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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 lay be lOre restrictive than City <br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. <br /> <br />B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br />If the owner bas bired a contractor or contractors to undertake work, they lay 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing <br />requireJents laY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (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' 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 laY be an indication that he is not properly licensed and is not entitled to perlitting 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 IFlorida's Construction Lien Law - HOIeowner's Protection <br />Guidelt prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the <br />Hownerl, I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the <br />lowner" prior to COIlenCeJel\t. <br /> <br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT <br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance 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 cOllenced prior to issuance of a perlit and that all work will be perf oIled to leet standards of all laws <br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also <br />certify that I understand that the regulations of other goverDJental 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 lilited to: <br />t Departlent of Bnvironlental Regulation - Cypress Bayheads, Wetland Areas and Knvironlentally Sensitive Lands, <br />Water/Wastewater Treatlent <br />t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />t Arly Corps of Engineers - Seawalls, Docks, Navigable Waterways <br />t DepartJent of Health i Rebabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks <br />t US EnvirODlental Protection Agency - Asbestos abateJel\t <br />I also certify that, if fill laterial is to be used in Flood Zone ItAH or "A, etc. H, it is understood that a drainage plan <br />addressing a ICQlpensating volUle' will be sublitted which is prepared by a professional 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 frDl thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Ivery peIlit issued shall beCOle invalid <br />unless the work authorized by such perlit is CODenCed within sixlOnths of issuance, or if work authorized by the perlit is <br />suspended or abandoned for a period of six JOnths after the tDe the work is cOllenced. One 90 day I!ltension of tile, lay be <br />allowed for the perlit with fee charge of $15.00. The I!ltension shall be requested in writing to the Building Official. An <br />approved inspection lUst be logged during each six JOnth period, or the project will be considered abandoned. <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOIICE OF COHHDCKHIBT HAY RESULT IN YOUR PAYING !WlCE FOR IHPROVIMIK1'S TO YOUR <br />PROPKRTY. IF YOU IBDD TO O1l'I'AIH FIWCIlfG, COIISDLT WITH YOUR LBHDER OR All AnoRIIIY':BEFORE RECORDIIIG YOUR JlOIICI OF <br />CllIIIIJICIlIlEIIT. JOBS IlIDIlIl 12.500 [I VALUE 00 IIIlr IIID fO RIlClIIIlIID POSr I 'IIIlr[CI OF ~. <br /> <br /> <br />~~ 8[006 tr <br /> <br />STATK OF FLORID~ <br />COmy OF ~ <br />The foregoing inst ent was acknowledged <br />before e this "7 ~"-'"i 19~ by <br /> <br /> <br />STATE OF FLORI~ <br />COUmOF . ~ <br />The foregOing ins~ent was aC~OWledged <br />before e this "7 ~==--, 197: by <br />, <br /> <br /> <br />w 0 is personal <br />produced <br />as identification <br />take h <br /> <br />has <br /> <br />who is person <br />produced <br />as identification and who did/did not <br /> <br />~~/;D~_ <br /> <br />19nature) ~ - <br /> <br /> <br />(Namf! Typed, ~~JJted <br />NOTARY PUBLI~~' <br />* * <br />~ ~ <br />-r" ~ <br />~ OF f~\)" <br /> <br />or Stamped) <br /> <br />BOBBIE J BURKE <br />My Comminlon CCS43871 <br />Expires Mat. 31. 2000 <br /> <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br /> <br />ooo~. ~€ 'J"'III/ S8J!dX3 <br />~L.8€~OO U<>!SSIUJU'OO ~III/ <br />3>1l:lna r 318808 <br /> <br />~\)'HD #.( <br /> <br />~.~ <br />... oil <br /> <br />1(.. 1(.. <br />~~ ~ <). <br />'It" ~ll"" <br />