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r ' CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it .ay be subject to "deed restrictions" which .ay be .ore restrictive than City regulations. The undersigned assules responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor .ay be cited for a .isdeteanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813) 788-6611. Further.ore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorlsl sign portions of the "Contractor Sections" of this application for which they will be responsible. If y~u, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for th~ work. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled t~ perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED> I certify that I, the applicant, have been provided with a copy of "Florida's C~nstruction lien law - Ho.eowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is soteone other than the "owner", I certify that I have obtained a copy of the above described d~culent and promise in good faith to deliver it to the "owner" prior to cOI.encelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated, I certify that no work or installation has cOI.enced prior to issuance of a perlit and that all work will be perforled to teet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in coepliance. Such agencies include bllt <OJ e not li.ited to: I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Lands, Water/Wastewater Treat.ent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatment. Septic Tanks f US Environlental Protection AQency - Asbestos abate.ent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.., it is understood that a drainage plan addressing a "colpensating volute" will be subtitted which is prepared by a professional engineer registered in the state of Florida prior to perlit issuance. A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issll~d ~hall beco.e invalid unless the work authorized by such permit is cDlllenced within six .onths of issuance, tlr if liork author lZed by the pertit is suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~ten5ioli of tile, .ay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six lonth period, or the pr~ject will be considered abaudoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2 500 IN VALUE DO NOT NEED TO RE D POST A IOTICE OF COMMENC SIGNAT /) -, 11 ",V (' <'." A. . !:_--Q~~--- R AGENT DA TE-----.-------~~I-~1/2.1_:--------------- ~~ NOTARY AS TO ) OWNER OR AGENT __-'%_:1.-_ '____" Y:.----- NY COMMISSION EXPIRES NoCarYPUbtk-PiSCo-~-fL------- My Commission Expirts May \3. 1995 .~ If f)I) C.;6~";~.E/A -----------------~--~-- CONTRACTOR ~ / !-/.... DATE________~-{JC _[1_________________ ~~~~=~C~~R~~___~~~~----- MY COMM I S S ION EX P I NiIIIJ-!ublic-Pasco -Co.-.flr--- My Commission &pita May ll. 1995