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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />Tbe undersigned understands that this perJit lay be subject to Pdeed restrictions" wbicb tay'be lOre restrictive than City <br />regulations. Tbe undersigned assUles responsibility for cOlpliance witb any applicable deed restrictions. <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPON~IBILITIES <br />If the owner bas bired a contractor or contractors to undertake work, they tay 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 tay be <br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing <br />requiretents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) <br />788-6611. <br /> <br />FurthertOre, if tbeawner 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 owner sign as the contractor, <br />you are indicating that you, rather than tbe contractor, are responsible for the work. If the contractor wisbes 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 Zepbyrbills. <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 - Hoteowner's Protection <br />Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is sOteone' &tiler than the <br />"owner", I certify that I bave obtained a copy of the above described dOCUleDt and prOlise in good faith to deliver it to the <br />"owner" prior to couencetent. <br />~ <br />E. CONTRACTOR I S fOWNER I S AFFIDAVIT <br />I certify that all the infortation in tbis 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 cOllenced prior to issuance of a perJit and that all work will be perforaed 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 governtental agenCies aay apply to the intended work, and that it is <br />IY responsibility to identify what actions I lust take to be in colpliance. Sucb agencies include but are not lilited to: <br />* Departlent of Environtental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, <br />Water/Wastewater Treatlent <br />* Southwest Florida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />* ArJY Corps of Engineers - Seawalls, Docks, Navigable Waterways <br />* DepartJent of Health & Rebabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks <br />* US EnvirODJeDtal Protection Agency - Asbestos abatetent . <br />I also certify that, if fill laterial is to be used in Flood Zone "A. or PA,etc.", it is understood that a drainage plan <br />addressing a .cOlpeDsating volute" will be subtitted 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 witb the work and not as authority to violate, cancel alter, or <br />set aside any provisions of the technical codes, nor sball issuance of a pertit prevent the Building Official frOt thereafter <br />requiring a correction of errors in plans, construction, or VIolations of any code. Every perJit issued shall beCOle invalid <br />unless the work authorized by sucb perJit is cOllenced within six IOnths of issuance, or if work authorized by the perJit is <br />suspended or abandoned for a period of six IOntbs after the tite the work is cooenced. One 90 day I!Itension of tile, lilY be <br />allowed for the perJit with fee charge of $15.00. Tbe I!Itension 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 OWRER: YOUR FAILURE TO RECORD A NOTICE OF COMMEIICEMElft' MAY RESULT IN YOUR PAYING 'NICE FOR IMPROYBMmS TO YOUR <br />PROPERTY. IF YOU IHTEND TO OB'lAIN FINANCING, CONSULT WITH YOUR LENDER OR All AftOHm' BEFORE RECORDING YOUR IOTICE OF <br />C NCEMEtrr. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMEHT". <br /> <br />L A:M -~- <br /> <br />SIGNATURE: cmp <br /> <br /> <br />STATE OF FLORID~ <br />COllNTY OF . ~u sC 0 <br />The foregoing instrument was acknowledged <br />before me this Feb. 14 , 19!12 by <br /> <br />Jo..mes L..' ''SlA.r\'\&\Je.. <br />who is ~rsonall y known to me. or He has <br />pE:9duced <br />as identification and whv dId/did not <br /> <br />tak~~'V a ,~ <br />(Sign~J:u:r;'l)1 A H ,~ <br />K4T,. ec::.^ . en. ~ <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br /> <br />STATE OF FLORIDA I.) <br />COUNTY OF I C{sc () <br />The foregoing instrument was acknowledged <br />before me this l=("b 14 , 19~ by <br /> <br />Sieve t>oz.erna.n <br />who is personally known to me or w~s <br />pradY.eed <br />as identification and who did/did not <br />take an 9~. h. /; --,j I <br />~pp~ u-~' <br />(Signat~;e]J f . 11, I . <br />~T1tleerl n L ttelt t::.. <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br /> <br />KATHLEEN A. HENK <br />Notary Public, Slate 01 Florida <br />My Comm. Expires July 5, 1998 <br />No. CC 376761 <br />Bonded Thru ctth'lal Notary ~mll" <br /> <br />KATHLEEN A. HENK <br />Notary Public, Slale 01 Florida <br />My Comm. Expires July 5, 1998 <br />No. CC 376761 <br />Bonded Thru cttfi,lal Notary ~Fr.I" <br />