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CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands ~~at this perlit lay be subject to "deed restrictions" which lay b~ lore restrictive than City regulations. The undersigned assules 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 is not licensed as required by law, both the owner and contractor may be cited for a aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart~ent, (813) 788-6611. Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractorls} 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 p~rmitting 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 - Homeowner's Protection Guide" prepared by the Florida Departlent of. Agriculture and Consumer Affairs. If the ~pplicant is sOleone other than the .owner" , I certify that I have obtained a copy of the above described dOCUMent and promise in good faith to deliver it to the "owner. prior to coa.ence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in cospliance with all applicable laws regulating construction, zoning, and land developaent. Application is hereby aade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has co..enced prior to issuance of a pertit 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 may apply to the intended work, and that it is /tV responsibility to identify what actions I /tust take to be in cc.mpliance. Such agencies include bill ~II' BCIL I imited to: I Departaent of Environ.ental Rellulation - Cypress Bayheads, Wetland Areas and En....ironmentally Sensjtiv~ l::lnd~, Water/Wastewater Treatlent * Southwest Florida Water "analletent District - Wells, Cypress Bayheadsf Wetland Areas, Altering Watercourses I ArlY Corps of Enllineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat~ent, Septic Tanks I US Environlental Protection Allency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A" or "Afetc.., it is understood thit a drainage plan addressing a "colpensating voluie" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to vioj~te, cancel alter, OT set aside any provisions of the technical codes, nor shall issuance of a permit pr~vent the Building Ufficiol frolll thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issllud ~hall become invalid unless the work authorized by such perMit is co.tenced within six months of issuance, or if wOlk authol lied by the perlit is suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~ttfiSIOIl of tile, may 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 to nth period, or the project will be considered dbdildoned. 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 A1TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOT I CE OF COMMENCEMENT". SIGNATURE SIGNATURE ------------------------------ ---------------------------------- OWNER OR AGENT CONTRACTOR DATE DATE ----------------------------------- --------------------------------------- NOTARY AS TO OWNER OR AGENT_____________________________ NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES ---------------------- MY COMMI9SION EXPIRES ------------------