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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this perlit lay 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 CONTRACTOR RESPONSIBILITIES <br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with <br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be <br />cited for a lisdeleanor violation under state law. If the owner 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, 1813) <br />788-6611. <br /> <br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) 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 responsible 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 per.itting 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 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 />"owner" 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 work will be done in cOlpliance with all <br />applicable laws regulating construction, zoning, and land developlent. <br /> <br />Application is hereby lade to obtain a perlit to do MOrk 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 laws <br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. 1 also <br />certify that I understand that the regulations of other governlental 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 lilited to: <br />f Departlent of Environaental Requlation - Cypress Bayheads, Wetland Areas and EnvironlentallySensitive Lands, <br />Water/Wastewater Treatlent <br />f Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways <br />f Departlent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks <br />f US Environaental Protection Aqency - Asbestos abatelent <br />I also certify that, if fill laterial 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, Dr <br />set aside any provisions of the technical codes, nor shall issuance of a perlit 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 perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is <br />suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be <br />allowed for the perlit with fee charge of 515.00. 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 OVNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROYE"ENTS TO YOUR <br />PROPERT:,~F YOU INTEND TO OBTAIN FINANCING, CONSULT VITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF <br />CDIt"ENC(NT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COIttlENCEIlENT". <br /> <br /> <br />~~ ~. ~..I'~ .fA. <br />SI6NATURE: OIlMER OR A6ENT SI6 <br /> <br /> <br />(Signature) <br /> <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br /> <br /> <br />STATE OF FLORIDA ~ <br />COUNTY OF iJ <br />The foregoing ins~~t was ackno~ledged <br />befc.re me th i s ..::{H. f3, 19...2:!!:.. by <br />~"""\Illl/I1',,, <br />~,""\ ~ .~.~~I ~III/~ <br /> <br />'". h~ has <br />.. ~ <br />. - <br /> <br /> <br />who is p <br />pl-oduced <br />as identifi <br />take an 0 <br /> <br />:noi <br />i .:: <br />. - <br />.... ~ <br />. ~'q; ~ <br />~ r"".. ...d'\. ~ <br />~ '~ .......... 0' ~ <br />~/Il 0 F F\.: "\",,, <br />'111/'1/ ""'\\ <br />or St'aMped) <br /> <br />(Name Typed, Printed <br />NOTARY PUBLI C <br /> <br />... .-------... <br />