<br />".
<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />.
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which may be m~re restr.ictive than City
<br />regulations. The undersigned assules responsibility;for co.pliance with any applicable deed restrictions.
<br />. ,
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a c~ntractor or contractors to undertake work, they lay be required t~ be licensed in acc~rdance with
<br />state and local regulations, If the contractor is not licensed as required by law, both the owner and c~ntractor ftay be
<br />cited for a lisdeaeanor violation under state law, If the owner or intended contractor are uncertain as to what licensing
<br />requirelents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (B131
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised t~ have the contractor(sl 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 wor~. 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 perlitting 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 with a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOle{.ne other than the
<br />'owner', I certify that I have obtained a. copy of the above described document and promise in g~od faith to deliver it to the
<br />'owner' prior to cOlaencement,
<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~ will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land development,
<br />
<br />Application is hereby lade to obtain a perlit to do work and install~tion as indicated. I certify that no work or
<br />installation has COllenced 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 devel~pment regulations in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other governlental agencies ~ay apply. to the intended wor~, and that it is
<br />IY responsibility tel identify what actions I lust ta~e to be in compliance. Such agencies include bill ~le Ii(,t liaited to:
<br />
<br />0#-
<br />
<br />J Deparhe~,t e,f Envir~nllental ReQulation - Cypress Bayheads, lietland I\reas and Environmentally Sensitive lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water ManaQeaent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~en~, Septic Tan~s
<br />f US Environaental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if fill laterial is to be used in FlC,od Zone "A" or "A,etc.', it is underst(,(.d tli~t a drainage plan
<br />addressing a 'c~lpensating volule' "ill be sublitted which is prepared by a professional engin~er regist21ed in the state of
<br />Florida prior to permit issuance,
<br />
<br />A perlit issued shall be construed to be a license to proceed with the wor~ and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit pr~vent the Building Official frOM thereafter
<br />requiring a cc.rrection e,f errors in plans; ce,nstructie,n, e,r violations of any ce,d~. Every pNlIli t iSSlled "hall ben'le invalid
<br />unless the work authorized by such perlit is cOllenced within six months of issuance, or if 1l01.~ aulhol lied by the perlit is
<br />suspended or abandoned for a period of six lonths after the ti>>e the wor~ is co~menced. One 90 day e:le~5iol\ of tile, lay be
<br />allowed for the permit with fee charge of $15.00, The extension shall be requested in wriling to the Building Official. An
<br />approved inspectie,n must be le,gged during each six lIlonth period, e,r the prc,ject Iii II be ctonsidered dbcillde,ned.
<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 />SIGNATURE~_~:i_~~~ ~---
<br />~ONTRACTOR ~.
<br />DATE____~~_~~~~-i~----------------
<br />
<br />SI GNA TURE_.l~L,1.,..._1::d1~~~-
<br />OWNER OR AGENT
<br />
<br />_~_l6_--r-l~SL.\------,-------
<br />
<br />NOTARY AS TO . ~ ~
<br />OWNER OR AGENT__~~~~-~---------- - --
<br />
<br />MY COMMISSION EXPIREs~otary Public. State of FlorIda
<br />1ltI 'C(lll1llTISSnnrf:xplfes- falr.:i,5-... -i~-
<br />
<br />
<br />~g~~=~c~~&\}.~,~~~b_-
<br />MY COMM I 55 I ON EX P I ~~ary Public, state of F10rrdcJ
<br />M~CiiffiffilsSToii 'EXpires 1an~25:- 1992
<br />
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