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-~~~." "~--'''''T' CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The und:rsigned understands that this pertit tay be subject to "deed restrictions" whi~h. may be lore res~rictive than City regulatIons. The undersigned assules responsibility fOr co.plian~e 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 contra~tor is not licensed as required by law, b~th the owner and contractor lay be cited for a tisdeteanor violation under state law. If the owner or intended ~ontractor are un~ertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised t~ have the contractor(sl sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the c~ntractor, you are indi~ating 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 he is not properly licensed and is not entitled t~ permitting 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 - H~leowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to cOlaen~ement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has cO.lenced prior to issuance of a pertit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdi~tion. I also certify that I understand that the regulations of other governlental agencies may apply to the intended work, and that it is .y responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt ile "~t li.ited to: I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands, Water/Wastewater Treatment I Southwest Florida Water ManaQeaent District - Wells, Cypress Fayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health t Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatment. Septic Tanks I US Environ.ental Protection AQency - Asbestos abatement I also certify that, if fill .aterial is to be used in Flctod Zc,ne "A" or 'A,et~.", it is understN,d that a drainage plan addressing a "colpensating volume" will be sublitted which is prepared by a professional engineer registEred in the State of Florida prior to perlit issuance. A perlit issued shall be ~onstrued to be a license to proceed with the work and not as authority to viol~te, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frOB thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ;hall becole invalid unless the work authorized by such permit is co..enced within six months of issuance, or if work authoflzed by the perMit is suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day e:tensjoli of tile, lay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Offi~ial. An approved inspecti~n must be logged during each six month period, or the pr~ject "ill be considered ~ba\~Dned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN YOU NOTICE OF C ENCEMENT. JOBS UNDER ,500 IN VALUE DO NOT NEED T EC D P ~OF COMMENCEM . ~~ SIGNATURE - OWNER OR~~C----- SIGNATURE__ - -CONTRACTOR-~ ' DATE______~!y-L{?-?L---------------- DATE____~--~-'Jr-.!-CZ-P~---------- NOTARY AS TO ~~ _ . ~JLr/ NOTARY AS T~I - OWNER OR AGENT ~~-~:"(..~":".-~7~ CONTRACTOR_1.I~~Al..~~7~ MY COMMISSION EXPIRES__BR~~~~.Ata~~R-- MY COMMISSION EXPIRE~_B~~'~~i~~~!~~~~~a My Commission Expires Aug. 6,1993 My Commisslc!'I Expires lug. 6, 199-' 80nded ThnJ Troy Fain. InsuronC13 Inc. Bonded Thru Troy Fain. irauroli(.s1ac..