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CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . The ,undersigned understands that this perlit lay be subject to "deed restrictions" which may be more restr,ictive than City regulations. The undersigned assules responsibilit)(;for, coapliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor ~r contractors to undertake work, they lay be required to be licensed in accordance with statt and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8131 788-6611. Furtherlore, if the owner has hiTed 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 you, as the owner 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 to permitting 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 Const~uction Lien Law - Ho.eowner's Protection Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOlec.ne other than the 'owner", I certify that I have obtained I copy of the above described document and promise in good faith to deliver it to the 'owner' prior to cOllencelent. ~ j. '-:' E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land development. . Application is hereby aade to obtain a perlit to'do work and install~tion as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be performed to meet standards of all laMS regulating construction, City codes, zoning regulati&ns, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governuental agencies ~ay apply'to the intended work, and that it is IY responsibility to identify Hhat actions I lust take to be in cOlllpliance. Such agencies include hill ~Ie liCIt lillited to: ... ~.... I Department of Environmental ReQulation - Cypress Bayheads,Wetland Areas and Enlironmentally Spn~jtive Lands, Water/Wastewater Treatment I Southwest Florida Water ManaQe!ent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps ~f Enqineers - SeaHalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~€n~. Septic Tanks I US Environllental Protection AQency - Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" Dr "A,etc.', it is understc.e.d lli~t a drainage plan addressing a 'colpensating volullle' will be submitted which is prepared by a professional engineer fegisl~ied in the State of Florida prior to perllit issuance. A perlit issued shall be construed to be a license to proceed with the worK and not as authority to viol~te, 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 iSSlIed :hall becole invalid unless the work authorized by such perllit is COlllllenced within six months of issuance, or if Mork author lied by the perlit is suspended or abandoned for a period of six lonths after the ti,e the worK is commenced. One 90 day e~tf~sioll of tile, say be alloMed for the permit with fee charge of $15.00. The extension shall be requested in Hriting to the Building Official. An approved inspectic,n J!lust be lc.gged during each six Ilonth period, or the prc.ject Hi 11 be considered dbcillde,ned. 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 PDST A "NOTICE OF COMMENCEMENT". SIGNATURE_~~_~_~~------- CONTRACTOR ~. ~' SIGNATURE _ _______~--------~--~-~~- OWNER OR AGENT MY COMMISSION EXPIRES ---------------------- DA TE_____~-=-jj------CZL--------------- ~~~~~~C~~R:~__~~-~~--- ' " NOTARY pg~pC. STATE tff FLORIDA AT LARGE MY COMMISSION E~~&tMI~ION EX~lg3_~ijfi....1...199a. Nb~THFlOlJaFfA!HTON ^GENCY. INe. DATE ------------------------------~_._------ NOTARY AS TO OWNER OR AGENT -----------------------------