<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />
<br />A". NOT I CE OF DEED RESTR I CT IONS:, .
<br />
<br />The under5ign~d understinds that this per.it lay be subject to "deed restrictions. which ~ay be ~or~ restrictive than City
<br />regulations. The unde~signed assumes responsibili'r,f!t compliance with any applicabl~ deed restriction~,
<br />
<br />E. 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 licensed as required by law, both the OHner and contractor nay be
<br />cited for a .isdeaeanor 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 Departeent, lBI31
<br />7BB-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible, If you, as the OHner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work, If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled 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 provid~d ~ith a copy of "Florida's Construction Lien Law - Homeowner's Protection
<br />Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If th~ applicant is SO!EOne 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 co.~encement,
<br />
<br />E. CONTRACTOR'S/O~NER'S AFFIDAVIT
<br />
<br />I certify that all the information in this applicatiDn is accurate and that all l10rk Mill be done in co~pliance with all
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />Application is hereby lade to obtain a perait to do work and installation as indicaled. I certify that no work or
<br />installation has co~!~nced prior to issuance of a perlit and that all work Hill be performed to meet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulatiDns of other governmental agencies may apply to the intended Mork, and that it is
<br />/tY responsibility to identify I1hat actions I must take to be in compliance. Such agencies include bllt ~1 e 11['\ li.lited to:
<br />
<br />I Department of Envi,on~eptal ReQulatioll - Cypress Bayheads, Hetland nreas and Environmentally Sensitive L3nds,
<br />winEI iridsi~tiatel Tii?a \jUent
<br />f Southwest Florida Hater HanaQelent District - Wells, Cypress Bayheads, Wetland nreas, Altering WatercDursEs
<br />f Army CorDS of EnDineers - Seawalls, Docks, Navigable HaterHays
<br />f Departlent of Health L Rehabilitative Services. Environmental Health Unit - W~lls, WasteHater TreatEEn~. Septic Tanks
<br />f US Environoental Protection nqency - Asbestos abatement
<br />
<br />I also certify that, if fill latl?Tial is to be used in Flc'od ZClne "n" Dr 'n,etc.', it is underste,c,d th,l a drainage plan
<br />addressing a 'colpensating volu~e" will be sublitted which is prepared by a professional engineer regisli?ied in the State of
<br />Florida prior tD permit iS5u~ncE.
<br />
<br />A per~it issued shall be construed to be a license to proceed with the work and not as authDrity to violate, cancel alter, or
<br />set aside any provisions of the technical [odes, nor shall issuance of a permit prev~nt the Building Official fro~ thereafter
<br />requiring a correction c-f ernrs in plans, [(,nstructie,n, or violations of any cc,de. Every per<<lit isslll!d =.hall bece,le invalid
<br />unless the work authorized by such permit is com~enced within six months of issuance, Dr if \lork authorIzed by the perlit is
<br />suspended or abandoned for a period of six .onths after the time the Hork is commenced. One 90 day 0:IE~5ioll of tile, ~ay be
<br />allowed for the per~it with fee charge of SI5.00. The extension shall be requested in "riling to the Building Official. An
<br />approved inspedie,n r..ust be logged during each six Mnth period, or the prc.jed lIill be cc,nsidered dbaiiGOiled.
<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 $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />~..;, If
<br />
<br />
<br />SIGNATURE~~~i~~o~-~~~~!_~ij~__---
<br />DATE__~~__4?/,~9JZ~------------------
<br />
<br />NOTARY AS TO 1/..-1 I;)
<br />OWNER OR AGENU1zL~~,-i1&---ilh.J..;?Ae...W~
<br />
<br />) ;
<br />
<br />j~ ' \.
<br />SIGNATUREX_~ "> ! _\,.;.,.:.,-_u..-!I..~.,:...t2.....~------
<br />. '- CONTRACTOR
<br />
<br />DATE__~~~-~7-/_9Jf~------------
<br />,:;/
<br />NOTARY A5 TO / / J-/ . )/ (),
<br />CONTRACTOR_NL~L.J27-i:;v'~l",-
<br />
<br />MY COMM I 55 ION EXP I RES fJotc:ry Publidfate ofF!wid. MY COMM I 5S I ON EXP I RE~ ~.1t'::v_~~~;r:..~~!:~~ii~~Q .
<br />--My-(lJtftlfllrsioiHipires-Sept-:-i6,199:l "'T~,,,,,..m:m r~pij(;$ Sept. 26, "i993
<br />
<br />Bond.d nn" T.oy Fa;" In""o"," '"' Bondod Th." Teoy fo;n . In,".onc. Ineo
<br />
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