<br />:,"'." .
<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A.': NOT I Ce: OF DEED RESTR I CT IONS ;', , ,
<br />
<br />Th. und.rslgnad underltinds that thll plr.l~ I'Y b. sub'lct \0 "dead rll\rietit,ns' which ~ay b~ aor~ restrictive than City
<br />regulations. The undersigned assuIUS responslbltl\r,fo,~ co.pllanee with any applicabl~ deed restrittlon~.
<br />.:' 1.:0\ ." ~ '..
<br />
<br />B. UNLICENSED CONTRACTORS ANOtONTRACTOR RESPONSIBILITIES
<br />
<br />t ',' ....~
<br />
<br />If the ONner has hired a c~ntractor or contractors to undertake work, they may be r~quired to be licensed in accordance with
<br />stat, and local reQulatlons. If the contra~tor Is not licensed as required by law, both the OHner and contractor nay be
<br />cited for a .isdeleanor violation under state law.', If the owner or intended contractor are uncertain as to what licensing
<br />require.ents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departsent, (8131
<br />7B1H611. ',',
<br />
<br />Furthlraore, If the owner has hired a contractor, or contractors, he is advised "tD have the contractorls) sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. .If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. 1f the contractor wishes you to sign
<br />as contractor that aay be an indication that he is not properly licensed and is not entitled to per~ltting 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 bl?l!n pro'videdwHh a copy of "Flc,rida's CClnstruction Lien Law - Hc.ceowner's Pre,tection
<br />Guide" prepared by the Fl~rida Depart.ent of Agriculture and Consumer Affairs, If the applicant is SODeone other than the
<br />"owner", I certify that I have obtainl?d a copy of'the above described docuffient and proli5e in good faith to deliyer it to the
<br />"owner" prior to cOi~ence~ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the information in this application is accurate and that all wor~ Ifill be done in co~pliance with all
<br />applicable laws regulating construction, 20ning, and land developDent.
<br />
<br />Application is hereby .ade tCI obtain a p'erlif t'o' do work andinstallaticln as indicated. I certify that no wClrk or
<br />installation has cO&lenced prior to issuance of a per1it and that all worl: Hill be performed to roeet 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 regulations o~ other governmental agencies lay apply to the intended \for~, and that it is
<br />my responsibility to identify Ilhat actions llllust 'take to bl? in compliance. Such agencies include bl1t ~I e m,t li~ited to:
<br />
<br />I Deparhent of Envil'on~erftal ReQulation - Cypress Bayheads, lIetland Areas and EnvirOMentally Sensi lil'~ Lands,
<br />lIater/\Iastewatl?r Treatment
<br />. Southwest Florida ~later ManaQe~ent District - \Iells, Cypress Bayheads, Hetland Areas, Altering Hatercocrses
<br />. ArlY CorDS of Enqineers - Seallalls, Docks, Navigable Waterways
<br />I Departaent of Health L Rehabilitative Sl?rvices, Environmental Health Unit - W~llsf WasteHater Treal~En~, Seplic Tan~s
<br />I US Environoental Protection AQenci - Asbestos abatement,
<br />
<br />I also certify that, if fill aaterial is to'be used in Flc.od ZClnl? "1\" or 'A,elc.', it is und\'rstc,e,d t:,~t a drainage plan
<br />addressing a 'colpensating volu~e" will be sublitted which is prepared by a prDf~ssic,nal engineer reqi5t~ied in the State of
<br />Florida prior to per~it issu,anc~.
<br />
<br />A per~it issued shall be construed to be a license to proceed with the \fork and not as authority to ylol~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a p~rmit prevent the Building Official frD~ thereafter
<br />requiring a corrEction clf ernrs in plans, constructlcln, (.r violations c.f any CClde. Eyery per~it issued ;hall becclle invalid
<br />unless the work authorized by such permit is comftenced within six months of issuance, or if Hork aulhorli~d by the perlit is
<br />susp~nded Dr abandcln~d fClr a pericld of six lonths after the tilBe the liork is cC'r.\ffiencE'd, Dne 9(; day c,~I;;;,sic'll clf tile, aay be
<br />allowed for the permit with fee charge of ~15.00. The extension shall be requested in Iiriting to the Building Official. An
<br />approved inspecticln /!lust be lc'9ged'during each six Mnth period, (If the pre,jecl Hill be ((,nsidered dbaiiGCli,ed.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUI~ PROPERTY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. J08S UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". c;
<br />
<br />
<br />SIGNATURE________~-~, . ._____ SIGNATUnE__~-~-~-----
<br />OWNER OR'~ . CONT~OR
<br />
<br />DATE____________~~~~~---------~------ DATE____~C~~----~-f---~~;1~-----
<br />
<br />NOTARY AS TO \..11.._ . II. _ _ _ Q' ,
<br />OWNER OR AGENT___~--~-~
<br />
<br />~~~~~~C~~~~~~~~-~-~~
<br />
<br />NOTARY PUBLIC S '~
<br />MY COMMISSION EXPIRES MY COMMISSIQ&~~~ FLORIDA. MY COM~lISSION
<br />-eoJIlt:JJm'T.HRUNOTARY PUB . M1l'IT."'21;, 1994.
<br />Lie UNDERWRITERs..
<br />
<br />EXPI~ARY PUP.,LlC. Sff,rc OF nC:3w,
<br />r\M~c~~~e~~~~~o~~A~20
<br />BONDED THR '.. lB..),
<br />NO! r~j:;,,"v-'I''''''' u NOTARY PU~LIC UNDEH"NR
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