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CONDITIONS OF PEPMIT AFFIDAVIT <br /> A. NOTICE OF DEED RESTRICTIONS <br /> The undersigned understands that this permit may be subject to "deed restrictions" which <br /> may be more restrictive than City regulations. The undersigned assumes responsibility for <br /> compliance with any applicable deed restrictions. <br /> B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br /> If the owner has hired a contractor or contractors to undertake work, they may be required <br /> to be licensed in accordanoe with state and local regulations. If the contractor is not <br /> licensed as required by law, both the owner and contractor may be cited for a misdemeanor <br /> violation under state law. If the owner or intended contractor are uncertain as to what <br /> licensing requirements may apply for the intended work, they are advised to contact the <br /> City of Zephyrhilla Building Department, 813 -788 -6611. <br /> Furthermore, if the owner has hired a contractor or contractors, he is advised to have the <br /> contractor(s) sign portions of the "Contractor Sections" of this application for which they <br /> will be responsible. If you, as the owner signs as the contractor, you are indicating that <br /> you, rather than the contractor, are responsible for the work. If the contractor wishes <br /> you to sign as contractor that may be an indication that he is not properly licensed and is <br /> not entitled to permitting privileges in the City of Zephyrhills. <br /> C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES <br /> D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) <br /> I certify that I, the applicant, have been provided with a copy of "Florida's Construction <br /> lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture <br /> and Consumer Affairs. If the applicant is someone other that the "owner ", I cerify that I <br /> have obtained a copy of the above described document and promise in good faith to deliver <br /> it to the "owner" prior to commencement. <br /> E. CONTRACTOR'S /OWNER'S AFFIDAVIT <br /> I certify that all the information in this application is accurate and that all work will <br /> be done in compliance with all applicable laws regulating construction, zoning, and land <br /> development. <br /> Application is hereby made to obtain a permit to do work and installation as indicated. I <br /> certify that no work or installation has commenced prior to issuance of a permit and that <br /> all work will be performed to meet standards of all laws regulating construction, City <br /> codes, zoning regulations, and land development regulations in the jurisdiction. I also <br /> certify that I understand that the regulations of other governmental agencies may apply to <br /> the intended work, and that it is my responsibility to identify what actions I must take to <br /> be in compliance. Such agencies include but are not limited to: *Department of <br /> Environmental Regulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br /> Lando, Water /Wastewater Treatment <br /> *Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, <br /> Altering Watercourses <br /> *Army Corps of Engineers - Seawalls, Docks, Navigable Waterways <br /> *Department of Health & Rehabilitative Services, Environmental Health Unit - Wells, <br /> Wastewater Treatment, Septic Tanks <br /> *U.S. Environmental Protection Agency - Asbestos abatement <br /> I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc. ", it is <br /> understood that a drainage plan addressing a "compensating volume" will be submitted which <br /> is prepared by a professional engineer registered in the State of Florida prior to permit <br /> isauance. <br /> A permit issued shall be construed to be a license to proceed with the work and not as <br /> authority to violate, cancel, alter, or set aside any provisions of the technical codes, <br /> nor shall issuance of a permit prevent the Building Official from thereafter requiring a <br /> correction of errors in plans, construction, or violations of any code. Every permit <br /> issued shall become invalid unless the work authorized by such permit is commenced within <br /> six months of issuance, or if work authorized by the permit is suspended or abandoned for a <br /> period of six months after the time the work is commenced. One 90 day extension of time <br /> may be allowed for the permit with fee charge of $15.00. The extension shall be requested <br /> in writing to the Building Official. An approved inspection must be logged during each six <br /> month period, or the project will be considered abandoned. <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT <br /> WITH youR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER <br /> $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT ". <br /> SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR <br /> STATE OF FLORIDA STATE OF FLORIDA <br /> COUNTY OF COUNTY OF <br /> The foregoing instrument was acknowledged The foregoing instrument was acknowledged <br /> Before me this day of , 19 Before me this day of , 19 <br /> by by <br /> (name of person acknowledged) (name of person acknowledged) <br /> ❑ who is personally known to me, or oho is personally known to me, or <br /> D who has produced D who has produced <br /> (type of identification) (type of identification) <br /> and who❑ did ❑did not take an oath. and who ❑did 3did not take an oath <br /> Signature of person taking acknowledgement Signature of person taking acknowledgment <br /> Name typed, printed or stamped Name typed, printed or stamped <br />