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CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for cOlpliance with any applicable deed restrictions. 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 }s not licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state'law. If t~e 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. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) 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 may 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 Construction lien law - HOleowner's Protection Guide" prepared by the Florida nepartlent 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 doculent and promise in good faith to deliver it to the "owner" prior to cOllencelent. 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 cospliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a permit to do work and installation as indicated. I certify that no work or installation has comlenced 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 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 tc. identify what actions I Itust take to be in ci:lllpliance. Such agencies include blit ~IP. iwl lilited to: . Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensilive L~nds, Water/Wastewater Treat.ent . Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways . Department of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatment. Septic Tanks . 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 understDod that a drainage plan addressing a "compensating volute" will be submitted which is prepared by a professional engineer feqist~led in the State of Florida prior to permit issuance. A permit issued shall be construed to be a license to proceed with the work and not as auth~rity t~ violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Off\ci~l frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ~hall bee ole invalid unless the work authorized by such per.it is cOllenced within six lonths of issuance, Dr if work authorIzed by the permit is suspended or abandoned fClr a periced clf six months after the tile the work is cOllmenced. One 90 day i';:tHiSJOIl of tile, !lay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six lonth period, or 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 ANn POST A "NOTICE OF COMMENCEMENT". SIGNATUR~~__~~--- SIGNATURE______________________________ OWNER OR AGENT CONTRACTOR DATE__~~_::___~_~~----~~-~~-------- DATE___________________________________ NOTARY AS TO . () ~ ~ ()~ __ NOTARY AS TO OWNER OR AGENT~_). Q.~...::' _~ CONTRACTOR________--------------------- Notary A(Jblic, State af Florid"!., ..-. ' . . . MY COMMISSION EXPIRES_~_~~~~~~5~~~~~~~~!:~_ MY COMMISSION EXPIRES__________________