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CONDITIONS OF PERMIT AFFIDAVIT A~ NO~ICE OF DEED RESTRICTIONS The undersigned understands that this perJit lay be subject to "deed restrictions" which JaY be lOre restrictive than City regulations. the undersigned assuaes 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 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 lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirl!lents JaY apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (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 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 wisbes you to sign as contractor that JaY be an indication that be is not properly licensed and is not entitled to perJitting 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 "Florida's Construction Lien Law - HOIeOw.Der's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUJeI Affairs. If the applicant is sOleone 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 cOllencl!lent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforJation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developleDt. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perJit and that all work will be perforJed to l8et 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 goverDJeDtal agencies JaY apply to the intended work, and that it is If responsibility to identify what actions I lust take to be in COIpliance. Such agencies include but are not IHited to: t DepartJent of EnviroDJeDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDJeDtally Sensitive Lands, Water/Wastewater TreatJent t Southwest Florida Water Managl!lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic Yanks t US EnvirODJeDtal Protection Agency - Asbestos abatl!lent I also certify that, if fill laterial is to be used in Flood ZOne HA" or "A,etc.", it is understood that a drainage plan addressing a "cOlpensating voluaeR will be sublitted which 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 sball issuance of a perJit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Ev~ry perJit issued sball beCOle invalid unless the work authorized by such perJit is COJJeDced within Sil IOnths of issuance, or if work authorized by the perJit is suspended or abandoned for a period of six IOntha after the tile the work is c~ced. One 90 day extension of tile, JaY be allowed for the peIllit 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 sixlOnth period, or the project will be considered abandoned. WmIRG TO OIflfER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEJIEIf1' MAY RESULT IN YOUR PAYING 'NICE FOR IMPROVEMmS !O YOUR PROPERTY. IF YOU nrrEID !O OBTAIN FIIfAIICING, ~O.SULT. WITH YOUR LEIDER OR All AnOlUlBY BEFORE RECORDIIfG YOUR 1f000ICE OF COMHEHCBHEIf'f. JOB~ UNDER $2,500 IN VALUE DO HO'l HEED TO RECORD AHD POST A "NOTICE OF C(JlMBNCBHEIfT". ~(i?~eL; a- Slci!~) STATE OF FLORIDA COUIf'l'Y OF ' 7A ~ '-0 The foregoing inSJrument was acknowledged before me this JJ rN/lY' ,191L by . (Signature) NOTARY PUB