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'!l~"'~ '" J~_ 1],1..~ j -<!.IIlilIf~"'" __1 ~I -~;~ CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . The undersigned understands that this perlit lay be subject to "deed restrictions" which &ay b~ more restr.ictive than City regulations. The undersigned assules 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 lisdeaeanor violation under state la~. If th~ owner or intended contractor are uncertain as to what licensing requiresents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 1813l 788-6611. Furtherlore, if the owner has hired a contractor Dr contractors, he is advised t~ have the contractorlsl 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 cun'fdLtor, are res~onsible 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 to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FE~S AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided Kith a copy of .Florida's Construction Lien Law - HOleoMner's Protection Guide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOle6ne other than the .owner., I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the .owner. prior to cOllencement. 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 development. Application is hereby lade to obtain a perlit to do work and install~tion as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be performed to meet standards of all laMS regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies fiay apply"to the intended work, and that it is IY responsibility tel identify what actions I lust take to be in (l'lIpliance. Such agencies include but ~le not lilited to: .... I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.., it is understood tho! a drainage plan addressing a .colpensating volule" will be sub.itted which is prepared by a professional engineer regist2i~d in the State of Florida prior to pertit issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, or set aside any provisions of the technical codes, nor shall i~s~ance of a per~it pr~vent the Building Official frol thereafter requiring a correction of errors in plans, construction, or ~lolations of any cod~. Every permit issued ihall beco.e invalid unless the work authorized by such pertit is cOllenced withip ~ix months of issuance, or if work authoflzed by the perlit is suspended or abandoned for a period of six lonths after the tlJe the work is commenced. One 90 day e~t~nsioli of tile, lay be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six tonth period, or the project will be considered dbdildoned. 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 RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATU.a_<~&~- " CONTRACT tI DATE____~Lj.i. rL._ .__________________ l "C . S IGNATURE-bB%~~~~GEN;:------------- DATE____~L122.I,__~____________._______ fl": NOTARY AS TO ) .' ~ OWNER OR AGENT __!fl'(Lr(~~/ #.-- rvJ'ii61iC.-state of Aorida ......., My ( '. MY COMMISSION EXPIRES__~~n!x~!~~~~~~ 1"7oy -rain - JmurancllI Inc., NOTARY AS TO.. .~ fj .-~' ::N:~:::::~::~~:~~;~~~::.' 11MIl'!Uh5f,-hpifes1Iii1e"'S;' 1:919'\ Bondltd Thru Trvy Fain' ImiJraocllI Inc:.