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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />Ah NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this permit may be subject to ~deed restrictions" which <br />may be more restrictive than City regulations. The undersigned assumes responsibility for <br />compliance with any applicable deed restrictions. <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br />If the owner has hired a contractor or contractors to undertake work, they ma~,p~ r~q~~~~? <br />to be licensed in accordance with state and local regulations. If the contractor is not <br />licensed as required by law, both the owner and contractor may be cited for a mis.d~eanor <br />violation under state law. If the owner or intended contractor are uncertain as 't'o "what ~, <br />licensing requirements may apply for the intended work, they are advised ,to co~tac:t t~~." <br />City of Zephyrhills Building Department, 813-788-6611. ..' ~. <br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the <br />. :: ':,,-; '"' <br />contractor(s) sign portions of the ~Contractor Sections" of this application for which'they <br />will be responsible. I f you, as the owner signs as the contractor, you are i~dicating "tp.,at <br />you, rather than the contractor, are responsible for the work. If the contractor wishe's" , <br />you to sign as contractor that may be an indication that he is not properly licensed and is <br />not entitled to permitting privileges in the City of Zephyrhills. <br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES <br />D. CONSTRUCTUION 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 <br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture <br />and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify that I <br />have obtained a copy of the above described document and promise in good faith to deliver <br />it to the ~owner" prior to commencement. <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br />I certify that all the information in this application is accurate and that all work will <br />:. .: ;, \ " <br />be done in compliance with all applicable laws regulating construction, zoning, and land' <br />development. <, . 'n ( <br />Application is hereby made to obtain a permit to do work and installation as indic:at~#'j I <br />certify that no work or installation has commenced prior to issuance of a permit'and'that <br />all work will be performed to meet standards of all laws regulating construction, City <br />codes, zoning regulations, and land development regulations in the jurisdiction. I also <br />certify that I understand that the regulations of other governmental agencies may apply to <br />the intended work, and that it is my responsibility to identify what actions I must take to <br />be in compliance. Such agencies include but are not limited to: *Department of <br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br />Lands, Water/Wastewater Treatment <br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, <br />Altering Watercourses <br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways <br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, <br />Wastewater Treatment, Septic Tanks <br />*U.S. Environmental Protection Agency-Asbestos abatement <br />I also certify that, if fill material is to be used in Flood Zone ~A" or ~A,etc."; it is i ! <br />understood that a drainage plan addressing a ~compensating volume" will be submitted which <br />is prepared by a professional engineer registered in the State of Florida prior to 'permit <br />issuance. <br />A permit issued shall be construed to be a license to proceed with the work and not:as;' <br />authority to violate, cancel, alter, or set aside any provisions of the technical codes, <br />, nor shall issuance of a permit prevent the Building Official from thereafter requiring a <br />correction of errors in plans, construction, or violations of any code. Every}:pEi.qnit'Y., <br />issued shall become invalid unless the work authorized by such permit is commenced within <br />six months of issuance, or if work authorized by the permit is suspended or abandoned for a, <br />period of six months after the time the work is commenced. One 90 day extension of!X~e~ <br />may be allowed for the permit with fee charge of $15.00. The extension shall be ,~e~u~s~~d <br />in writing to the Building Official. An approved inspection must be logged duringfeach'six <br />month period, or the project will be considered abandoned. <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT <br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO NCEMENT. :'JOBS;'UNOER <br />$2,500 IN VALUE DO T NEED TO RECORD AND POST A ~NOTICE OF COMMENC ENT". <br /> <br />":"':i,~'..' ,..- <br /> <br /> <br /> <br /> <br />'. 1 <br /> <br />STATE F FLORIDA~ 0 <br />COUNTY OF ~ <br />The foregoing,instrument wa~ aCkn?W,Jledg:~ <br />Before me this ~ day of ~()~!H1, 19-!.1 <br />by <br />. t (name of person acknowledged) <br />ho is personally known to me, or <br /> <br />who has produced <br />(type of identification) <br />Ddid not take an oath. <br /> <br />STATE OF FLORIDA ~ ^ <br />COUNTY OF ia..oc.u <br />The foregoing instrument w~ ackn~edge~9 <br />Before me this I~~ day of V~ , 19~ <br />by ,....','"" "P'''r'''~ <br /> <br />~ (name of person acknowledged) <br />r'ho is personally known to me,.,tor'V ';:' <br /> <br />o who has produced <br />(type of identification) <br />DUd not take an oat1i~'>"o <br /> <br /> <br /> <br />Name typed, P!il}t~~.Il1lts~ <br />* Commiaaion CCS74208 <br />~..~ Expire, OctOber 25, 2003 <br /> <br />Name ~"2'i~~ stamped <br />* ~ CCS7420S <br />~..~ EXJlIt'eI October 25,2003 <br />