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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this pemit .ay be subject to "deed restrictions" which .ay be lOre restrictive tban City <br />regulations. Tbe undersigned assUles responsibility for cOlpliance witb any applicable deed restrictions. <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br />If tbe owner bas bired 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 .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing <br />requirelents .ay apply for the intended work, they are advised to contact tbe City of Zepbyrbills Building Departlent, (813) <br />788-6611. <br /> <br />FurtherlOre, if tbe owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the <br />"Contractor Sections" of this application for wbich 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 tbe contractor wishes you to sign <br />as contractor that .ay be an indication that be is not properly licensed and is not entitled to per.itting privileges in tbe <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 - HDleowner's Protection <br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is so.eone otber than the <br />"owner", I certify tbat I bave obtained a copy of the above described docUlent and pro.ise in good faith to deliver it to the <br />"owner" prior to couencelent. <br /> <br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT <br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all <br />applicable laws regulating construction, zoning, and land develop.ent. <br /> <br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or <br />installation bas cOllenced prior to issuance of a per.it and that all work will be perfomed 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 tbat the regulations of otber goverDlental agencies laY apply to the intended work, and that it is <br />,y responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not li.ited to: <br />t Departlent of EnviroOlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, <br />Water/Wastewater Treatlent <br />t Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />t Ar.y Corps of Engineers - Seawalls, Docks, Nav~gable Waterways <br />t Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks <br />t US EnviroDlental Protection Agency - Asbestos abatelent <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 RCOlpensating volUleR will be sub.itted which is prepared by a professional engineer registered in the State of <br />Florida ~rior to per.it, issuance. <br /> <br />A per.it issued sball 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 tbe technical codes, nor shall issuance of a per.it prevent the Building Official frOJ thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Every pemit issued sball beCOle invalid <br />unless the work authorized by such per.it is cOllenced within six IOnths of issuance, or if work authorized by the per.it is <br />suspended or abandoned for a period of six IOnths after the tile the work is cOllellced. One 90 day l!Itension of tile, laY be <br />allowed for the pem~t with fee cbarge of $15.00. Tbe 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 />WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEHBIft'S TO YOUR <br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AnORHEY BEFORE RECORDING YOUR tfO!ICE OF <br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NO! NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". <br /> <br />~(),.p~ ...~if~ <br /> <br />~~ OWIfER OR AGENT ~COIfTRACTOR <br /> <br />STATE OF FLORID~,,:---., <br />COUHTY OF 'f-" ~ <br />The foregoing instrument was acknowledged <br />before me this~, 19~ by <br /> <br />who is personally own to me or who has <br />produce <br />as identification and who did/did not <br />take an oath~~ ~~, <br /> <br />(Signature) -/..f..J q lJ;( ~) u -0 <br /> <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br /> <br />STATE OF FLORIDA ~ <br />COUNTY OF r- ~ <br />The foregoing instrument was acknowledged <br />before me this ~_ /P--, 19 ~ by <br /> <br />---====--- <br />who is~rSOnallY !)lown to me or who has <br />produce <br />as identification and who did/did not <br />take an Oatl1.J1~~ /h. ~ <br /> <br />(Signature) cr <br /> <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br /> <br />"~\~~''- Nancy A. Mouctt <br />'J~i)~:\ M'f COMMISSION , CC534806 EXPIRES <br />,~. : : FebruaIy 21,2000 <br />'1i""~' ElOIIllED'MIl1l'llVFAlNIN8UlWlCE.11IC <br />'Rr..\" <br /> <br />!""'~' <br />",~i t. Nancy A. MO:;i, <br />:>~.. '" <br />~*: :*~ MY COMMISSION * CCI'::l.<'" <br />:'~-i..h... ~~~ February 2" )(>;' <br />"-I"r?fl1~~ BONDED THRU TROY FAIN :;-:'. <br />