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A;-'~~ - -""'~" CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Th~ undersign~d und~rstands that this p~rlit lay be subject to "deed restrictions" which' ~ay be lore res~rictive than City regulations. The undersigned aSSUle5 responsibili'y for co~pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the own~r has hired a contractor Dr contractors to und~rtake work, th~y lay be required to b~ lic~nsed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a .isdeleanor 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) 788-6611. ' 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 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 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 Consuler Affairs. If the applicant is SOleone other than the "owner", I certify that I have obtained a copy of the above described docuient and promise in good faith to deliver it to the "owner" prior to cO'lenceaent. 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 cospliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has co..enced prior to issuance of a perlit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the'J~risdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is IY responsibility to idenHfy what actions I must take to be in compliance. Such agencies include bllt ~le not liilited to: I Depart.lnt of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treat.ent f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - W~lls, Wastewater Treatment. Septic Tanks I US Environ.ental Protection AQency - Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.', it is understood that a drainage plan addressing a "co.pensating volule" will be sublitted which is prepared by a professional engineer reqistered in the State of Florida prior to permit 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 ~fficial frol thereafter requiring a correction of errors in plans, constructie.n, or violations of ~ny code. Every perllit isslwd ;hall becole invalid unless the work autho.rized by such penit is cOlllenced within six lIonths of issuance, (lr i.f work autholl Led by the perlli t is suspended or aband(.ned for a period of six lonths after the ti/le the 1I0rk is cOllJllenced. One 90 '<lay c.~tHi5io\l of tile, lay 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 inspection must be logged during each six month period, or the project will be considered aballdoned. 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 COMMENCEMEN. OBS UNDER $2,500 I DO NOT NEED TO RECORD AND POST A "NOTICE 0 COMM NCEMENT" SIGNATURE_~~~ ~~~~;~------- OWNER OR AstNlt~ DATE__~>L_:_~s{_::_~~--------~----- NOTARY AS TO ~ J2 OWNER OR AGENT _ _ _ ~~ Notary Public. Sta Florida MY COMMISSI0NEXPIRES___~~~~~~~~-~~-~~~~~- SIGNATURE DATE__~_<2_:_~~-~-~~----- NOTARY AS T~ ~ CONTRACTOR_~~J~~~~ . ~ ' &~ MY COMMISSION EX RE~_~