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CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this peIlit lay be subject to Ddeed restrictions" wbicb lay be lOre restrictive than City regulations. 'he undersigned assutes responsibility for coapliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired 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 lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireaents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departaent, (813) 788-6611. FurtherJOre, if the owner has bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for wbich they will be responsible. If you, as the OlDer sign as the contractor, you are indicating that you, ratber than the contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that lay be an indication that be is not properly licensed and is not entitled to peraitting 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 - Hoteowner's Protection Guide" prepared by the Florida Departlent of Agriculture and consuter Affairs. If the applicant is sOleone other than the 'owner", I certify tbat I bave obtained a copy of the above described docutent and prOlise in good faith to deliver it to the "owner" prior to cOlleDceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infortation in this application is accurate and that all work will be done in coapliance with all applicable laws regulating construction, zoning, and land developaent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas COIIeDced prior to issuance of a perlit and that all work will be perforaed to leet 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 goveI1llelltal agencies tay apply to the intended work, and that it is ty responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: t DepartJent of Environaental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater TreatJent i Southwest Florida Water Hanageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses --t-A Cor s of En ineers - Seawalls, Docks, Navigable Waterways of Health & Rehabilitative Services Environaental Health Unit - Wells, Wastewater 'I'reataent, Septic 'I'anks ~/ t US EnvirDnrental_Protection Agency - Asbestos abateaent I also certify-tbat;1f fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "cOlpensating volute" will be subtitted which is prepared by a professional engineer registered in the State of Florida p'rior to peIlit. issuance. A perlit issuedsball be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or Bet aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frOl thereafter requiring i!- orrection of errors in plans, construction, or violations of any code. Every peIlit issued shall beCOle invalid unless the wor au'tforized by such perlit is cOllenced within sillOnths of issuance, or if work authorized by the perlit is suspended or do~ for a period of sillOntbs after the tite the work is coaenced. One 90 day extension of tite, tay be allowed for tbe erlit~th fee charge of $15.00. Tbe extension sbaU be requested in writing to the Building Official. An approved~nspect n lUst ibe logged during each six IOntb period, or the project will be considered abandoned. WARNIHG TO _R: YOUR FAILURE TO RECORD A KO'lICE OF COJIHEIICEHEKT HAY RESULT IK YOUR PAYIKG !VICE FOR IMPROVIMD'l'S TO YOUR PROPERTY. IF YOU EID TO OBTAIH FlNAHCIKG, COKSULT WI'I'H YOUR LEIDER OR AK A'l"l'ORHEY BEFORE RECORDING YOUR KO'I'ICE OF COMMENcEMEKT. JOBS ER $2,500 IN VALUE DO KO'l NEED '1'0 RECORD AND POST A "KO'I'IcE OF COHHEHCEMEKT'. Q AfORE: OWlIER OR AGEKT :t:t:- ~ ~J 50 5frQ C~ ')g) STATE OF FLO~ D coum OF o...sC The foregoing instrument was acknowledged before me this ~/rt' , 19-2.t. by ~l\.iiiordUJ~ who is per nally known to me or wile bas pr6du(.~d as identification take an oa ..... SIGKA'I'URE: cOKTRAC'l'OR STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19_____ by (Signature who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, NOTARY PUBLII ~ );.u\ nr JUDITH L SCHAPER Notary PublIc. stat. of FIoIlcIa My Comm. Exp. J\.N 6.1997 No. CC 292357