<br />bONDITIONS, OF PERMIT AFFIDAVIT
<br />A": NOTICE OF DEED RESTRICTIONS:, "
<br />
<br />Th, undersigned undtr.tinds that this plrllt lay bl lub~.ct to "dtod restrlctieons' which ~ay b~ 5~re res rictive than City
<br />regulations. Tht undersigned assules responsibility for cOlpllance with any applicable need restriction
<br />" .'.., ',~:' .::,"~.. ;,':, , :, ' .
<br />
<br />B. UNLICENSED CONTRACTORS ANO'~ONTRACTOR RESPONSIBILITIES
<br />
<br />If the,owner has hired a contractor or contractors to undertako wor~, they may be required t~ be licensed in accordance with
<br />statt and local regulations. If the contra~tor is not licensed as re,quired by law, be.th the Ollner and contractc.r nay b,
<br />cited for a .isdeaeanH violation under state law.,. If the,c.wncrc.r .\nl'l!ndl!d contr,actc.r are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City 'of Zephyrhills Building Departlent, (913)
<br />7BIH611. ',',
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised t~ have Ihe contraclorls) sign porti~ns of Ihe
<br />'Contractor Sections' of this application for which they will be responsible. If y~u, as the owner sign as the c~ntractor,
<br />you are indicating that you, rather than the contractor, are responsible for t~c wor~. If the ceontractor wishes y~u to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not enlitled to 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 STATUTES, AS AMENDED)
<br />
<br />I certify that I, the applicant, have been prllvided 'with'a copy of "Flc,rida's Cc,nstruction Lien Law - HC.leowner's Prc,tection
<br />Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is so.e~ne Dther than the
<br />'oHner', I certify that I have obtained a copy of "the above described docu~ent and pro~i~e in good faith to deliver it to Ihe
<br />'owner" prior to COI~encement.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the inforlation in this application is accurate and that all work Mill be done in co~pliance Hith all
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />. ",,;
<br />Application is hereby lade to obtain a ~er~it' t~'do work and 'installation as indicated, I certify that no work or
<br />installation has cOI!enced prior to issuance of a perlit and that all work will br. perfor~ed to ~eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
<br />certify that I understand that the regulations o~ other governmental agencies ~ay apply to the intended work, and that it is
<br />.y responsibility to identify t1hat actions IlDust'ta~e to be in compliance. Such agencies include bnt ~Ie Be.l li.tiled to:
<br />
<br />I Department of Environ~ental ReQulation -Cypress Bayheads, Wetland ~reas and Environmentally Sensitive L3nds,
<br />Water/Wastetlater Treatment
<br />I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland ~reas, Altering Watercourses
<br />I Army CorDS of Enqineers - Seawalls, Docks, Navigable Waterways
<br />I Depart.ent of Health L Rehabilitative Services. Environmental Health Unit - W~1Is, Was\eHater Tr~at~!n~. Septic Tanks
<br />I US Environoental Protection AQencl - Asbestos abatement,
<br />
<br />I als~ certify that, if fill material is to'be used in Flood Zone .~' or "n,etc,', it is understood tl'3t a drainage plan
<br />addressing a 'colpensating volume" ~ill be sublitted which is prepared by a professional engineer reqist~i~d in the State of
<br />Florida prior to permit issu,ance.
<br />
<br />A perDit issued shall be construed to be a license to proceed with the wor~ and nol as authority to vioJ~te, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a p~rmit prevent the ~uildin9 Officidl frDft lhereafter
<br />requiring a correction of errors in plans, construction, or violations of any code, Every per~il issued shall beCOle invalid
<br />unless the work authorized by such permit is CDlftenced within six months of issuance, or if uOl'k aulhorlied by the perlit is
<br />suspended Dr abandoned fc.r a peric,d tlf six lonths after the time the Ilork is cO!.lmenced, Or,e 90 day e;:\ti,sioll c.r tile, say be
<br />allowed for the per~it with fee charge of $15.00. The extension shall be requested in Iliiting to Ihe Building Official. An
<br />approved inspedic.n !:lust be lc.gged 'during each six month period, cor the prc.jecl \'Ji 11 be ((.nsidered dboiidc'i,ed,
<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. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />__:IiL:/~~~;:-Lt--- SIGNATunE___g~L-----
<br />OWNER OR AGENT CONTRACTOR .
<br />DATE______~_L~~---------------------- DATE______~~~~~-----------------
<br />~~~~~Y D~S A~~N~tMIh-':K.~- ~g~~~~c~~n~':J(?~
<br />
<br />MY COMMISSION EXPIRES___-L~~f2~=-~~--- MY COMMISSION EXPIRES__~~~-~~~-?-~
<br />
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