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CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this pel'ltt lilY be subject to Ideed restrictionsl wbieb lilY be lOre restrictive than City regulatioos. !be undersigned asSUJe8 responsibility for COIpliance with any applicable deed restrictiCHl8. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they laY 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 lilY be cited for a lisdl!leanOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirl!lents lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtherlOre, if the owner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the IContractor SectiCHl8.1 of this applicatioo for whieb 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 wort. If the contractor wisbes you to sign as contractor that lilY be an indication that be is not properly licensed and is not entitled to peraitting 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 IFlorida's COnstruction Lien Law - BoIeoImer's Protection Guide' prepared by the Florida DepartJent of Agriculture and ConsUIeI Iffairs. If the applicant is 8OIIOIle other than the lowner., I certify that I bave obtained a copy of the above described docUleDt and promse in good faith to deliver it to the "owner' prior to COlleDCl!llJlt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infol'liltion in this application is accurate and that all work will be done in cCJlpliance with all applicable laws regulating construction, loning, and land developleDt. Application is berebYlilde to obtain a perlit to do wort and installation as indicated. I certify that no IIOIt or installation bas cc.Jenced prior to issuance of a perJit and that all wort will be perfoIJed to .et standards of all laws regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDleDtal agenCies lilY apply to the intended work, and that it is Ii responsibility to identify wbat actions I lUst take to be in COIpliance. Sueb agencies include but are not lutted to: t DepartJent of Bnvirollll!lltal Regulation - Cypress Baybeads, lIetland Areas and BnviroDleDtally Sensitive Lands, lIater/llastewater Treablent t Soutbwest Florida lIater ManaglleDt District - lIells, Cypress Bayheads, lIetland Areas, Altering lIatercourses t AIIY COIPS of Bngineers - Seawalls, Docks, Navigable lIaterways t DepartJent of Health i Rehabilitative Services, BnvirODleDtal Health Unit - lIells, lIastewater IreatJent, septic lanks t US Bnvil'ODleDtal Protection Agency - Asbestos abatl!leDt I also certify that, if fill laterial is to be used in Flood Zone III or II,etc.l, it is understood that a drainage plan addressing a ICCIIpeD8ating voluel will be subJitted which is prepared by a professional engineer registered in the State of Florida prior to pel'lit 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 sball issuance of a petlit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery pemit Isaued sball becoIe invalid unless the work authorized by sueb Perlit is c~ced within sillODths of issuance, or if IIOrt authorized by the perlit is suspended or abandoned for a period of sil IOnths after the tile the work Is co.enced. One 90 day IItension of tile, Iill be allOlfed for the perJit with fee charge of $15.00. Ibe IItension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sllJOnth period, or the project will be considered abandoned. IIARJ1ING 'l'O omR: YOUR FAILURE 10 RECORD 1 lOT ICE OF COIIIBICIIIBIf MAY RlSULT II YOOR PIYIIG !ilIa FOR IMPROVBIIDIS 10 YOUR PROPBIIIY. IF YOO 111110 10 081111 FI SULI IIlfH YOUR DIR OR 11 AIIORDY BIPORI RICORDIIG YOUR allMllCIIIII!. JOBS II IUD 10 RlCORD AID POST 1 IIOT I. L__- STATB OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by STATll OF FLORIDA Coom' OF The foregoing instrument was acknowledged before me this , 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 or who has produced as identification and wbo did/did not take an oCJ.th. (Signature) (Namf!. Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or StilllPed) NOTARY PUBLIC