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CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it '.ay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor Dr contractors to underta~e work, they .ay be required to be licensed in accordance with state and local regulations. If.tbr't6dtractor is Qot'ilicensed as required by la~1 both the owner and contractor .ay be cited for a .isde.eanor violation under state law. If the owner Dr intended contractor are uncertain as to Khat licensing require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, !8131 788-6611. Furtherlore, if the owner has hired a contractor Dr 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 perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~ 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 Depart.ent"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 docu.ent and pro.ise in good faith to deliver it to the "owner" prior to cOI.ence.ent. 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 co.pliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has cOI.enced prior to issuance of a per.it and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I .ust take to be in cOlpliance. Such agencies include but are not li.ited to: I Denartlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and EnvironlentaIly Sensitive Lands, Water/Wastewater Treat.ent I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, 'Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environ.ental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.", it is understood that a drainage plan addressing a "colpensating volule" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becole invalid unless the work authorized by such per.it is cottenced within six lonths of issuance, Dr if work authorized by the perlit is suspended Dr abandoned for a period of six tonths after the ti.e the work is cOltenced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of SI5.0Q. 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 COMMENCEMENT MAY RESULT IN YOUR 'PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, ~ONSULT WITH YOUR LENDER OR AN ATTORNEY: BEFORE RECORDING YOUR NOTICE OF CO""ENCE"ENT. JOBS UNDER $2,500 IN YALUE 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 befol-e me th i s STATE OF FLORIDA COUNTY OF The foregoing instrument befc,re me th i s was acknowledged _~ 19___ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me Dr who has produced as identificatio~ and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed Dr Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC