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<br />CONDITIONS O~ PERMIT AfFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br /> <br />The und~rsigned understa~ds that this perlit lay b. lubj.ct to .d.ed restrictions" which lay be IDre'r..t~ictiv. th.n City <br />r.gulatlons. Th. und.rllgn.d alluatl r'iPonlibility:'for cOlpli.ne. with any appliclbl. d..d r.strkctionl. <br />, . <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES . <br /> <br />If the owner has hired a contr~ctor or contractorl to und.rtak. .ork, they lay be requir.d to be licensed in accordlnc~ with <br />s~.t. ~nd 10c~1 regulatio~s. ~f th. contr.ctor il not liclftltd II required by law, both the owner Ind contr.ctor I'y be <br />Clt~~ for a Ilsdele.nor vlolatl~n und.r ,t.t. 1... If tb. o.ntr Dr intended contractor art unclrt.in .s to wh.t lic.nsing <br />requlr'l.nts I'y apply for the Int.nded 'Drk, tbey .r. advil.d to cont.ct the City Df Z.phyrhills 8uildi~ Dlp.rtl.nt, 18131 <br />788-6611. . <br /> <br />Furtherlore, if the OMner h.s hired a contractDr Dr contractors, he is .dvised to have the contrictorls) sign portions of the <br />"Contractor S.ctions" of thil .pplication for which they will be responsible. If you, al the Dwn.r sign .s th. cODtr.ctor <br />you are indicating that you, r.th.r thin the contrlctor, .r. r.lponlibl. for the Mork. If thl contrictor wishes you to si~n <br />as cDntractor th.t I'y be an indic.tion th.t he il not properly licensld .nd is not Intitled to perlitting privil.ges in the <br />City Df Zephyrhills. <br /> <br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES <br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) <br /> <br />I certify that I, the applicant, have been prDvided .ith . copy of .Florida', Const~uction Lien LiW - HOleowner's Protection <br />Suid.. pr.p.r,d by the Florid. Dep.rtlent of Agricultur. Ind ConlUl,r Aff.irs. If the .pplicant il 10l,ont oth.r th.n the <br />"owner., I certify that I hav. obtained I copy. of the Ibov. d.scribed dOCUlent .nd prolis. in good f.ith to d.liv.r it to the <br />"owner. prior to COI.encelent. <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br /> <br />I certify that .11 the infor.ation in this application is accurate and t~at all work .ill be done in coapli.nte with all <br />applic.ble l.ws regul.ting construction, zoning, Ind l.nd d.v.lop..nt. . <br /> <br />Application is hereby .ade to obtain a perlit to do work and, install~tion as indicated. I certify that no work or <br />installation has COlleneed prior to i55uance of a p.rlit Ind that ill work will be perforled to leet standards of all l.ws <br />regulating construction, City codes, zoning regulations, and hnd developlent regulation5 in the juri5diction. I .lso <br />certify that I understand that the regulations of other governaental agencies lay apply'to the intended .ork, and that it is <br />IY responsibility to identify what i1ction5 t lust take to be in cOlpliilntt. Sucb agencies ir.clude bllt .Ie 1I0t hlited to: <br /> <br />.... <br /> <br />. DeDartle~t of Envir~nlentil Reauliltion - Cypr'ls Bayheads, Wetland Are.s and Environaentally Sensitive linds, <br />. Water IWillttwilter Treitlent <br />t SouthMest Florida Witer' "anilaelent District - Wells; Cypr.ss Bilyh.i1ds, Wetland Areas, Altering Watercourses <br />t ArlY CorDs of Enaineers - Se,willls, Dockl, Nivigable Wat.r'i1YI <br />t De arher.t of Health L Reh.bilih ive Sen tS Envir nl h Hea h Unit - Wells, Wa5teMilter Trl!ataent. Septic hnks <br />. US Environlentil Protection Aaency - Asbestos abitelent <br /> <br />I also certify that, if fill lateriill is to be used in Flood Zone "AI Dr "A,etc.", it is understood tllat a drainage plan <br />.ddressing a "colpenl.ting volule. will be lub.itted .hich il prepared by a professionill engineer registi(~d in the St.te ~f <br />Florid. prior to perlit issu.nce. <br /> <br />A perlit issued shall be construed to be iI license to proceed .ith the Mork i1nd not i1S i1uthority to viol~te, cancel alter, ~r <br />set .side .ny provisions of the technicll codel, nor shall issuance of a perlit prevent the Building Official fr~1 thereiftel <br />requiring. correction of errors in plansi construction, or violations of any code. Every perlit issll~d :hall becole invallo <br />unless the. work authorized by such per.it i, cOI.enced .ithin six lonths of ilsuance, or if Mork authol lzed by the perlit i, <br />suspended Of abandoned for a period of sil lonths i1fter the ti.e the work is tOllenced. One 90 d'1 ~=tE"5ioll of tile, lay b~ <br />allowed for the perlit with fee charge of 115.00. The 'Itenlion shall be requested in writing to tho Building Official. An <br />approved inspection IUlt be logged during each lix lonth period, or the project will be considered jb.lldoned. <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. 30BS UNDER $2,500 IN VALUE <br />DO NOT N~_~~ORD AND POST A "NOTICE OF COMMENCEME <br /> <br /> <br />SlGNATURE~_~~~~--~~~-- 5~~~- ----------- <br />DATE 1e 12--4- L" ____~ DATE--------.&l~~ ~L----- <br />.,;;;,;~-------+---;f2-.~ "t'emonal1 Kno nIt L . <br />NOTARY" Aeat'NKnn, " ,NOTARY AS ~ <br />OWNER OR AGENT _____ _' ___ -~- CONTRACTOR___ <br /> <br />" <br /> <br />MY COMMISSIO <br /> <br /> <br />MY COMMISSI <br /> <br /> <br />--:j~l."';;t:'::l;~--- <br />Notav t'lJt1Iic. ,rote of FtoIIdo <br />My Comrn ",.;:., JUnQ O. 1997 <br />I..i{.,~ ',:123.')7 <br /> <br />00 <br />)"U~ <br /> <br />JUOITI;.. SCHAPER <br />Notay Public. State at FloI1da <br />My Comm, Exp, June 6.1997 <br />No, CC 292357 <br />