<br />.
<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The undersigned understands that this per.it lay be subject to "deed restricti~ns" which ~ay be lore restrictive than City
<br />regulations. The undersigned assules responsibilitJ.for compliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licen$ed as required by law, b~th the ollner and contractor ~ay be
<br />cited for a .isdeleanor violation under state law. . If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building nepartlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a r~ntractor or contractors, he is advised to have t~e c~ntractor(s) sign portions of the
<br />"Contractor Sections" of this application for which they will be responsible. If y~u, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wor~. If the ce,ntractor wishes y~u to sign
<br />as contract~r that lay be an indication that he is not properly licensed and is not entitled te, per~itting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D.
<br />
<br />CONSTRUCTION LIEN LAW
<br />
<br />(CHAPTER 713, FLORIDA STATUTESJ AS AMENDED)
<br />
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is SDleDne other than the
<br />'owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
<br />'owner' prior to cOlmencement.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the information 1n this application is accurate and that all \lor~ will be done in co~pliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and. installation as indicated. ] certify that no work Dr
<br />installati~n has comlenced prior to issuance of a perlit and that all w~rk will be performed to ~eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that] understand that the regulations of other governmental agencies may apply to the intended work, and that it is
<br />.y responsibility to identify what actions I lust take to be in compliance. Such agl<ncies include bllt ~ie not lii1ited to:
<br />
<br />I Department of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive L~nd5,
<br />Water/Wastewater Treatment
<br />. Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses
<br />. ArDY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />. Departlent of Health ~ Rehabilitative Services, Environffiental Health Unit - Hells, WasteHater Treat~ent, Septic Tanks
<br />I US Environmental Protection AQency - Asbestos abatement
<br />
<br />1 also certify that, if fil1l1aterial is to be used in FICtOd Zc,ne "A" or "A,etc.',.it is underste,e,d tll~t a drainage plan
<br />addressing a 'colpensating volume" Hill be sublitted which is prepared by a professie,nal engineer fegist~(ed in the State of
<br />Florida prior to permit issu~nce.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violatiDns of any code. Every permit issued ;hall bec~.e invalid
<br />unless the work authorized by such per.it is co.~enced within six months of issuance, or if Hork authorlzed by the perlit is
<br />suspended or abandoned for a period of six lonths after the time the lIork is commenced. One 90 day e:te~5jDII of tile, aay be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspecti~n oust be logged .during each six month period, or the project lIill be considered ibal~oned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. J BS U R $2J500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF CO M NET".
<br />
<br />".
<br />
<br />SIGNATURE_~~_~~~~lt~~~-------------- SI
<br />",Ji ~. OW R QR AG~T - '.11
<br />~. ~-F~~//~.
<br />DATE______4_:~~:~j_______________________ DATE______~~~~~~__________________
<br />
<br />NOTARY AS TO fl 0 LJ /J/J
<br />OWNER OR AGE~~--L)~--~-
<br />-...... .... "'......
<br />MY COMMISSION EXPIRES_~~~~~~~~l~--
<br />
<br />
<br />CTOR
<br />
<br />~g~~~~c~~_e___~--
<br />~ ....., ...... .... " ......
<br />MY COMMISSION EXPIRES~~~.J~
<br />
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