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<br />CONDITIONS OF FERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that tbis pemit lay be subject to .deed restrictions. which laY be lOre restrictive than,City <br />regulations. 'be undersigned assUles 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 laY be <br />cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing <br />requireJeDts lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (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 be is not properly licensed and is not entitled to perlitting privileges in the <br />City of Zepbyrhills. <br /> <br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES <br /> <br />D. CONSTRUCTION LIEN ~AW (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 - HOJeowner's Protection <br />Guide. prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone other tban the <br />DownerD, I certify that I bave obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the <br />"ownerD prior to coaencl!Ient. <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 develo.-ent. <br /> <br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or <br />installation bas cOllenced prior to issuance of a perlit and that all work will be perforJed to leet standards of all laws <br />regulating construction, City codes, zoning regulations, and land develo.-ent regulations in th~ jurisdiction. I also <br />certify that I understand that the regulations of other goveIDJeDtal agencies JaY apply to the intended work, and that it is <br />IY responsibility to identify wbat actions I lUst take to be in cOlpliance. Sucb.agencies include but are not lilited to: <br />t DepartJent of EnviroDJeDtal Regulation - Cypress Baybeads, Wetland Areas and EnvironJentally Sensitive Lands, <br />Water/Wastewater Treatlent <br />t Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />t Amy Corps of Engineers - Seawalls, Docks, Mavigable Waterways <br />t DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks <br />t US EnviroDJeDtal Protection Agency - Asbestos abatelent <br />I also certify that, if fill laterial is to be used in Flood Zone "AR or RA,etc.", it is understood that a drainage plan <br />addressing a uCOlpensating VOlUleR will be sublitted wbich is prepared by a professional engineer registered in the State of <br />Florida prior to perlit. issuance. <br /> <br />. A perlit issued sball 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 sball issuance of a pemit prevent the Building Official frOl thereafter <br />requiring a correction of errors in plans, construction, or VIolations of any code. Every perlit issued shall beCOJe invalid <br />unless the work authorized by such perlit is cOlleDced within six IOnths of issuance, or if work authorized by the perlit is <br />suspended or abandoned for a period of six IOntbs after the tile the work is couenced. One 90 day extension of tile, JaY be <br />allowed for the pemit with fee cbarge 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 />WARHIMG TO OVMER: YOUR FAILURE TO RECORD A MOTICE OF COMMEMCEMEM'l MAY RESULT IN YOUR PAYIMG TWICE FOR IMPROVEMEMTS TO YOUR <br />PROPERTY. IF YOU III'fEND TO OBTAIM FINBCING, CONSULT WITH YOUR LENDER OR All AnORREY BEFORE RECORDING YOUR NOTICE OF <br />COMMENCEMENT. JOBS UNDER $2,500 1M VALUE DO MOT NEED TO RECORD AIID POST A uNOTICE OF COMMENCEMEIlT". <br /> <br /> <br />~ ~.-..,~~.. ..'---", <br />~- ,- ~ 0~ -.~~ <br />SIGlA~ ... -cc::>_. ,/'SIGIIf."~. __. --- <br /> <br />'---...-.-.-. <br /> <br />STATE OF FLORIDA // <br />COUNTY OF rR/5 CO <br />The foregoing inst~ent was acknowledged <br />before me this :3 3 , 19-2;2 by <br /> <br />STATE OF FLORIDA /J <br />coum OF /' rftc5'" Cd <br />The foregoing inst~~t was acknowledged <br />before me this 2f-2 , 19-U by <br /> <br />who is personally known to me or who has <br />produced <br />as identification <br />take an oath. <br /> <br />who is personally known to me or who has <br />produced <br />as identification and. ~w~ did/did not <br />take an oath.~ ~ <br /> <br />(Signature) <br /> <br />(Signature) <br /> <br /> <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLI ,........., KEITH CORREIA <br />f:'t:&If>..r~~?;: MY COMMISSION f# CC 451416 <br />tJ. :,yj EXPIRES: May 13. 1999 <br />~..",.. '0';"" b......... Thru .......~ PublIc UndeIWll1lr8 <br />"",Rr..r~,'"'' OUIIUVU 1"''''' <br /> <br />(Name Typed, Pro <br />NOTARY PUBLIC <br /> <br /> <br />""~";"" KEITH C RREIA <br />!~~..~~ MY COMMISSION' CC 451416 <br />J;J exPIRES: May 13. 1999 <br />....'<f,/ Bonded ThIll NoIIIY PublIc lJIIdeIWI\lIIS <br />u" <br /> <br />.,. <br />