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CONDITIONS OF PER~IT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peraitaay be subjec~ to "deed restrictions" which say be lore restrictive Jhan Cit~ regulations. The undersigned assuaes 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 1I0rk, 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 lay be cited for a lisdeaeanor violation under state lall. If the ollner or intended contractor, are uncertain as to what licensing requireaents lay apply for the intended 1I0rk, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the Ollner has hired a contractor or contractors, he is advised to have the contractorls) sign portions of the "Contractor Sections" of this application for IIhich they lIill 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 lIishes you to sign as contractor that aay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE2. D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES~ AS AMENDED) I certify that I, the applicant, have been provided lIith a copy of "Florida's Construction Lien Law - Hoaeowner'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 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 inforaation in this application is accurate and that all work will be done in cOlpliance with all applicable Ialls regulatir.~ construction, zoning, and land developaent. Application is hereby lade to obtain a perlit to ~o work and installation as indicated. I certify that no work or installation has cOlaenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governtental agencies may apply to the intended work, and that it is ty responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not limited to: f Departtent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands, Water/Wastewater Treatment f Southwest Florida Water ~anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways t Department of Health L Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US Environtental Protection AQency - Asbestos abatelent I also certify that, if fill taterial is to be used in Flood Zone .A" or "A,etc,", it is understood that a drainage plan addressing a "colpensating volume" Mill be sublitted which is prepared by a professional engineer registered in the State of Florida prior to pertit issuance. A pertit issued shall be construed to be a license to proceed with the MorK and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code~ Every perlit issued shall becole invalid unless the work authorized by such perlit is cotlenced within six tonths of issuance, or if work authorized by the permit is suspended or abandoned for a period of six tonths after the tite the MorK is COiienced.' One 90 day extension of tile, aay be allowed for the pertit 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 abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCEKENT ~AY RESULT IN YOUR PAYING TWICE FOR IHPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO"MENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT was acknowledged 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this STATE OF FLORIDA COUNTY OF The foregoing instrument befol-e me this \>'las ackno\>'lledged , 19_ by who is personally known to me Dr who has produced . as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed~ Printed Dr Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC