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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this peIlit lay be subject to "deed restrictions" which lay be lOre restrictive than City <br />regulations. The undersigned assUles responsibility for cOIpliance with any applicable deed restrictions. <br /> <br />B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br />If the owner has hired 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 lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing <br />requireaen~ 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, be 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 OlDer sign as the contractor, <br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes 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 'Florida's Construction Lien Law - HOIeOIDer's Protection <br />Guide" p{epared by the Florida DepartJent of Agriculture and ConsUIeI Affairs. If the applicant is sOleone other than the <br />RownerU, I certify that I have obtained a copy of the above described docuaent and prolise in good faith to deliver it to the <br />Rowner' prior to COIIeDCeJent. <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 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 bas cOIIeDced 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, zoning regulations, and land developlent regulations in the jurisdiction. I also <br />certify that I understand that the regulations of other goveI1lII8Iltal 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 />* Departlent of BnvironJental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, <br />Water/Wastewater Treatlent <br />* Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />t ArlY Corps of Bngineers - Seawalls, Docks, Navigable Waterways <br />* DepartJent of Health & Rehabilitative Services, BnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks <br />* US BnvirODJeDtal Protection Agency - Asbestos abateaent <br />I also certify that, if fill laterial is to be used in Flood Zone "An or "A,etc.", it is understood that a drainage plan <br />addressing a 'COIpensating volUJe' will be sublitted which is prepared by a professional engineer registered in the State of <br />Florida prior to peIlit issuance. <br /> <br />A perJit 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 the technical codes, nor shall issuance of a peIlit prevent the Building Official frOl thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued sball becOle invalid <br />unless the work authorized by such peIlit is cOlIBnced 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 cOllenced. One 90 day extension of tile, lilY be <br />allowed for the peIlit with fee charge of $15.00. Tbe extension shall be requested in writing to the Building Official. An <br />approved inspection lUSt be logged during each sillODth period, or the project will be considered abandoned. <br />WARNIIIG TO OWNBR: YOUR FAILURE TO RBCORD A IIOTICK OF COHHEIICBMEN'l MAY RBSULT III YOUR PAYING fWICK FOR IHPIlOVEMEKfS TO YOUR <br />PROPERTY. IF YOU IN'lBIID fa 0Bf111l FIWCIIIG, CONSULT WlfH YOUR LENDER OR 1M AnoRIIEY BEFORB RBCORDING YOUR IIOTICH OF <br />COMMEHCBHBIIt'. JOBS ER $2,500 III VALUE DO HOT HEED TO RBCORD AND POST A I OF COMHBIICEMBN'l". <br /> <br /> <br /> <br /> <br />L/ <br /> <br />" <br /> <br />who is personally <br />padllced <br />as identific <br />take an 0 <br /> <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />The foregoing ins <br />before me this <br /> <br /> <br />"----.. <br />me 01' weB AiLS <br /> <br />who is personally <br />p!'Odul,;ed <br />as identifica <br />take an 0 <br /> <br />has .- <br /> <br />and who di id not <br /> <br />~~.~ <br /> <br />(Nam~ Typed, Printed or Stamped) <br />NOTARY PUBLIC <br />"",. PI/I( <br />.... .6.: 10 BOBBlE J BURKE <br />*W* My Commlnlon CC543871 <br />Explr8II M.... 31, 2000 <br />"'; ""~ <br />.,~, Of f~"'~ <br /> <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br />..'\"~#(" <br />'" ~ BOBBlE J BURKE <br />*U'* My Commission CC543871 <br />Expkes M.... 31, 2000 <br />"'; . ~~ <br />.,~~ OF f~"'~ <br />