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CONDITIONS O~ PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The und~rsigned understi~Gi thit this perlit liY be subject to "deed restrictions" which liY be lore restr.ictivt thin City reguhhons. Tht undtnuJntd USual I rtJponlibilit(for cOlpUlnet with iny ipPUuble dttd rutrictions. , . B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner his hired i contrictor or contrictors to undertike work, they liY be required to be licensed in accordance with 5~.tt i~d 10c~1 rtgulitions. If the contr.ctor il not licensed as required by liN, both the ONner and contrictor liY b. clte~ for i Ilsdeleanor violiti~n under state liw. If tbe owner Dr intended contractor art uncertain a5 to what lictnsing requ~elents liY apply for the Intended work, they are advised to contact the City of Zephyrhills Building Dtpartltnt, 18131 799-6611. Furtherlore, if the owner hiS hired a contrictor Dr contractors, he is advised to have the contractorls) sign portions of the "Contrictor Sections" of this ipplicition for which they will be responsible. If you, is the ONner sign as the contr.ctor you are indicating that you, rather than the contractor, are responsible for the work. If th. contrictor wishes you to si~n as contractor that liY be an indication thit 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 thit I, the ipplicant, have been provided with a copy of "Floridi's Construction Lien LiN - HOleowner's Protection Guidi" prtpared by the Florida Depirtaent of Agriculture and Consuler Aff.irs. If the .pplicant is sOle6nt other than tht "owner", I certify th.t I have obtained I, copy of tbl aboye described docuaent and proaise in good f.ith to deliYfr it to the "owner" prior to cOlaenceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaition in this .pplic.tion is iccurite ind th.t all work will be done in cOlpliince with ill .pplicable li"S regulating construction, zoning, and land developlent. ' Applicition is hereby .ade to obtain a perlit to do work and install~tion as indicated. I certify that no work or installition has cOI.eneed prior to issuince of a perlit and that all work Nill be perforled to aeet stindirds of all l.w5 reguliting construction, City codes, zoning regulitions, ind lind developaent regulations in the jurisdiction. I ilso certify thit I understind that the regulitions of other goyernlentil agencies lay ipply'to the intended work, ind thit it is IY responsibil i ty to ident ify whit ictions I lust tike to be in cOlplhnce. Such igencies i nc lude but j. e not lili led to: ... . DeDartle~t of Envir~nleni.1 Reaulition - Cypress Bayheids, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water "anaaelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses . Arlv Corps of Enaineers - Seawalls, Docks, Navigable Waterways f Deoart.ent of Health L Rehabilititive Services. Environlentil Health Unit - Wells,' Wastewater Treatlen~. Septic Tanks . US Enyironlental Protection Aaency - Asbestos abatelent I ilso certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.', it is understoDd that a drainige plan iddressing a "colpfnsating Y01Ule" will be sublitted which is prepared by a professional engineer regist~i~d in the State Df Floridi prior to perlit issuance. A per.it issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, O( set aside iny provisions of the technicil codes, nor shill issuance of a perlit prevent the Building Official frol thereifter requiring a cDrrfctiDn of errors in plinsj construction, or violations of any code. Every perlit issll~d ;hall becoae invalld unless the Nork authurized by such perlit is cOI.enced within six IDnths of issuance, or if work iuthollzed by the per.it is suspended Of" abandoned fH a period of six lonths after the tile the wClrk is co..enced. One 90 day e=h,i\sioll of tilt, uy ~l' allowed for the per.it Nith fee charge of 515.00. 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 "ill be considered ilblilldoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YDU 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 R CORD AND POST A "NOTICE OF COMMENCEME ~GNATURE__~_ _____________ SIGNATURE__~_ -- D~:::~~::~~~---:------------------ ~~~~_~c:~~~~-~------~--- ----- NOTARY AS TO _ " :_+_1 J A I NOTARY AS T J OWNER OR AGENT ___ ~~_'{2{'A/:J.~' CONTRACTOR___ _(2{~ - - - .. MY COMMISSION MY COMMISSIO ~ 1.i.~ ---JuDnH l. SCHAPER Notay Public. State of florida My Comm. Exp. June 6. ]997 No. CC 292351 ~ W JUDITH L. SCHAPER Notay Public. State of FlorIda My Comm. Exp. June 6. 1991 No. CC 292351