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CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS fbe undersigned understands that this perlit lily be subject to -deed restrictions- wbieb lily be lOre restrictive than City regulations. !be undersigned assU1e8 responsibility for COIpliance with any applicable deed restrictiODS. B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they lilY be required to be lIcl!ll8ed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the 0IIIIer and contractor .y be cited for a lisc1eJea1lor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents lilY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (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 applicatim for which they will be responsible. If you, as the owner sign as the cootractor, you are indicating that JOu, rather than the contractor, are responsible for the worl. If the contractor .ishes you to sign as contractor that lilY be an indication that be is not properly licl!ll8ed and is not entitled to perJit.ting privileges in the City of Zephyrhills. -- C. TRANSPORTATION IMPACT FEES AND UTILITY COHHECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of -Plorida's COnstruction Lien Law - lkIIeoImer's Protection Guide- prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is 8oteone other than the -owner-, I certify that I bave obtained a copy of the above described dOCUleDt and prOlise in good faith to deliver it to the -owner- prior to co.enceaent. E. COHTRACTOR'S/OWHER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all wort will be done in coapliance with all applicable laws regulating construction, loning, and land developlent. Application is hereby tade to obtain a perlit to do wort and installation as indicated. I certify that no wort or installation has co.encecI prior to issuence of a perlit and that all wort will be perfoIJed to Ieet standards of all laws regulating construction, City codes, loning regulations, and land developlll!llt regulations in the iurisc1icUm. I also certify that I understand that the regulatioos of other gOYBIDlleDtal agencies lilY apply to the intended wort, and that it is IY responsibility to identify wbat actions I lUst take to be in COIpliance. Such agencies include but are not lilited to: I Departlent of BnvirOlllel1tal Regulation - Cypress Bayheads, Wetland Areas and BnviroDleDtally Sl!II8itive LaIIds, Water/lfastewater freatlent I Southwest Plorida Water Hanageaent District - lIells, Cypress Baybeads, Wetland Areas, Altering Watercourses I ArIY Corps of Bngineers - Seawalls, Dods, lavigable Watenays I Departlent of Health i Rehabilitative Smices, BnvirODleJ1tal Health Unit - Wells, Wastewater freatlent, Septic fanks I US EnviIOlllelltal Protection Agency - Asbestos abateaent I also certify that, if fill taterial is to be used in Flood ZOne -I- or -A,etc.-, it is understood that a drainage plan addreSBing a -COIpl!II8ating volute- will be subtitted wbieb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perait issued shall be construed to be a licl!ll8e 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 perait prevent the Building Official fICII thereafter requiring a correctim of errors in plans, construction, or violations of any code. Jverr perJit issued shall beaIIe invalid . unless the work authoriJed by sueb perlit is COM8Jlced within sillOnths of iSBuance, or if IOrt authoriJed by the perlit is suspended or abandoned for a period of sillOntbs after the tile the work is co.encecI. One 90 day utension of tile, lily be allowed for the perlit with fee charge of $15.00. Tbe utl!ll8iOD shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sil IODth period, or the project will be considered abandoned. WARNING ro milD: YOUR FAILURB fO RlCORD A IOI'ICI OF O>>IIIBICBIIBI! MAY RESULT II YOUR PAYING !IIICI POll IIIPROVIIIIIl'S fO YOUR PROPBRIY. IF YOU IIJ'DD ro OBflIl FIWCIIG, COISULT WIfH YOUR LDDIR OR 11 AnoRDY BEPORI RlCORDIIG YOOB MOI'ICI OF CfJIMBICBHDI'. JOBS UBDIR $2,500 II VALUE DO 101' !DD ro RBCORD AID POSf A 'IOI'ICI OF aJllllllCIIID'f'. " "-... ~ ~/ SfAfE OF ~ ccum OF The foregoing inst1'Ulllent was acknowledged before me this!~ -zl::--k ' 19~ by