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<br />CONDITIONS OF PERMIT AFFIDAVIT <br /> <br />A. <br /> <br />NOTICE OF DEED RESTRICTIONS <br /> <br />. -. ."".-".' <br /> <br />~ " . <br /> <br />The undersigned understands that this perlit lay be subjeE~ to "deed restrictions. which lay be lore restrict~ve than City <br />regulati ons. The undersi gned assulU rl!sponsibi Ii ty . fpr. '.$:PIP 1 r.np?' IIi tti anyappl i cable', deed' TF!'Str ictl'CiIls. <br />\ ..' ~. . '. < <br /> <br />B. <br /> <br />UNL I CENSE'D 'CONTRACTOR~'AND COtHRAGn:l'~ 'R~SPONS I B-! LIT I~,S <br /> <br />. .:. <br /> <br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licepsed in accordance with <br />state and local regulations. If the cont~~.ior .-6 not)icen~ed as required by, law, beoth t~e .owner' ~nil contr.actor lay be <br />cited for a lisdeleanor violation under state law. If the-.Clltner,c.r. iTlte.n~ed cQntr~ct.or.are untertatn'as :to what licensing <br />requirelents lay apply for the intended work, they are advised to confact the City of Zephyrhills Building Department, lB13l <br />788-6611. <br /> <br />Furthermore, 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 permitting privileges in the <br />City of Zephyrhills. <br /> <br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES <br /> <br />D. <br /> <br />CONSTRUCTION LIEN LAW <br /> <br />(CHAPTER 713, FLORIDA STATUTES, AS AMENDED) <br /> <br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Homeowner's Protection <br />6uide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is soteone other than the <br />'owner', I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the <br />'owner' prior to cOlmencement. <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br /> <br />I certify that all the inforiation in this application is accurate and that all work will be done in cospliance with all <br />applicable laws regulating construction, zoning, and land developeent. <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 commenced prior to issuance of a perlit and that all work will be performed to meet standards of all laws <br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also <br />certify that 1 understand that the regulations of other governmental agencies may apply to the intended work, and that it is <br />IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt ~le not limited to: . <br /> <br />I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, <br />Water/Wastewater TreatMent <br />I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways <br />I DepartMent of Health ~ Rehabilitative Services, Environ_ental Health Unit - Wells, Wastewater Treatment. Septic Tanks <br />I US Environ_ental Protection AQency - Asbestos abatement <br /> <br />I also certify that, if fill aaterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbit a drainage plan <br />addressing a "colpensating volule" will be subMitted which is prepared by a professional engineer regi,tcied 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 viol~te, cancel alter, or <br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Ufficio! frol thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued ;hall becole invalid <br />unless the work authorized by such per_it is co.eenced within six sonths of issuance, or if work auth01 lzed by the perlit is <br />suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day u~ttDsioli of tile, .ay be <br />allowed for the permit 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 month period, or the project will be considered abaildoned. <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. NFiED .TO RECORD AND POST A "NOT I CE OF COMMENCEMENT". <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />---------------------------------- <br /> <br />OWNER OR AGENT <br /> <br />CONTRACTOR <br /> <br />DATE <br /> <br />DATE <br /> <br />----------------------------------- <br /> <br />--------------------------------------- <br /> <br />NOTARY AS TO <br />OWNER OR AGENT <br /> <br />NOTARY AS TO <br />CONTRACTOR_____________________________ <br /> <br />MY COMMISSION EXPIRES <br /> <br />MY COMMISSION EXPIRES <br />