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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 ~re restrictive than City <br />regulations. The undersigned assu.es responsibility for cOlpliance with any applicable deed restrictions. <br /> <br />B. UNLICENSED 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 IIiIY be <br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing <br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Deparblent, (813) <br />788-6611. <br /> <br />Further~re, 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 fot the work. " If 'the contractor wishes you to sign <br />as contractor that aay 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 - HOIeowner's Protection <br />Guide" prepared by the Florida DepartJent of Agriculture and ConsllEr Affairs. If the applicant is sOlleone other than the <br />"owner", I certify that I have obtained a copy of the above described docu.ent and prOllise in good faith to deliver it to the <br />"owner" prior to co..encelent. <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 has cOllenced 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 goveIDIeDtal agencies aay apply to the intended wort, 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 />* DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, <br />Water/Wastewater Treablent <br />* Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways <br />* Deparblent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks <br />* US EnvirODlental Protection Agency - Asbestos abatelent <br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A, etc. ", it is understood tbat a drainage plan <br />addressing a "cOllpensating volu.e" will be sublitted whicb 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 tbe 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 frOll thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOle invalid <br />unless the wort authorized by such pertit is cottenced within six ~ntbs of issuance, or if work authorized by the pertit is <br />suspended or abandoned for a period of six IOnths after the till! the work is cOllenced. One 90 day extension of tile, lay be <br />allowed for the perlit with fee charge of $15.00. Tbe extension sball 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 />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMEIft'S TO YOUR <br />PROPERTY. IF YOU IN'l'END TO OBTAIN FIMAlICING, CONSULT WITH YOUR LENDIR OR All AnORNIY BEFORE RECORDIMG YOUR MO'I'ICE OF <br />COMMENCEMENT. JOBS UNDER $2,500 1M VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". <br /> <br /> <br />~~ ~//(~- <br />810011lllE: OOHII 011 AGEIl! ,. . -.. . 8100TURll : CIIIITIlICTOII <br /> <br />STATE OF FLORIDA <br />coum OF ~~U:> <br />The foregoing instrument was aCknowledged <br />before me this ?14 ~ ~, 19~ by <br /> <br />V~~ \. fflllhM <br />who is personally known to me or who has <br />produced "1 ~ <br />as identificati n and who <br />take an oath. <br /> <br />STATE OF FLORIDA <br />COUNTY OF l~~c..b <br />The foregoing instrument was acknowledged <br />before me this ~ hJo , 19ID- by <br /> <br />Vak..Q.. Ml l-n,Y\ <br />who is personally known to me or who has <br />produced J.j ~ <br />as identificatio and who -ctilIi,ldid not <br />take an oath. - <br /> <br />(Signature) <br /> <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC . OU\llf\ A.. Lovm '. <br />~~..(. Notary Pu;lic, Zlale of Flon~a <br />:; ~ My comm. ey.pirp.~}~ly 28, 2000 <br />I" n I r~mm. No. (",)12916 <br /> <br /> <br />(Signature) <br /> <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC OliVIA A. LOvm .. <br />. .~''''- "FI ';j <br />_yo ~ Notary Puidlic, "late of on..a <br />., -: My comm. expires July 28, 2000 <br />% n G0mm. No. CC572916 <br /> <br />