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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this perlitlay be subject to "deed restrictions' which lay be lore restrictive than City <br />regulations. The undersigned assules re~ponsibility for cOlplidnce with any applicable deed restrictions. <br /> <br />B. UNLICENSED CONTRACTQRS AND CONTRACTOR RESPONSIBILITIES <br />If the ONner has hired a contractor or contractors to undertake ~or~~ they lay be required to be licensed in accordance with <br />state and local regulations. If the -centrldor is n~t 1 icensed as required by law, both the ollner and contradDr lay be <br />cited for a lisdeleanor violation under state law. If the ONner or intended contractor are uncertain as to what licensing <br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) <br />788-6611. <br /> <br />Furtherlore, if the ONner has hired a co"tractor or contractors, he is advised to have the contractorls) sign portions of the <br />"Contractor Sections" of this appliCation for Nhich they Nill be responsible. If you, as the ONner sign as the contractor, <br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor Nishes 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 Zephyrhills. <br /> <br />C. TRANSPORTATION IMPArT FEES AND UTILITY CONNECTION FEE~ <br /> <br />D. CONSTRUCTION LIEN L~W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) <br />I certify that I, the applicant, have be~n provided with a copy of "Florida's Construction Lien LaN - HOleoNner's Protection <br />Guide" prepared by the Florida Departlent 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 doculent and prolise in good faith to deliver it to the <br />BONner" prior to cOllencelent. ' <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br />I certify that all the inforlation in thiS application is accurate and that all Nork lIill be done in cOlpliance Nith all <br />applicable laNs regulating construction, zoning, and land developlent. <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 cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laNs <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 Nork, and that it is <br />IY responsibility to identify Nhat actio;;s I lust take to be in Lo~pliance. Such agencies include but are not lilited to: <br />f Departlent of Environlental ReQulatiofi - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, <br />Water/Wastewater Treatlent <br />f SouthNest Florida Water Manaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways <br />f Depart.ent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks <br />f US Environlental Protection AQency - Asbestos abatelent <br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "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 Nork and not as authority to violate, cancel alter, or <br />set aside any provisions of the technical codes, nor shall issuance of a periit prevent the Building Official frol thereafter <br />requiring a correction of errors in plans, construction, Dr violations of any code. Every perlit issued shall beeole invalid <br />unless the work authorized by such perlit is cOllenced Nithin six lonths of issuance, or if Nork authorized by the perlit is <br />suspended or abandoned for a period of six lonths after the tile the work is cOI.enced. One 90 day extension of tile, lay be <br />alloNed 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 durin} each six lonth period, Dr the project will be considered abandoned. <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAVING TWICE 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". <br /> <br />-4:~ r.R~.$J. <br />51 ATURE: OWNER OR AGENT <br /> <br />~ <br /> <br />~.. .: F /"f'.JOd,~ <br /> <br />SIG ATURE: CONTRACTOR <br /> <br />was acknowledged <br />, 1 '-7 -9.3... by <br /> <br />STATE OF FLORIDA <br />COUNTY OF Pa')co <br />The foregoing instrument <br />before me this Feb '22 <br /> <br />STATE OF FLORIDA <br />COUNTY OF p,.c;r-n <br />The foregoing instrument <br />before me this ~ph ?? <br /> <br />was acknowledged <br />l~by <br /> <br />did/did not <br /> <br />zfev~ T Rn~e~~~ <br />who is el-sona 1 y ~ lown tc:I~~ or who has <br />produced ---." .- <br />as identification and who did/did not <br />t-"e an oath. <br /> <br /> <br />IIC, ~tate 01 t'lorlda <br />'A..'ET BLACKWELL <br />My Comm. Exp, 9.18.96 <br />Comm. No, CC 228545 <br /> <br /> <br />known to me .r who has <br /> <br />(Name Typed, Pri <br />NOTARY PUBLIC <br /> <br />r St.!fli-.CMwIlHxp.9.18-96 <br />'C!lHalt'F.'r<ld. CC 2285-45 <br /> <br />(Name Typed, Printe <br />NOTARY PUBLIC <br />