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CONDITIONS OF PERMIT AFFIDAVIT A: NOTICE OF DEED RESTRICTIONS' The undersigned understands that this perait may be subject to "deed restricti~ns' which' ~ay be more restrictive than City regulations. The undersigned assuaes responsibility.for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the o~ner has hired a contractor or contractors to undertake work, they may b~ required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, b~th the Ollner and contractor ~ay be cited for a lisdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 713B-bb II. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the 'Contractor Sections' of this application for which they will be responsible. If you, as the ~wner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the 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~ per~itting 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 Construction Lien Law - HOleowner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consumer Affairs. If the applicant is sOleone other than the 'owner", I certify that I have obtained a copy of the above described document and pr~ffiise in good faith to deliver it to the "owner" prior to COlmence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all wor~ will be done in co~pliance with all applicable laws regulating construction, zoning, and land development. Application is hereby .ade to obtain a perait to do work and installation as indicated. I certify that no work or installation has comm~nced prior to issuance of a perlit and that all work will be perf~rmed to meet standards of all laws regulating construction, City codes, zoning regulatiDns, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies flay apply to the intended ~ork, and that it is /lY responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt ~ie Bot lil1ited to: I Department of EnviiDnmental ReQulatiDn - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment . Southwest Florida Water ManaQelllent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Army Coros of EnQineers - Seawalls, Docks, Navigable Waterways . Depart_ent of Health ~ Rehabilitative Services, Environmental Health Unit - W~lls, Wastewater Treat~ent, Septic Tanks . US Environmental Protection AQency - Asbestos abatement I also certify that, if fill lIaterial is to be used in Fle.od Zone "fl" or "A,etc.', it is underste.e.d that a drainage plan addressing a 'colpensating volume" will be subtitted which is pr~pDred by a professional engineer regi5t~ied in the State of Florida prior to perllit iS5uftnce. A perait 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 Oif\cial frol thereafter requiring a correction of errors in plans, construction, or violatiDns of any code. Every permit issll~d ~hall becole invalid unless the work authorized by such perlit is cOlmenced within six mDnths oi issuance, or if work authDflzed by the perait is suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day e:tE~5joll of tile, lay be allowed for the per~it with fee charge of ~15,OO, The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered dbaiidoned. 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 RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE~~~ ~ ~ OWNER JJl" U'it&~ SIGNATWRE ------------------------------ CONTRACTOR DATE__~_-l-~-}l~~~--------------- NOTARY AS TO r\ .. . Q!! OWNER QB liil!lM'~_~- - -- ~~ PAsc:.O) FL[) (U oPe MY COMMISSION EXPIRE~~~~~~~~~~;;~~: Ronded thru Patterson -Becht Agency DATE ----------------------------------- NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES ------------------