standards of all laMS <br />regulating construction, City codes, zoning regulations, and land.~eveloplent regulations in the jurisdiction. I also <br />certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is <br />.y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to: <br />f Departlent of Environlental ReQuIation - Cypress Bayheads, W2tland Areas and Environlentally Sensitive Lands, <br />Water/Wastewater Trea'~ent <br />f Southwest Florida Water ManaQelent District - Wells, Cypres,j Bayheads, Wetland Areas, Altering Watercourses <br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways ' <br />f Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks <br />f US Environ.ental Protection AQency - Asbestos abatelent <br />I also certify that, if fill laterial is to be used in Flood Zene 'A" or "A,etc,', it is understood that a drair.a~p. plan <br />addressing a "colpensatinq volule" Mill be sub.itted which is rrepared by a professional engin~er registered i~ th~ Siate ~f <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 violate, cancel alter, Dr <br />set aside any provisions of the technical codes, nor shall ~ssuance of a per.it prevent the Building Official frol thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit_issued shall becole invalid <br />unless the wOTk authorized by such per.it is cOI.enced within six lonths of issuance, or if work authorized by the perlit is <br />suspended Dr abandoned for a period of six tonths after the tile the Mork is comaenced. One 90 day extension of tile, 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 ins tion lust be logged during each six month period, or the project will be considered abandoned. <br />WARNING T OW R: Y~UR FAILURE TO RECORD A NOTICE UF COMMENCEHENT HAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR <br />PROPERT. I YO t TEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF <br />COHHE EH 0 UNDER $2,500 VALUE DO NOT NEED TO'RECORD AND POST A 'NOTICE OF COMMENCEMENT'. <br /> <br /> <br />alC~~ <br /> <br />SIGNATURE: NTRACTOR <br /> <br /> <br />STATE OF ~LORIDA ~ ~ In <br />COUNTY OF . -=L. c;uar~ <br />The foregoin~9~tru~ent was acknowledged <br />before me thfSW, I~ , 19~ by <br /> <br />STATE OF FLORIDA ~ ~ 1\ <br />COUNTY OF r Q,JQ. ~ <br />The foregoing instrument wa~ acknowledged <br />befcll-e me this ~ It, 19..1...2..- by <br /> <br />t~ <br /> <br /> <br />~'lh(l has <br /> <br /> <br />who has <br /> <br /> <br />who is <br />produced <br />as identification and who did/did not <br /> <br />~'v~4( m. ~~ <br /> <br />L()/?.;7?tt-1f 0. ,?-l.(SJC~_ <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br /> <br />nc,t. <br /> <br />~€ <br /> <br />tioCIIy P~1Ic. State of Aofida at..... <br />Mv ~iaft..... -..,.. ... <br />4t ceo <.(. 3 'iJ \0 9 <br />CJJyYV/Y\. <br /> <br />Sig atLn-e) <br />L \i rz.; ~ cHI In. <br />(Name Typed, Printed or <br />NOTARY PUBLIC <br /> <br />C0r-v'v1->'\ . <br /> <br />,.." NtIr. ",CI F1o*II...... <br />... 0IImlItIIIn...._.. ... <br />.::It ~ C\)4S(j~9 <br />