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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this perlit 'lay be subject to .deed restrictions. which say be sore restrictive than City <br />regulations. The undersigned assules responsibility for cosplianr.e with any applicable deed restrictions. <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br />If the ONner has hired a contractor or contractors to undertake work, they aay be required to be licensed in accordance with <br />state and local regulations. If the contractor is not licensed as required by laM, both the owner and contractor say be <br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to Khat licensing <br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 1813) <br />788-6611. <br /> <br />Furtherlore, if the owner,has hired a contractor or contractors, he is advised to have the contractorls) 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 say be an indication that he is not properly licensed and is not entitled to persitting 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 1, the applicant, have been provided with a copy of .Florida's Construction lien Law - Hoseowner's Protection <br />Guide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the <br />.owner., 1 certify that I have obtained a copy of the above described document and prosise in good faith to deliver it to the <br />.owner. prior to cOllencelent. <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br />I certify that all the inforlation in this application is accurate and that all work will be done in coapliance 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 COltenced prior to issuance of a perlit and that all work will be perforled to leet 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 governsental agencies lay 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 lisited to: <br />f Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, <br />Water/Wastewater Treatlent <br />f Southwest Florida Water KanaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways <br />f Departlent of Health L Rehabilitative Services. Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks <br />f US Environ.ental Protection Aqency - Asbestos abatelent <br />I also certify that, if fill laterial is to be used in Flood Zone .A. or .A,etc.., it is understood that a drainage plan <br />addressing a .colpensating yolule. will be subtitted which is prepared by a profrssional 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 />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter <br />requ~ring a correction of errors in plans, construction, or violations of any code. Every persit issued shall becose invalid <br />unless the work authorized by such perlit is coa.enced within six lonths of issuance, or if work authorized by the per.it is <br />suspended or abandoned for a period of six lonths after the tile the work is COIsenced. One 90 day extension of tile, lay be <br />allowed for the perlit 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 lonth period, or the project will be considered abandoned. <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK"ENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR <br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUlT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF <br />CDKKENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD D POST A .NOTICE OF COMMENCEMENT. <br /> <br /> <br /> <br />STATE OF FLORIDA <br />COUNTY OF f? A5l0 <br />The foregoing instrument was acknowledged <br />before me this (\(N'W\biK 110, 19~ by <br /> <br />STATE OF FLORIDa <br />COUNTY OF ~)A~ (0 <br />The foregoing instrument was acknowledged <br />befDI-e me th i s nUVWl lQu \10 , 19li- by <br /> <br />------ ----- <br />who i~p~lly known to me o~WhO has <br />produc--ea- <br />as ident' ication and who did/did not <br />take a <br /> <br /> <br />known to m or who has <br /> <br />and who did/did not <br /> <br />~ <br /> <br />;J oJ 0.-11 e. S vt.UY\ <br />(Name Typed, Printed or Stamped) <br />NOTARY P Ie <br /> <br /> <br />(Signa ure) <br />NeJ-o.JIe. <br />(Name Typed, Printed <br />NOTARY PUB <br /> <br />5(.AJCul <br />0\- Starn ed) <br /> <br /> <br />NATALIE SWAN <br />Notary Public, State of Florldt <br />My Cornrn, Exp, Oct. 12, 19111 <br />Cornm. No. CC 501333 <br /> <br /> <br />NATALIE SWAN <br />Notary Public. State of Florida <br />My Comm, Exp. Oct. 12. 1999 <br />Corom, No. CC 501333 <br />