<br />. ~
<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A": NOTICE OF DEED RESTRICTIONS:, ,
<br />
<br />The undersigned understands that this per.it lay be subject to "deed restrictie,ns' which ~ay be ~ore res~rictive than City
<br />regulations. The undersigned assules responsibili~Y"fo~ compliance with any applicable deed restrictions.
<br />......"." ,.....
<br />' .
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a contractor or contractors to undertake work, they may b& required t,o be licensed in accordance with
<br />state and local regulations. If the contractor 15 not licensed as required by law, be,th the O\fner and contracte,r ~ay be
<br />cited for a .isdeaeanor violation under state law. , If the ollner or intended contractor arE uncertain as to what licensing
<br />requiruents laY apply fe.r the intended work, they are advised to ce,ntact the City e,f Zephyrhills Building Deparlunt, (BI3)
<br />7BB-6611.
<br />
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the ce,ntractor(sl sign portions of the
<br />.Contractor Sections. of this application for which they lIill be responsible. If you, as the ollner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the lIork. If the contractor lIishes you to sign
<br />as contractor that aay 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 provided llith a copy of .Florida's Ce,nstruction Lien Law - Ho~eowner's Protection
<br />Guide. prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is someone other than the
<br />.owner., I certify that I have obtained a copy of the above described document and promise in good faith tD deliver it to the
<br />.0Hner. prior to cOimencement.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the information in this application is accurate and that all work Mill be done in co~pliance lIith all
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />Application is hereby lade to obtain a penit to do HorK and installaticln as indicated. I certify that no HClrk or
<br />installation has com~enced prior to issuance of a perlit and that all work will 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 regulations of other governmental agencies may apply to the intended Mork, and that it is
<br />my responsibility to identify llhat actions I must take to be in cclmpliance. Such agencies include bllt ~le IIC'\ liilited to:
<br />
<br />I Department of Envi(on~ental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensj\iv~ L~nds,
<br />H~ter/Wa~tehit~r Treatment
<br />I Southllest Florida Hater ManaQelent District - Wells, Cypress Bayheads, Hetland ~r~as, Altering HaterCQCfSes
<br />I Ar~y C~ros of EnQineers - SeaMalls, D~cks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Services. Environmental Health Unit - W~lls: Wastewater Treat~en~. Septic Tanks
<br />I US Envir~no~ntal Protecti~n ~Qency - Asbestos abatement
<br />
<br />I also certify that, if fill material is to be used in Fle,od ZClne .~. or 'A,etc.', i l is understclcld tl.,l a drainage plan
<br />addressing a .colpensating volu~e. will be sublitted which is prepared by a professional ~ngineer regisl~ied in the State of
<br />Florida priclr to perllii t issu,ance.
<br />
<br />A per~it issued shall be construed to be a license to proceed with the w~r~ and nvt as authvrity to violjte, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a p~rmit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ev~ry per~it iS5U~d ~hall becole invalid
<br />unless the work authorized by such permit is com~enced llithin six months of issuance, vr if work auth~rlzed by the perlit is
<br />suspended Dr abandDned for a period of six looths after the time th~ ~ork is commenc~d. One 90 day ~:te~5ioll Df tile, may be
<br />allowed for the per~it llith fee charge of ~15.00. The extension shall be requested in writing tCI the Building Official. An
<br />approved inspectie,n !!lust be lelggedduring each six Mnth period, or the prcljed liill be ct,nsidered dD,;udclr,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 NO~E OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO R~E~~OR~/Pfl\f~/pr~: A "NOT I CE OF COMMENCEMENT".
<br />
<br />/;/~//-t: /~ / ...--/
<br />
<br />SIGNATURE __ _ ~~ __ ~ / <-~ S I GNATUnE __~_WJWj--l--_n___-
<br />, O~NER ~ AGENT . CmnRACTOR
<br />
<br />DATE_______1~_~~:-~L---------------------- DATE__~::~~_~~(--------------------
<br />
<br />MY COr'IM I 5S I Or~
<br />
<br />
<br />'- -~----
<br />
<br />NOTARY AS TO ~"). J. ' ')
<br />OWNER OR AGENT __ __ _ ,.:::ti.t~----
<br />
<br />, Notary Public, State of Rorida
<br />MY COMM I 55 I ON EX P I RESMy-(V'.I...ission--Expires-May-1it;-f99~
<br />Bonded Th,u Troy Fain ~ Insurance Inc.
<br />
<br />NOTARY AS TO
<br />CONTRP.CTOi{
<br />
<br />..
<br />
<br />ES Notary Public, State of Florida
<br />My Commlssio; E;P~; -May -2"1:1993
<br />
<br />Bond.d Th.u Troy Fain' Insul.nc. Inc,.
<br />
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