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CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perJit lay be subject to "deed restrictions" which laY be lOre restrictive than City regulations. Tbe undersigned assUJes responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has bired a contractor or contractors to undertake work, tbey 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 laY be cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireJeDts lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813) 788-6611. FurtherlOre, if the owner has bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the "Contractor Sections" of this application for wbich 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 be is not properly licensed and is not entitled to perJitting privileges in the City of Zepbyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of 'Florida's Construction Lien Law - HCIII!01fIler's Protection Guide" prepared by the Florida Departlent of Agriculture and COnsUIeI Affairs. If the applicant is SOElne other than the "owner", I certify that I bave obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the "owner" prior to cOllellcelent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT 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, loning, and land develo~ent. Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has COIIenced prior to issuance of a perJit and that all work will be perforwed to leet standards of all laws regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDIeDtal agencies laY apply to the intended work, and that it is IY responsibility to identify wbat actions I lUst take to be in colpliance. Sucb agencies include but are not lilited to: * DepartJent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water ManageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * DepartJent of Health & Rebabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks * US EnvirODJeDtal Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a 'c~sating volUJeR will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perJit 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 perJit prevent the Building Official ftal thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued sball beCOle invalid unless the work autborized by sucb perlit is COIIBDCed within six IOnths of issuance, or if work authorized by the perJit is suspended or abandoned for a period of six IOntbs after the tile the work is cOllenced. One 90 day extension of tile, laY be allowed for the perJit with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An approved inspection lUst be logged during each six lOoth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF C<JIMEMCEIlENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEHD TO OBTAIK FIKAIICIKG, CONSULT WITH YOUR LEHDER OR All AnoRIIEY BEFORE RECORDIKG YOUR KOTICE OF COHHEKCEHEN'l'. JOBS UffDER $2,500 IN VALUE 00 NOT NEED fO RECORD AIID OT OF COMMENCEMENT". }~. ~ CA~~~ SIGJlAtuRI: QlfftR OR AGHHT N...~ _ -JO '" h.~~ ........ STATE OF FLORIDA ~ COUNTY OF '-."C 0 The foregoing ~t~ent was acknowledged before me this g , 19q~ by Y\'~. ~~ ~~~~ whe is per Jm. U -Be O~ who has produced Db#- ~ /5S-) 33-dD - (n(04~() as identification and who 'd/did not take an h. STA'l'E OF FLORIDA ~ COUNTY OF -.IO\....8,.c D The foregoing inst~ent was ackn~ledged before me this / ~ ' 19 ~ by ~ McCart" who is personally known to me er whe has predaced" as identification take an (Name Typed NOTARY PUBL