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~.<L CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Th~ und~rsign~d und~rstands that this p~r.it lay be subject to "deed restrictions" which lay be more restr.ictive than City regulations. Th~ undersigned assul~S responsibility".'for cOlpliance lIith any applicable deed restrictions. , , B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake Ilork, they .ay be required to be licensed in accordance with state and local regulations. If the contractor is not licehsed as required by law, both the owner and contractor aay be cited for a lisdeleanor violation under state lall. If the ollner or intended contractor are uncertain 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 ollner has hired a contractor or contractors, he is advised to have the contractor(s} sign portions of the 'Contractor Sections" of this application for Ilhich they lIill 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 contracte.r wishes ye.u to sign as contractor that tay be an indication that he is not properly licensed and is not entitled to perlitting 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 Ilith a copy of "Florida's Construction Lien Law - HOleowner's Protection Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOleCone other than the 'ollner", I certify that I have obtained a copy of the above described docu.ent and promise in good faith to deliver it to the "ollner" prior to cOllenceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this applicatlOn is dCt~la~e and that all work Ilill be done in cOlpliance with all applicable lalls regulating construction, zoning, and land developeent. Application is hereby lade to obtain a perlit to do work and install~tion as indicated. I certify that no Ilork or installation has cOltenced prior to issuance of a perlit and that all work will be performed to leet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended work, and that it is my responsibility to identify what actions I lust take to be in cOllpliance. Such agencies include bllt ~le not lilllited to: .'" I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.', it .is understood tll~t a drainage plan addressing a 'colpensating volule' lIill be sublitted which is prepared by a professional engineer reqist2ied in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a per0it prevent the Building Official fr~1 thereafter requiring a correction of errors in plans, construction, or violations of any c~de. Every periit issued :hall bec~.e invalid unless the Nork authorized by such perlit is co..enced within six months of issuance, ~r if work authol J1ed by the per.it is suspended or ahandoned f~r a period of six lonths after the tiJe the work is commenced. One 90 day e~t~nsioll of ti.e, lay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspecti~n must he logged during ~al~ si. tonth prriod, ~r the project will be considered dbdiJdoned. 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". ~ <::A / = /.IC SIGNATU _ _ ~L;4).':"r--~~~ OWNER OR AGENT DA TE_________%/!!iv.-------------.------- S.iGNATURE_~--L-~ CONTRACTOR DATE______________~~~J.:~---------- MY COMMISSION EXPIRES_ NOTARY AS TO CONTRACTOR ~------- NOTARY AS TO OWNER OR AGENT BETTY COHEN State of FIoridlI ~M.,?T.l9!J3