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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this perJit 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. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br />If the owner has hired a contractor or contractors to undertake work, they aay be reql1ired 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 lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing <br />requireaents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (813) <br />788-6611. <br /> <br />Furtherlore, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the <br />IContractor 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 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, bave been provided with a copy of IFlorida's Construction Lien Law - Hoaeowner's Protection <br />Guide" p~epared by the Florida Departaent of Agriculture and ConsUler Affairs. If the applicant is 60leone other than the <br />lownerl, I certify that I have obtained a copy of the above described docuaent and prolise in good faith to deliver it to the <br />"owner" prior to coaaenceaent. <br /> <br />E. CONTRACTORIS/OWNERIS AFFIDAVIT <br />I certify that all the inforaation 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 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 perforJed to leet standards of all laws <br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also <br />certify that I understand that the regulations of other governaental agencies lay apply to the intended work, and that it is <br />IY responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not li.ited to: <br />t Departaent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, <br />Water/Wastewater Treataent <br />t Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />t ArJY Corps of Engineers - Seawalls, Docks, Navigable Waterways <br />t Departaent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treataent, Septic Tanks <br />t US Environaental Protection Agency - Asbestos abateaent <br />I also certify that, if fill .aterial is to be used in Flood Zone IA" or "A,etc.", it is understood that a drainage plan <br />addressing a "cOlpensating volute" 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, or <br />Bet aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frCl thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall becOle invalid <br />unless the work authorized by such perlit is cOlIBnced within six aonths of issuance, or if work authorized by the perlit is <br />suspended or abandoned for a period of six IOnths after the tile the work is cauenced. One 90 day extension of tas, aay be <br />allowed for the perJit 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 Sil IODth period, or the project will be considered abandoned. <br />WARNING TO OmR: YOUR FAILURE TO RECORD A NOTICE OF COMKRIlCEHEHT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEHEHTS TO YOUR <br />PROPERTY. IF YOU IJIEHD TO OBTAIH FlHAHCIHG, CONSULT WITH YOUR LEHDER OR AM AnORHEY BEFORE RECORDING YOUR IIOTlCE OF <br />COKKEHCEHEHT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKEHCEHEHTN. <br /> <br /> <br />~~ ~~ <br />SIGNATURE: OWHER __ .. . SIGNATURE: COIITR' ... -.......... <br /> <br />,STATE OF FLORIDA <br />coum OF <br />The foregoing instrument was acknowledgGd <br />before me this fJ- ~ SePT, 19..2..!f by <br /> <br /> <br />who is personally <br />produce <br />as identification and who did/did not <br />take~~ ~ <br /> <br />(Signature) <br /> <br />(Nam~ Typed, Printed or Stamped) <br />NOTARY PUBLIC <br /> <br />'tf>''''' ""'<t> <br /> <br />* .n DONNA M SINCLAIR <br /> <br />* My COmmiseion CC382619 <br /> <br />..'" !t- Expir.... Jun, 14, 1998 <br />"'~OFf'Lf/II'~ <br /> <br />STATE OF FLORIDA <br />coum OF <br />The foregoing instrument <br />before me this SePT 3- 8"" <br /> <br />was acknowledged <br />, 19~ by <br /> <br />who is~~~-i~-~~'to me or who has <br />produced <br />as identification and who did/did not <br />~oath. ~A- <br />~~. <br />(Signature) <br /> <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br />~.,,' ~to <br />.ft DONNA M SINCLAIR <br />* * My Commission CC382619 <br />... Expires Jun. 14,1998 <br />~~ OF f'L~()" <br />