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CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restricti~ns" which lay be m~re restrictive than City regulations. The undersigned assumes 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 may 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 misde.eanor violation under state law. If the owner or intended contract~r are uncertain as to what licensing requirements may apply f~r the intended w~rk, they are advised to c~ntact the City ~f Zephyrhills Building Department, (813J 788-bbll, Furthermore, if the ~wner has hired a c~ntractor or contractors, he is advised to ha~e the contractor!s) sign portions of the "Contractor Secti~ns" of this application for which they will be responsible. If you, as the ~wner 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.eoNner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is sOle~ne other than the "owner", I certify that I have obtained a copy of the above described doculent and pr~mise in good faith to deliver it to the "owner" prior to cOlmencement. 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 cOlpliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a permit to do work and installation as indicated. I certify that no work or installation has co..enced prior to issuance of a permit 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 govern.ental agencies lay apply to the intended w~rk, and that it is .y responsibility t~ identify what actions I lust take to be in c~lpliance. Such agencies include bllt ~le n~t lilited t~: I Department of Environ.ental Reaulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Ldnds, Water/Wastewater Treatlent I Southwest Florida Water Manaaelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Department of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatment. Septic Tanks I US Environmental Protection Aaency - Asbestos abatement I also certify that, if fill material is to be used in Flctod Zcone "A" or "A,etc.", it is understc.od tlitlt. a drainage plan addressIng d "colpensating ~01ule" will be'sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to vioj~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Ufficial from 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 permit is cOI.enced within six lonths of issuance, or if work authorIzed by the per.it is suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~tf~sioii 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 must be logged during each six tooth period, or the project will be considered aballdoned. 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_______________________________________ DATE ----------------------------------- NOTARY AS TO OWNER OR AGENT NOTARY AS TO CONTRACTOR ----------------------------- ----------------------------- MY COMMISSION EXPIRES MY COMMISSION EXPIRES__________________ ----------------------