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CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit olay be subject to 'deed restrictions' which lay be lore restrictive than City regulations. The undersigned assules 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 lisde.eanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they rlre advised to contact the City of Zephyrhills Building Depart.ent, (813) 788-6611. Furtherlore, 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 say 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 UTIL~TY CONNECTION FEE~ D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been prDvided with a copy of 'Florida's Construction Lien Law - HOleowner's Protection Guide' prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is SOIEone other than the 'owner', I certify that I have obtained a copy of the above described document 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 lallS regulating construction, zoning, and land development. Application is hereby made to obtain a per.it to do work and installation as indicated. I certify that no liork or installation has cOlmenced prior to issuance of a per.it and that all work will be perfor.ed to .eet 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 governmental agencies may apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not limited to: f Depart.ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatment f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of Enoineers - Seawalls, DOCKS, Navigable Waterways f Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatment, Septic Tanks f US Environ.ental Protection AQencv - 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 subaitted 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 violate, cancel alter, or 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 permit issued shall becole invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six Bonths after the time the work is cOlaenced. One 90 day extension of time, lay 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 lust be logged during each sir. 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 IMPROVEME~TS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". _n SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT was acknowledged 19_ by STATE OF FLORIDA WJNTY OF The foregoing instrument befc1\-e me th i s STATE OF FLORIDA COUNTY OF The foregoing instrument befol-e me this vJas acknovJledged 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 identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC