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<br />-:J.- <br /> <br />;i......-w.,..-.______. -.--- <br /> <br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this perlittay be subject to "deed restrictions" which lay be lore restrictive than City <br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. <br /> <br />B. UNLICENSED CONTRACTORS AND CONT83~TOR RESPONSIBILITIES <br />If the owner has hired a contractor or Gontractorsto ,undert,arf work, they lay be required to be licensed in accordance with <br />state and local regulations. If the contractor is not licp.ns~~ as required by law, both the owner and contractor lay be <br />cited for a lisdeleanor violation under state IaN. If thp. owner ur intended contractcr are uncertain as to what licensing <br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813) <br />788-6611. <br /> <br />Furthermore, if the owner has hired a contractor Dr contractors, he is auvised 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 respolisible 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 pertitting 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 - Hoteowner's Protection <br />Guide" prepared by the Florida Departaent of Agriculture and Consuter Affairs. If the applicant is soteone 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 cotmencetent. <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br />I certify that all the infortation in this applic~tion is accurate and that all work will be done in cOlpliance with all <br />applicable laws regulating construction, zoning, and land developtent. <br /> <br />Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or <br />installation has cottenced prior to issuance of.a pertit and that all work will be perforled to leet standards of all laws <br />regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also <br />certify that I understand that the regulations of other governmental agencies .ay apply to the intended work, and that it is <br />IY responsibility to identify what actions I tust take to be in cOlpliance. Such agencies include but are not li.ited to: <br />I Departtent of Environtental ReQulation - Cypress Bayheads, ~etland Areas and Environzentally Sensitive Lands, <br />Water/Wastewater Treat.ent <br />t Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways ' <br />t Departtent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks <br />t US Envirl)n.ental Protection AqRI1r:J - Asbestos abatellent <br />I also certify that, if fill laterial is to be used in ~lood 70ne "A" Dr "A,etc,', It IS unoerstuod that i dIU;ndY~ plan <br />addressing a "colpensating volume" Mill be sub.itted which is prepared by a professional engineer registered in the State of <br />Florida prior to ccrtit i:su?n:,. <br /> <br />A permit issued shall be construed to be a license to proceed with the Mork and not as authority to violate, cancel alter, Dr <br />set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frol thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid <br />unless the work authorized by such permit is cOleenced within six lonths of issuance, Dr if work authorized by the per.it is <br />suspended or abandoned for a period of six tonths after the ti.e the work is cOllenced. One 90 day extension of time, lay be <br />allowed for the perlit 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, Dr the project will be considered abandoned. <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT KAV RESULT IN YOUR PAVING 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 />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". <br /> <br />~ <br />(((j <br />~E: l:. OR ROENI <br /> <br />SIGNATURE: CONTRACTOR <br /> <br />STATE OF,FLORID~ <br />COUNTY OF ~ I!- D <br />The foregoing instr ment <br />before me this Itc-l- <br /> <br /> <br />s acknowledged <br />, 191E:... by <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />The foregoing instrument <br />befo\-e me this <br /> <br />vJas ackno\,J}edged <br />, 19_ by <br /> <br />LO/5 <br /> <br />s. (heec-,c, <br /> <br />who is ~ersonally known to me or who has <br />produced <br />~~t~:~~a'1\on 1"1' who did/did not <br /> <br />~f'~. ~ <br />.lSignatu\-e) <br />D I fH.rE (1, D '100 I e...... <br />.~tt~ <br />(Name Typed,~ ~~d <br />NOTARY PUB l \ <br />-- << <br />~,l .. <br />. . <br />, ,..: <br />4. ... .4 J <br />..~Of""~.. <br />......... <br /> <br />who is personally known to me or who has <br />produced <br />as identification and who did/did not <br />take an oath. <br /> <br />(SignatLn-e) <br /> <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br /> <br />0\- Stamped) <br />OFFICIAL SEAL <br />DIANE C. O'TOOLE <br />My Commisslol' t. ' .i'es <br />Oct. 31.1995 <br />