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~"'1=" ~~._,.-..-. CONDITIONS,OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The.undersigned understands that this perlit lay be sub~ect to "deed restrictions" which may be lore restr.ictive than City regulations. The undersigned aSSUles responsibility;for,.colpliance Nith any applicable deed restrictions. ..' . ~ B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONner 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 ftay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to ~hat licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, tB13) 7B8-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorts) sign portions of the 'Contractor Sections' of this application for which they will be responsible. If yc.u, 'as .the e'l'mersign ~s the ccontractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor Nisnes 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 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 - HOleowner's Protection Guide" prepared by the FJo~ida' Departlent of Agriculture and Consuler Affairs. If the applicant is SOle{.ne 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 cOllencelent. ; 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 with all applicable laws regulating construction, zoning, and land developlent. ' '. Application is hereby .ade to obtain a per.it to'do work and install~tion as indic~~~,.~~,~tifY that no Mork Dr installation has cOllenced prior to issuance of a perlit and that all work will be perform~o meet standards of all laMS regulating construction, City codes, zoning regulati~ns, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies ~ay apply'to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include bllt it e not limited to: .#' I also certify that, if fill laterial is to be used in Flood Zone "A" or 'A,etc.', it is understood thit a drainage plan addressing a "colpensating volume" will be sublitted which is prepared by a professional engineer regist~ied in the state of Florida prior to perlit issuance. A pertit issued shall be construed to be a license to proceed with the work and not as authority to vibl~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frot thereafter requiring a correction of errors in plans; construction, or violations of any code. Every permit issll~d "hall becole invalid unless the work authorized by such perlit is cotlenced within six months of issuance, or if work authol Ized by the perlit is suspended or abandoned for a period of six lonths after the ti)e the work is co~menced. One 90 day e:tE~5iolt Df tile, lay be allowed for the per~it 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, Dr the project will be considered abd\ldoned. 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". SIGNATURE4-!-:-~2~ CONTRACTOR DATE_____________~-~t~--~--------- ~g~~~~c~~R~~___~-Q-~ SIGNATURE__~!~~-~~~--- OWNER OR AGENT DATE _______ __J/-i(:L/-q~-6-----------,-_.------- NOTARY AS TO ~~ /Jt'1n ' OWNER OR AGENT ' ~\ __ 1trptrBt.;. .zrrE""'orn..1>1\iD~:--:- IIi ( COMMISSION EXPIRES; MAR, 26. 1994. MY COMM 1 SS ION EXP If:lEg:_'~::"_,N~~.:::.~.:'.:~~~~~~~~':: " MY COMMISSION EXPIRES__________________ NOTARY PUBLIC. STATE OF FlORID',( MY COMMISSION EXl-'IRES: MAR. 26. i994 80NOli:D THRU NO,.ARY PUBLIC UNDERWRITERlih.