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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />Tbe undersigned understands that this peflit lay be subject to "deed restrictions" wbich 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 lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing <br />requirements lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) <br />788-6611. <br /> <br />Furtheraore, if the owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the <br />"Contractor Sections I 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 be is not properly licensed and is not entitled to peIlitting privileges in the <br />City of Zepbyrbil1s. <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 witb a copy of uFlorida's Construction Lien Law - Hoaeowner's Protection <br />Guide" pcepared by the Florida Depart:lent of Agriculture and ConsUJel" Affairs. If the applicant is sOleone other than the <br />uowneru, I certify that I bave obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the <br />"owner" prior to couenceaent. <br /> <br />E. CONTRACTOR'S/OWNER'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 developaent. <br /> <br />Application is bereby lade 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 peIlit and that all work will be perf oIled to leet standards of all laws <br />regulating construction, City codes, zoning regulations, and land develop_ent regulations in the jurisdiction. I also <br />certify that I understand that the regulations of other governaental agencies lay apply to the intended work, and that it is <br />-y responsibility to identify wbat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to: <br />* DepartJent of Environaental Regulation - Cypress Bayheads, Netland Areas and Environaentally Sensitive Lands, <br />Nater/Nastewater Treablent <br />* Southwest Florida Nater Manageaent District - NeIls, Cypress BaYheads, Netland Areas, Altering Natercourses <br />* ArJY Corps of Engineers - Seawalls, Docks, Navigable Naterways <br />* DepartJent of Health & Rehabilitative Services, Environaental Health Unit - NeIls, Nastewater Treablent, Septic Tanks <br />* US Environaental Protection Agency - Asbestos abateaent <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 uCOlpensating volUleu will be subtitted whicb is prepared by a professional engineer registered in the State of <br />Florida prior to perlit issuance. <br /> <br />A per_it 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 per_it prevent the Building Official frOl thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued sball becOle invalid <br />unless the Nork authorized by such perait is cDllenced within six IOnths of issuance, or if work authorized by the perlit is <br />suspended or abandoned for a period of sil IOnths after the tile the work is cOllenced. One 90 day extension of tile, lilY be <br />allowed for the perait 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 six IOnth period, or the project will be considered abandoned. <br />NARNING TO ONHER: YOUR FAILURE TO RECORD A NOTICE OF COMMEKCEHEH1' HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEHEKTS TO YOUR <br />PROPERlY. IF YOU IKtEHD TO OB'fAIK FlHAHCING, COKSULT WITa YOUR LBIDER OR AI ATTORKEY BEFORE RECORDING YOUR NOTICE OF <br />COMKENCFJmHT. JO $2,500 IN VALUE DO NOT tiERJ TO RECORD AND POSt A" CE OF COMMENCEMEH1'''. <br /> <br />~ <br /> <br /> <br /> <br />'~' {i; <br />---- ---- ',-. ~ ~ <br />SIGNATURE: CONTRACT 7 <br /> <br /> <br />STATE OF FLORIDA ~ <br />COUNTY OF ,- ~ <br />The foregoing instrument was acknowledged <br />tiJi. 9/':' ~ , 19~ by .Lr <br /> <br /> <br />w is persona ly known to me <br />pJ;QEklcee <br />as identification and who ill/did not <br />take an oath. <br /> <br /> <br />(Signat <br /> <br /> <br />,."t "III <br />"'......ws.(... <br />;W~* <br />"" ... <br />~ ~ <br />/'F OF f\.<:>'l' <br /> <br />BOB8IE J BURKE <br />My CommissionCC543871 <br />Expires Mar. 31. 2000 <br /> <br />(Name Typed, Print d <br />NOTARY PUBLIC ...,."t ""#( <br />~n1- <br />*~* <br />""-:'~~'" <br />/'F OF f\'\). <br /> <br />BOBBIE J BURKE <br />My CommiSMon CC543871 <br />expires Mar, 31. 2000 <br />