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w' CONDITIONS, OF FERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The,underslgntd understands that this perlit lay be subject to "deed restrictions" which ~ay be lor' restr.ictive than City regulatlDns. The undersigned a5SUles responsibility;for",colpliance with any applicable deed restrictions. 8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake Hork, they lay be r~quired 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 ~ay be cited for a .isdeleanor violation under state lall. If the owner or intended contractor are uncertain as to IIhat licensing requirelents lay apply for the intended llork, they are advised to contact the City of Zephyrhills Building Depart.ent, (BI3) 7BB-6611. Furtherlore, if the OHner has hired a contractor Dr contractors, he is advised to have the contractor!s) sign portions of the .Contractor Sections. of this application for llhich they llill 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 contractor wishes you to sign as contractor that aay be an indication that he is not properly licensed and is not entitled to per~itting 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 llith a copy of .Florida's Construction Lien Law - Ho.eowner's Protection Guide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the .owner., I certify that I have obtained a, copy of the above described document and promis~ in good faith to deliver it to the .oHner. prior to cOlmencelent. :.. 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 compliance lIith all applicable laws regulating construction, zoning, and land developllnt. ' Application is hereby lade to obtain a perlit to'do Mort and install~tion as indicated. I certify that no work or installation has COI.enced prior to issuance of a perlit and that all work will be performed to ~eet 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 fiay 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 bill ale nol liaited to: .... I also certify that, if fill laterial is to be used in Flc,od Ze,ne .1\" or "A,etc.', il is underste,[,d th~t a drainage plan addressing a "colpensating volute. will be sublitted which is prepared by a professional engineer reuist~ied in the State of Florida prior to permit issuance. A pertit issued shall be construed to be a license to proceed with the work and not as authority to viol3te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans; construction, or violations of any code. Every per~it issued ~hall becole invalid unless the work authorized by such perlit is COlmenced llithin six months of issuance, or if wOl'k authol lIed by the per.it is susp~nded or abandoned for a period of six lonths after the ti,e the work is commenced. One 90 day e=tensioll of tile, lay be allowed for the permit lIith fee charge of $15.00. The extension shall be requested in writing tD the Building Official. An approved inspection aust be logged during each six lonth period, ~r the project Hill be considered ~b~IJdDned. 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". SIGNATURE_~~--- SIGNATURE~ OWNER OR AGEjT CO ~RAC DATE______________9!fAJi/-<J.Lu-------- NOTARY AS TO 'A ~. ' OWNER OR AG __~_ 14(~~~---- / XPIRES___~~t~:~~_______ MY COMMISSI ~U :~ ----------~-~-- " EXP I RES __~.::(~~7!~___ MY COMM