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CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICT\ONS The undersigned understands that this perlit .ay be subject to .deed restrictions" which may be .ore restrictive tha~ C~ty regulations. The undersigned assules responsibility for cospliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or ~,ntractors to undertake ~ork, they may be required to be iicensed in accordance with state and local regulations. If the contractor is not licensed as r~Quired by law, both the owner and contractor say be cited for a lisdeleanor violation under state law. If the ownei' or intended contractor are uncertain as to what licensing reQuiresents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (B131 7BB-bbll. Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(sJ 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 LA~ (CHAPTER 713, FLORIDA STATUTES~ AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Hoseowner's Protection Guide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is so,eone other than the "owner., I certify that I have obtained a copy of the above described docu.ent and promise in good faith to deliver it to the .owner. prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVI~ I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land Jevelop.ent. Application is hereby .ade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOI.enced 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 governlental agencies .ay 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 lisited to: I Departtent of Environtental ReQulatiun - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastew~ter Treatment I Southwest Florida Water "anaar~~"t District - :~1 -; CJ~r~~: 3;)~eid;f WEtland Areas, Alteriny Wa~ejCOUrSE5 I Arty Corps of EnQineers - S~aMalls, Docks, Navigable Waterways . t Oepartlent of Health iz n~hdhili~dti'lt: :;L;'-i:t.;_~~, :1.'ii.~.(I;E'lj~:'. }:-.:~l~~. Uiii~ - W:l!~, ~J:tr:~;3te; T~'c~t!K.ent~ Se-pt:i: T?~~~ I US Environsental Protection AQency - Asbestos abatelent I also certify that, if fill aaterial is to be used in Flood Zone "A. or "A,etc.., it is understood that a drainage plan addressing a "coJpensating volule" will be subtitted which is prepared by a professional 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 Hork and not as authority to violate, cancel alter, or set aside any provisions of the technical cudes, nor shall i5suance of a perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or -'1012tions of any code. Every perlit issued shall becole invalid unless the work authorized by such perlit is cOleenced within six Bonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six I01ths after the tile the work is cOlienced. One 90 day extension of tiDe, lay be allowed _for the persit 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 ~ix month per~od, 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 FIN~KCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COIIIIENCEMENT. JOBS UNDER $2,500 IN VALlJE DO NOT NEED TO RECORD AND POST A .NOTICE OF COM/'IENCEIIENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER DR AGENT was acknowledged f 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument befcq-e me th is STATE OF FLORIDA COUNTY OF The foregoing instrument befcq-e me th i s was acknowledged ~ 19 by who is personally known to me or who has produced as identification and who did/did no~ take an oath. who is personally known to me Dr who has produced as identification and who did/did not take an oath. (SignatUl-e) (Signature) (Name Typed, Printed Dr Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC -,-- ( \- \~~- -------~