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COND I T IONS OF PERM I T AFF I,D A 'v' I T A. NOTICE OF DEED RESTRICTIONS . The undersigned understands that this peraitaay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assuaes responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contracto~ or ,c~~tractrrs to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the conttactor isftDFlicensed as required by law, both the ollner and contractor aay be cited for a aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents aay apply for the intended work, they are advised to cOll~act the City of .2ephyrhills Building Departaent, (8131 788-6611. I Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the ollner sign as the contractor, you are indicating that you, rather than the contractor, are respofisible for the work. If the contractor lIishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to peraitting privileges in 'the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~. n CONSTRUCTION LIEN ~AW (CHAP~ER ~lZ, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided lIith a copy of "Florida's Construction Lien Law - Hoaeollner's Protection Guide" prepared by the Florida Departaent of Agriculture and Consu.er Affairs. If the applicant is soaeone other than the "ollner" , I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the "oNner" prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in coapliance lIith all applicable lalls regulating construction, zoning, and land developaent. Application is hereby aade to obtain a perait to do work and installation as indicated. I certify that no work or installation has coaaenced 'prior to issuance of a pe~ait and that all work will be perforled to .eet standards of all laws regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is ay responsibility to identify what actions I .ust take to be in coapliance. Such agencies include but are not liaited to: f Departaent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Wa ter tWas tewa ter T rea tll!n t f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environmental Protection AQency - Asbestos abateaent I also certify that, if fill cJt!ri~l ~5 ta ~, :,r~ '? rls~~ -. 'C"r "nle~r." ~t is undprst~od th~t a drainage plan addressing a "colpensating volute" Mill be suhaitted which IS prepared by a professional engineer registered in the State of Florida prior to perait issuance. A perait issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code.. Every perlit issued shall becole invalid unless the work authorized by such pertit is co..enced within six tonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six tonths after the tile the work is com.enced. One 90 day extension of tile, lay be allowed for the perait with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORDA NOTICE OF COKKENCE"ENT "AY 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 COKKENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~r;;;;~V- SIGNATURE: OWNER OR AGENT /' SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument befc'J-e me th i s STATE OF FLORIDA cn!J~T'f !IF Qo\~ was acknowledged , 19_ by The foregoing instroment was acknowledged before me th i s \"\ tY\. ~~\-, 19 -S.O.- by ~6~N \- ?\.~ me r who is personally known to me Dr who has produced \'\) L -\! \=- IllS lo. ..\ l.1'~ <;l ~ - 14.1 as identificatio'~l and. Wh.O dl./~d~id 'nc.t take an oath. ~ A.~ l '- \j l\ v lJd -\ ~U . <Signature) ~ \ \ \\"'\ff Q..:~.:o-_. (:\ \ 'l \ (Name Typed, Printed or Stawped) . NOTARV PUBLIC who is personally known to me or who has produced as identification and who did/did not take an oath. <Signature) lName Typed, Printed or Stamped) NOTARY PUBLIC i:,: <". ); '.'; 'r~" :~~- ~:--::..('~_j';\~ :\. ;\';~.';J ~ "" t >,,~ :-~)J.: ~~1. . J~:;3 ,.. r ,:~"i ::"1\ "l'J'. ~,~.:~. '-i~\'/)..