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<br />CONDITIONS'OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this peI'lit lay be subject to 'deed restrictions" which lay be lOre restrictive than City <br />regulations, Tbe 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 ~ay 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 />requirelents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Deparllent, (813) <br />788-6611, <br /> <br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the <br />"Contractor Sections I 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 peI'litting 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 - Hoaeowner's Protection <br />Guide" prepared by the Florida DepartJent 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 docuaent and prO-ise in good faith to deliver it to the <br />"owner I prior to cOllenceaent, <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 compliance 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 cOJlenced prior to issuance of a peI'lit and that all work will be perfoI'led to leet standards of all laws <br />regulating construction, City codes, zoning requlations, and land developlent 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 />tY responsibility to identify what actions I lust take to be in cOlpliance, Such agencies include but are not li.ited to: <br />t Department of Environaental Regulation - Cypress Bayheads, Vetland Areas and Environaentally Sensitive Lands, <br />Vater/Vastewater Treallent <br />t Southwest Florida Vater Manageaent District - VeIls, Cypress Bayheads, Vetland Areas, Altering Watercourses <br />t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways <br />t DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Vastewater TreatJent, Septic Tanks <br />t US EnvirODlental Protection Agency - Asbestos abate.ent <br />I also certify that, if fill .aterial 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 sub.itted which is prepared by a professional engineer registered in the State of <br />Florida prior to perlit issuance, <br /> <br />A pertit 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 perlit prevent the Building Official frOJ thereafter <br />requiring a correction of errors in plans, construction, or violations of any code, Every per.ait issued shall becOle invalid <br />unless the work authorized by such pertit is cOllenced within six IOnths 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 cOJlenced, One 90 day eItension of tiae, laY be <br />allowed for the peI'lit 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 IOnth period, or the project will be considered abandoned, <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR <br />PROPERTY, IF YOU Ill'JEHD TO OBfAIH FIIWICIIlG, CONSULT VIfH YOUR LENDER OR All AnORHEY BEFORE RECORDING YOUR NOTICE OF <br />COKMENCEKIDI'l, JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A "NOTICE OF COKKENCEMEll'J", <br /> <br /> <br />~~- ~~ <br /> <br />STATE OF FLORIDA <br />COUNfY OF <br />The foregoing instrument <br />before me this rp.fIJ ja <br /> <br />was acknowledged <br />, 1995' by <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />The foregoing instrument was acknowledged <br />before me this ::[f)rV 10 , 19 9-s- by <br /> <br />who is ersonally known to me or who has <br />produced <br />as identification and who did/did not <br /> <br />tak~^~. ~~' <br /> <br />(Signature) <br /> <br />(Nam~ Typed, Printed or Stamped) <br />NOTARY PUBLIC <br /> <br />who is personally known to me or who has <br />produce <br />as identification and who did/did not <br /> <br />tak~L~' <br /> <br />(Signature) <br /> <br />(Name Typed, Printed or <br />NOTARY PUBLIC <br /> <br />~, <br />* ~,~'J * <br />..~ .,..." <br />"'OF f\.# <br /> <br />Stamped) <br /> <br />~'\^"'<-to <br />.u:. <br />d'~1t OF p.~ <br /> <br />DONNA M SINCLAIR <br />My Commission CC382619 <br />Expires Jun, 14.1998 <br /> <br />DONNA M SINCLAIR <br />My CornmiAIon CC38a018 <br />Expn. Jun. 14.1888 <br />