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CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it aay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assules responsibility for coapliance 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 iay be cited for a misde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements iay apply for the intended work, they are advised to contact the City of Zephyrhills Building nepartment, l813} 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 lay 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 - Ho.eowner's Protection Guide" prepared by the Florida nepartaent 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 cO.lenceient. 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 cOipliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do Mork and installation as indicated. I certify that no work Dr installation has cOI.enced prior to issuance of a per.it 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 to identify what actions I lust take to be in compliance. Such agencies include bllt ale not limited to: * nepart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive L~nds, Water/Wastewater Treat.ent f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * Arty Corps of EnQineers - Seawalls, nocks, Navigable Waterways * nepartlent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatment. Septic Tanks * US Environaental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tliat a drainage plan addressing a "colpensating voluie" will be sublitted which is prepared by a professional engineer reqist~ied 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 vioi~te, cancel alter, or 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 permit issued ;hall becole invalid unless the work authorized by such per.it is co.menced within six .onths of issuance, Dr if work authol lzed by the per.it is suspended or abandc.ned for a pericld clf six lonths after the tile the work is cOlimenced, One 90 day ede"sioll {If tiie, 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 month period, or the project will be considered dbdj~oned. 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 "NOTICE OF COMMENCEMENT". SIGNATURE~_~___--_____ SIGNATURE ~~_~------- OWNER OR AGENT ~~CONTRACTOR DATE_____~~~:-_sc~________________________ DATE ~-LI- /2 z ------~-- ---~-------------------- ~~~~:YO~SA~~NT_~~_-~~~---- MY COMMISSION EXPIRES____~_~_~~~~~~----- NOTARY AS Th /} / / CONTRACTOR__~~-_~~~___- MY COMMISSION EXPIRES___~_~~_~~~___