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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this peIlit aay 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 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 lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing <br />requirl!lents JaY 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 owner has hired a contractor or contractors, be is advised 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 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 .Florida' s Construction Lien Law - HOJe01IDer's Protection <br />Guide. p~epared by the Florida DepartJent of Agriculture and ConsUler Affairs. If th-e applicant is sOleone other than the <br />'owner., I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the <br />Nowner. prior to cOll8Dceaent. <br /> <br />E. CONTRACTOR'S/OWNER'S 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 cOIIenced prior to issuance of a peIlit and that all work will be perf OIled to Jeet standards of all laws <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 governaental agenCies aay 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 />* DepartJent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, <br />Water {Wastewater TreatJent <br />* Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />* AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways <br />* DepartJent of Health i Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks <br />* US EnvirODJeDtal Protection Agency - Asbestos abateaent <br />I also certify that, if fill aaterial is to be used in Flood ZOne "A' or "A,etc.., it is understood that a drainage plan <br />addressing a .COIpensating volute. will be sublitted which is prepared by a professional engineer registered in the State of <br />Florida prior to peIlit issuance. <br /> <br />A perait issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or <br />set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frOl thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall becOle invalid <br />unless the work authorized by such peIlit is cOllBDced within Sil IOnths of issuance, or if work authorized by the per.it is <br />suspended or abandoned for a period of sillOntbs after the tile the work is cOllenced. One 90 day l!ltension of tile, JaY be <br />allowed for the peIlit with fee charge of $15.00. Tbe l!ltension shall be requested in writing to the Building Official. An <br />approved inspection lUSt be logged during each sillODth period, or the project will be considered abandoned. <br />WARIIIKG TO omR: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEHENTS TO YOUR <br />PROPERTY. IF YOU INTEND 'fO OBrAIK FIJWCING, CONSULT WITH YOUR LENDER OR AN AnORNBY BEFORE RICORDIIiG YOUR KOTICH OF <br />COMHENCEHENT. JOBS UliDER $2,500 IN VALUE DO NOT IiEED TO RECORD AliI) POST A "NOTICE OF COHHEIiCEHEIif.. <br /> <br /> <br />jUL/# <br />SIGlIATURE: ~RAC'fOR <br /> <br />7/ <br /> <br />STATE OF FLORIDA <br />coum OF <br />The foregoing ~pst~ was acknowledged <br />before me thi9' J- I ' , 192..!L by <br /> <br />STATE OF FLORIDA <br />coum OF <br />The foregoing instrument was aCknowledged <br />before me this j:1- - / <) ,19~ by <br /> <br />who is ~onall v kn~to me or who has <br />produced <br />as identification and who did/did not <br /> <br />~~.~. <br /> <br />(Signature) <br /> <br />(Ham~ Typed, Printed or Stamped) <br />NOTARY PUBLIC <br /> <br />~...y ,.~+ <br />.iW^ DONNA M SINCLAIR <br />. * My CommiSSIon CC382619 <br />~., . Expires Jun, 14. 199B <br />-~Ofp..~ <br /> <br />who is ~OnallY ~o me or who has <br />produced <br />as identification and who did/did not <br /> <br />take 1l~ ~.~ <br />(Signature) <br /> <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br /> <br />.\)A~ <br />DONNA M SINCLAIR <br />* * My Commission 00382618 <br />Expires Jun. 14.1998 <br />d'~,,- .A;'" <br />'<OF p..1l"" <br />