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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 ~ore restr.ictive than City regulations. The undersigned assutes responsibllit(;for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a c~ntract~r or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor il not licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor 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, (BI3) 7BB-bbll. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorts) sign portions of the 'Contractor Sections. of this application for which they will be responsible. If you, as the owner sign as the contract~r, you are indicating that you, rather than the contractor, are responsible for the wor~. If the contractor wishes you to sign as c~ntractor that lay be an indication that he is not properly licensed and is not entitled to 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 Departlent of Agriculture and Consumer Affairs. If the applicant is sOlec.ne other than the .owner., I certify that I have obtained l c~py of the above described document and proffiise in good faith to deliver it to the .owner. prior to cOlmencelent. 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 cOlpliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a perlit to do work and install~tion as indicated. I certify that no work or installation has cOllenced prior to issuance Df a perlit and that all work will be performed to meet standards of all laMS regulating construction, City cod~s, zoning regulations, and land development regulations in the jurisdiction. 1 also certify that I understand that the regulations of other governmental agencies ~ay 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 ~l e Ii(,t limited to: #' I Departle~t of Envir~nlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment f Southwest Florida Water. ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses I Any C[lrpS .of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Ilastewater Treat~en~. Septic Tanks I US Environ.ental Protection AQency - Asbestos abatement I also certify that, if fill lat~rial is to be used in Fl~od Zone "A" or "A,etc.', it is understood tll~t a drainage plan addressing a 'colpensating volule" will be sublitted which is prepared by a professional engineer regist~ied in the State of Florida prior to perlit issuanc~. 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 frolll thereafter requiring a correction of errors in plans; construction, or violations of any code. Every per~it iSSlIed ~hall becole invalid unless the work authorized by such permit is COlmenced within six months of issuance, Dr if H01.k authol lzed by the perlit is suspended or abandoned for a period of six lonths after the tiJe the wDrk is cD~menced. One 90 day e:tE~5ioll of tile, aay be allowed for the per~it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspectie,n i!lust be l(,gged during each six month period, or the prc.jed will be c[,nsidered ilb';IJde1ned. 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". SlGNATUR~.L-~ ~_~__ SlGNATU~~.~~ ClL OWNER OR GEN ~."- ; CONTRACTOR ~~. OATE.1.:..lf!--':..tL------------------.- OATE___t-:;!.~-::..(l!..---.----.--.-.- NOTARY AS TO 1) .-\. ~ _ NOTARY AS TO 3 .-."- 7 v' fi I. - OWNER OR AGENT~ . CONTRACTOR.~-1}~-~~ My Commission Expires . 1(), 1'9'93" Notary Public, State of Fltrid,. . MY COMMISSION EXPIRES_____~~l~J~~~~~~~~L~~ MY COMMISSION EXPIR~LNwWu~~JkL~1993 ~ded JI>LlI w>y Fain: Insuranca In..