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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />ihi und~rsigned understands that this per.it .ay be subject to 'deed restrictions' which lay be lore restrictive than City <br />regulatIons. The undersigned alSU1e1 responsibility for co.pliance with any applicable deed restrictions. <br /> <br />B. UNLICENSED CONTRACTORS ~ND CONTRACTOR RESPONSIBILITIES <br />If the owner has hired a contractor or contractors to undertake work, they aay be re1dired to be licensed in accordance with <br />state and local regulations. If the cont'ractor i~notlicensed as required by law, b,)th the OlCner and contractor lay be <br />cited for a .isde.eanor violation under state law'. If the owner or intended contractor are uncertain as to Khat licensing <br />require.ents .ay apply for the intended work, ther are advised to contact the City of Zephyrhills Building Departlent, (8131 <br />788-6611." i' <br /> <br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 w~rk. If the contractor wishes you to sign <br />as contractor 'that .ay 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 />. 7 <br /> <br />D. CONSTRUCTION LIEN LAW (CHAPTER 713. FLORIDA STATUTES. AS AMENDED) <br />I tertify that I, the applicant, have been provided with a copy of ~Florida's Construction Lien L~w - HOleowner's Protection <br />G~~de' prepared by the Florida Departlent of Agriculture and Consuler Affairs.' If the applicant is sOleone other than the <br />'owner', I certify that I have obtained a copy of the above described docu.ent and prolise in good faith to deliver it to the <br />'owner' prior to co..ence.ent. <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br />I certify that all the infor.ation in this application is accurate and that all work riill be done in co.pliance with all <br />applicable laws regulating construction, zoning, and land developlent. <br /> <br />Application is hereby lade tQ obtain a perlit to do work and installation as indicated. I certify that no work or <br />installation has co..enced prior to issuance of a per.it and that all work will be perforled to leet standards of all laMS <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 govern.ental agencies lay ap~ly to the intended work, and that it is <br />.y responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not li.ited to: <br />f Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environaenially Sensitive Lands, <br />Water/Wastewater Treat.ent <br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland ArE1s, ,Altering Watercourses <br />t Ar.y Corps of Enaineers - Seawalls, Docks, Navigable Waterways <br />f Depart.ent of Health & Rehabilitative Services. .Environ.ental Health Unit - Wells, ~astewater Treat.ent, Septic Tanks <br />f US Environlental Protection AQency - Asbestos abatelent <br />I also certify that, if fill aaterial is to b~ used in Flood Zone 'A' or 'A,etc.., it is understood that a drainage plan <br />addressing a 'colpensating volu.e' will be sublit~ed which is prepared by a professioral engineer registered in the State of <br />Florida prior to pertit issuance.' <br /> <br />A perlit 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 perlit prevent the Building Official frol thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid <br />unless the Mork authorized by such perlit is COI.enced within six lonths of issuance~ or if work authorized by the perlit is <br />suspended Dr abandoned for a period of six lonths after the ti.e the work is COI.enC2(. One 90 day extension of tile, lay be <br />allowed for the perait with fee charge of $15.00. The extension shall be requested ~n writing to the Building Official. An <br />approved inspection lust be logged during each six aonth period, or the project Mill oe considered abandoned. <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR <br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORN~Y BEFORE RECORDING YOUR NOTICE OF <br />COKK CEKENT. JOBS UNDER $2,500 I D NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENC <br /> <br /> <br /> <br />STATE OF flORIDA <br />COUNTY OF PA SeD <br />The foregoing instrument <br />before me this ",llA~ 2.3 <br /> <br />was acknowledged <br />, 19 cj:'l by <br /> <br />STATE OF FLORIDA <br />COUNTY OF P A_Seo _ <br />The foregoing instrument was acknowledged <br />befol-e me this JUI'<- 2-_3 , 19.:t2- by <br /> <br />, ).p 'to ~ ~ J. '} .p O-...r"Uv <br />who is personal I y known to me or ",Ill) has <br />p.oduc:ed <br />~s ideR\ific:a\~iOand who ~/did not <br />take an oath. /~ 1- C r/J <br />aJ~ a()(k,~ <br />(Signature) <br /> <br />-.J ex 6 m..e.... w, Pc.u-t.v{ <br />who is pel-s(.nall y kn(owll to me (oJ-wllo ha!!l <br />pr6Bue:cd <br />as idliint;ficiOItiQ\l and whoEH-&/did nc.t <br />take an oath.(~ .&u~ <br /> <br />(Signature) <br /> <br />(Name Typed,Pr1nted or Stamped) <br />NOTARY PUBLIC <br /> <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLI C <br /> <br /> <br /> <br />NAfALIE SWAN <br />Not.lry f'ublie, Stot. of Florid. <br />My Comm. EKP, Oet. 12. 1999 <br />Comm. No. CC 501333 <br /> <br />NATALIE SWAN <br />Notary Public, State of Florida <br />My Comm. EKp. Oct. 12, 1999 <br />OQmm. No. CC 501333 <br />