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CONDITIONS OF PERMIT AFcIDAVIT A. NOTICE OF DEED REST~~~TIONS The undersigned understands that this perlit lay be subject to "deed restrictiDns' which lay be lore restrictive than City regulations. The undersigned assules responsibility for compliance with ilny appiicable deed restrictions. B. UNL I CENSED CONTRACTC~R~.....ll~Q CONTRACTQI'< F~sm::Cn"I5.I I~Lh) T l~$. If the owner has hired a contractor or contractors to undertake work, they ~ay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, bo~h the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813) 788-6611. Further_ore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the 'Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTIO~ FEE$. D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided Nith a copy of "Florida's Construction Lien Law - HOleoNner's Protection Guide" prepared by the Florida Department of Agriculture and Consuler Affairs. if the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith t~ deliver it to the 'owner" prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a per_it to do work and installation as indicated. I certify that no work or installati~n has COllenced prior to issuance of a perlit and that all work will be perf~rled to ~eet 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 IY responsibility to identify what actions I must take to be in cOlpliance. Such agencies include but are not limited to: I Department of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment I Southwest Florida Water ManaQelent District - Wells, Cypress Barheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Department of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environmental Pr~tection AQency - Asbestos abatement I also certify that, if fill material is to be used in Flood Zone 'A" or 'A,etc.', it is understood that a drainage plan addressing a 'compensating volume' will be submitted which is prepared by a professi~nal engineer registered in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit 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 permit is commenced within six months of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six lonths after the tile the work is comaenced.One 90 day extension of time, lay be allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered aband~ned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEMENT MAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM"ENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEHENP. 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 before me this 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 per5onall~ known to me Dr who has produced as identification and who did/did not take an oath. (SignatLn-e) (Signature) (Name Typed, Printed Dr Stamped) NOTARY PUBLIC (Name Typed, Printed Dr Stamped) NOTARY PUBLIC