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CONDITIONS OF PERMIT AFFIDAVIT A. ,NOTICE OF DEED RESTRICTIONS - , """ .....' The undersigned understands that this perlit lay bi subject to "deed restrictions. ~hich lay be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed '~strictions. 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 lall, both the OHner and rontractor lay be cited for a lisdeleanor violation under state lall. 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) 7B8-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of thi .Contractor Sections. of this application for which thiy will be responsible. If you, as the Ollner 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 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 Construction Lien Law - HOleowner's Protection Guide. prepared by the Florida Departtent of Agriculture and Consuter Affairs. If the applicant is sOle~ne other than the .owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the "owner. prior to cotlencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developaent. Application is hereby aade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cotlenced prior to issuance of a perlit and that all work will be performed to leet 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 governmental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt ile not li.ited to; I Depart.eflt of EnvironlenttI ReQuIation - Cypress Bayheads, Wetland Areas and EnviTonlentally Sensitive l.dnds, Water/Wastewater Treatlent I Southwest Florida Water "ananelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Arty Corps of EnQioeers - Seawalls, Docks, Navigable Waterways I Depart.eot of Health L Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat;ent, Septic Tanks I US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone .A. or .A,etc.', it is understood that a drainage plan addressing a .colpensating volule~ will be sublitted llhich is prepared by a professional engineer reqiste'cd in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed with the llork and not as authority to violate, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit iss\l~d ~hdll becole invalid unless the work authorized by such penit is COI.enced within six lonths of issuance, or if liork authe" J:;:ed by the perlit is susp~nded Dr abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~t€~SIOIl of tile, lay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to th~ Building Official. An approved inspectiDn lust be logged during each six aonth period, Dr the project will be considered dbdlldoned. 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 - CONTRA TO;;-. -~ DATE_____________~-~~~~---------- NOTARY AS TO OWNER OR AGENT _____ __ _~~~~------- MY COMMISSION EXPIRES_____~-~~?!.:------ MY CO. -- ----- -/-~--~---- EXPIRE5____~_~~~!:__