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CONDITIONS C~ PERMIT AffIDAVIT A. NOTICE OF DEED RESTRICTIONS The und~rsigned understa~ds that this perlit lay bl subject to "deed restrictions. Nhich lay be lore restr,ictivl than City reguhhonl. Thl llndlnlgnld ilS1ll11 ruponlibility""for cOlplhnn NUh any appliuble dttd restrictions. . . B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONner has hired a contractor or contractorl to undertake Mork, they lay be reqllirldto b. lic.ns.d in accordanc. _ith Itatl '~d locI 1 regulationl. If thl contractor il not liclftlld al required by laN, both thl ONner and contractor IIY be cited for a lilde.elnor violation llnd.r state laM. If the OMn.r or intended contrlctor Ir. uneertlin IS to .hlt lic.nsing reqllile.ents IIY apply for the intended Mort, thlY Irl Idvilld to contlct the City of z.phyrhilas Building D.part..nt, ISa31 788-661 1. Furtherlore, if the owner has hired I contractor Dr contractors, he is advised to have the contrictor(s) sign portions of the "Contrlctor Seetions" of thil application for which they .ial be responsible. If you, as the o.ner sign as the contrletor. you are indicating that you, rather than the contrlctor, are responsible for the Mork. If the contractor Nishes yOll to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to per.ittinq privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided Mith I copy of .Florida's Construction Lien LaM - HOleo.ner's Protection 611ide. pr.pared by the Floridl D.partllnt of Agriculturl and Consultr Affair.. If the applicant is sOltone oth.r than the .o.ner", I certify that I have obtained I. copy of thl abov. d.scribed doeulent and prolise in good faith to d.liv.r it to the .0Nner" prior to COllencelent. E. CONTRACTOR'S/OWNER"S AFFIDAVIT I certify that all the inforlation in this applicltion is accurate and that all Nort Mill be done in cOlplianee Nith all applicable aaMs regulating constrllction, zoning, and land d.y,lDpaent. ' Application is hereby .ade to obtain I per.it to do Mort Ind instlll~tion as indicated. I certify that no Nort or installation has cOI.enced prior to issuance of a per.it and that all Mork .ill be perforled to leet standards of all laNs regulating construction, Ci ty codes, zoning nguhti6ns, and land develop.ent regulations in the jurisdiction. I also certify tbat I understand that the regulations of other govern.ental igencies lay apply'to the intended Mort, and that it is IY responsibility to identify Mhat actions I .ust tate to be in co.pliantl~. Such agencies include bllt iU e 1I0t Ii.ited to: #' I Deoart.e~t of Envir~nlental Reaulation - Cypress Bayheads, Yetland Areas and Environaentally Sensitive linds, Water/Wastewater Treatlent t SouthNest Florida Water "anaae.ent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses t Ar.v CorDS of Enaineers - SeaMalls, Docks, Navigable WaterMays t DeDartlent of Health L Rehabilitative Services. Environ.ental Health Unit - Yells,' WasteMiter Treat.ent, Septic Tanks t US Environlental Protection Aaency - Asbeitol abate.tnt I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.., it is understood tt..t a drainage plan addressing a .colpensating volule" Mill be sublitted which is prepared by a professional engineer regist~.ed in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed Mith the Mort and not as authority to viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official fro. thereafter requiring a correction of errors in plans; construction, or violations of any code. Every perlit issu~d iball becoa. invalid unless the .ork authorized by such perlit is eOllenced Mithin six lonths of issuance, or if work authoi I%ed by the perlit is suspended Of abandoned for a period of sil lonths after the tiae the Nork is cOllenced. One 90 day c~tE"sioll of tile, lay b~ alloNed for the perlit Nith fee charge of $15.00. The Ixtlnsion shall be requested in Mriting to the Building Dfficial. An approved inspection lust be logged during each six lonth period, or the project Nill be considered ~b.lIdoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT N~ ECORD AND POST A "NOTICE OF COM?2. ENT". SIGNATURE' ~ SIGNATURE____ - -~- ~<Z-~ - --------------- ~L~ V':^- ~ OATE------~l~~----:-------?1l-- ------- OATE______~J~:------~----------- NOTARY AS TO' . NOTARY AS TO OWNER OR AGENT____ ")~ CONT~ACTOR---- "~ MY COMMISSIO ...~ : ijIU'fi -'jUi5ifHL.SCHAPER- Notav Pl.lbllc. State of Florida My Comm, EKP. June 6. 1997 No, CC 292357 f:i" "" 4." ~ : fi XPIRES__________________ JUDITH L. SCHAPER Notorv PubliC. State of FIoIlda t./ti Comm. Exp. June ().1997 No. CC m357 MY COMMISSIO