<br />. '\.' 0#
<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />Thv,undersigned understands that this per.it lay be sub5ect to "deed re5tricti~ns" which ~ay b~ ~~r~ restr,ictive than City
<br />regulations, The undersigned alsuaes re5pDnslbl11ty~for, cOlpliance with any applicabl~ deed restrictions.
<br />
<br />"
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the OMn~r has hired a c~ntract~r .or contractors to undertake work, they may be required to be licensed in accordance with
<br />state and local regulati~ns. ' If the contractor is not licensed as required by law, both the owner and contractor ~ay be
<br />cited for a misdeleanor violation under state law, If the owner or intended contractor are uncertain as to what licensing
<br />require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent' (813)
<br />789-6611.
<br />
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contract~r(s) 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. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed ~nd 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 with a copy of "Florida's Construction Lien Law - Ho~eowner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consumer Affairs. If the applicant is soe~6ne other than the
<br />"c.wner", I certify that I have e.btained a. cripy of the above described de.cument ilnd prorrli~e in good fai th to del iver it to the
<br />"c.wner" prior to Cc.I~ence~ent,
<br />
<br />-'1"'-:: "
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the information in this application is accurate and that all ~or~ will be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land developcent.
<br />
<br />Application is hereby ~ade to obtain a permit to'do work and install~tion as indicated. I certify that no worK or
<br />installation has cot1enced prior to issuance of a per.it and that all work will be performed to meet standards of all laws
<br />regulating construction, City codes, zc.ning regulati~ns, an~ land development regulations in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other governmental agencies r,ay apply. to the intended worK, and that it is
<br />my responsibility tc. identify what actions I must taKe to be in compliance. Such agencies include but ~l e IiC,t li~ited to:
<br />
<br />. ~.. #' .>
<br />I Department of Environmental ReQulation - Cypress Bayheads, Hetland ~reas and Environmentally Sensi li,;e L~ndsJ
<br />Hater/Wastewater Treatment
<br />I Southwest Florida Hater.ManaQe~ent District - Wells; Cypress Bayheads, Hetland Areas, Altering Halercourses
<br />* Arty Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Depart.ent of Health L Rehabilitative Services, Environ~ental Health Unit - Wells, Wilstewater Treat~en:, Septic Tanks
<br />I US Environaental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if fill material is to be used in Flc.od Ze.ne "A" e.r "A,etL', it is understc,c,d \I.;ll a drainage plan
<br />addressing a 'coJllp~nsating volute" will be submitted which is prepared by a professionill engineer regi5l~red in the State of
<br />Florida prior to permit issuance.
<br />
<br />A perlit issued shall be construed tc. be a license to proceed with the work and not as authDrity to viol~te, cancel alter, c.r
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter
<br />requiring a cc,rrection e,f errors in plans; ce.nstructie.n, e,r violations of any cc,de. Every per~it issul!d ohall becc'le invalid
<br />unless the weork auttlCorized by such permit is ce'llIlIenced within six months e.f issuance, c,r if HC'}}; a\!t1.c'l ),ed bi the per.it is
<br />suspended c.r abandoned for a period of six months after the tiJe the work is commenced. One qo day e=le~5ioll of tile, aay be
<br />alle,wed for the perlllit ~Iith fee charge c.f $15,00, The extensie,n shall be requested in l;riling tc. the BlIilding Official. An
<br />approved inspectie'n oust be le.gged during each six month period, e,r the prcoject liill be cc,nsidered abdlldc.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 Al.TORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A II NOT I CE OF COMMENCEr1ENT".
<br />
<br />
<br />SIGNATUREL.,,~Jo-- "Jh, .v, ____ SIGNATUr'E _1/ IJ/. ~..... _. _ . -. ... ..-...-. W. --~---
<br />OWNER OR AGE~ ~~9~~_
<br />DATE__jJ2-L.LZL--:L.L----------- DATE___!..C2-I.LZ.l-y..L-----------
<br />
<br />NOTARY AS TO ~ ~J ~ /bl
<br />OWNER OR AGENT_~~~~~~~-
<br />" UB!:!.C, STATE OF FLORIDA.
<br />MY Cm1MI5SION EXPI~g~ll~lON EXpmw}: FCb~Bs.
<br />Uo.....DED UlRU Nm.'AP.'F'l"tltlL~llN6
<br />
<br />~~~~~~c~~R~gL~~
<br />
<br />MY COMM I 55 ION OP I RE5_____.:._____.:.i.:'~-~~;- ' '1,,,
<br />
<br />"
<br />
|