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<br />- .../ <br /> <br />CONDITIONS OF P?.FM::: AFFT..!)AVI~ <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that t:his parmi.l: mil~' be ~;u.b.ieGt: '::0 "deed restrictions" which <br />may be more restrictive than City regulations. Th.:: ,lnd'~r~)i.9ned assumes respons1b111ty tor <br />compliance with any applicable dead rest:J:ict:ion~;.. <br />B. UNLICENSED CONTRACTORS AND CONTRACTOH RI~SP~)NSI]3II~IrIE:~) <br />If the owner has hired a contractor or contractors to underci:tke work, they may be required <br />to be licensed in accordance with state and lOGe,1 :reo;JulatiCln:3. If the contractor is not <br />licensed as required by law, both the owner and contJ:a.ci:OI: may be cited for a nusdemeanor <br />violation under state law. If the owner or intendl~d GOntrcLG'c:or are uncertain as to what <br />licensing requirements may apply for the intended l-lor.k, they are advised to contact the <br />City of Zephyrhills Building Department, 813-'788-6611. <br />Furthermore, if the owner has hired a contracto!" or Gon1:rac:1:ors, he is advised to have the <br />contractor (s) sign portions of the "Contractor' Sec1:ions" of 1:his application for which they <br />will be responsible. If you, as the owner signs CiS the contractor, you are indicating that <br />you, rather than the contractor, are responsible for thl~ lrlork. If the contractor wishes <br />you to sign as contractor that may be an indic,:l.tion thai: 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 CONNEC~rION FEES <br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STA'fUTI!:S, 1\5 AMENDED) <br />I certify that I, the applicant, have been provided. with .:1. copy of "Florida's Construction <br />lien Law - Homeowner's Protection Guide" prepared by thl~E'lorida Department of Agriculture <br />and Conswner Affairs. If the applicant is someone othejr .that the "owner", I cerify that I <br />have obtained a copy of the above described doewnent 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 applica1:ion :Lsaccurate and that all work will <br />be done in compliance with all applicable laws regulatin<g construction, zoning, and land <br />development. <br />Application is hereby made to obtain a permit .to do work ..md installation as indicated. I <br />certify that no work or installation has commenced prioJr .to issuance of a permit and that <br />all work will be performed to meet standards of all lawst'egulating construction, City <br />codes, zoning regulations, and land development regulat:Lolrls in the jurisdiction. I also <br />certify that I understand that the regulations of other govl~rnmental agencies may apply to <br />the intended work, and that it is my responsibility to id1en1t:ify what actions I must take to <br />be in compliance. Such agencies include but are not limi.ted to: *Department of <br />Environmental Regulation-Cypress Bayheads, Wetland Areas ,:l.nd Environmentally Sensitive <br />Lands, Water/Wastewater Treatment <br />*Southwest Florida Water Management District-WeIll:!, Cyp:re,ss 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 <br />understood that a drainage plan addressing a "compensating '\folwne" will be submitted which <br />is prepared by a professional engineer registered in the Sti:l.te of Florida prior to permit <br />issuance. <br />A permit issued shall be construed to be a license to p.~oceled with the work and net 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 IOf any code. Every permit <br />issued shall become invalid unless the work autho.rized 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 time <br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested <br />in writing to the Building Official. An approved inspection must be logged during each 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 COMMENCEMENT. JOBS UNDER <br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". <br /> <br />SIGNATURE: OWNER OR AGENT <br /> <br />SIGNATURE: CONTRACTOR <br /> <br />acknowledged <br />1!L- <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />The foregoing instrument was <br />Before me this _day of <br />by <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />The foregoing instrument was <br />BefOre me this _ day of <br />by <br /> <br />acknowledged <br />19 <br /> <br />(name of person ackno~ledged) <br />Owho is personally known to me, or <br /> <br />(name of person acknowledged) <br />[1ho is personally known to me, or <br /> <br />o who has produced <br />(type <br />and whoD did D did not <br /> <br />of identification) <br />take an oath. <br /> <br />Signature of person taking acknowledgement <br /> <br />Signature of person taking acknowledgment <br /> <br />Name typed, printed or stamped <br /> <br />Name typed, printed or stamped <br />