<br />CONDITIONS, OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />Th~,und~rsign~d und~rstands that this p~rlit lay b~ subject to 'deed restrictions" which may be o~r~ restr,ictive than City
<br />regulations. The und~rsigned assumes responsibility;for cOlpliance with any applicable deed restrictions.
<br />
<br />B. ~NLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the ONn~r 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 owner and contractor nay be
<br />cited for a misdemeanor 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 Departaent, (813)
<br />78B-6611.
<br />
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. If ye,u, 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 aay 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 Departlent of Agriculture and Consumer Affairs. If the applicant is someone other than the
<br />'owner", I certify that I have {lbtained a, copy of the above described de,culllent and prorr.i:e in ge,od faith to deliver it to the
<br />'ollner' prior to conencellenL
<br />
<br />:1"": .
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the infor~ation in this application is accurate and that all wor~ will be done in co~pliance with all
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />Application is hereby ftade to obtain a perait to'do work and install~tion as indicated. I certify that no work or
<br />installation has commenced prior to issuance of a perlit and that all work will be perfor~ed to ~eet standards of all laws
<br />regulating construction, City codes, zoning regulati&ns, anrl land development regulations in the iurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies ~ay apply' to the intended work, and that it is
<br />.Y responsibility tCI identify what actions I must take to be in compliance. Such agl'ncies include bid ';1 I' nelt limited to:
<br />
<br />I Depart&e~t of Envir~n~ental ReQul;tion - Cypress Bayheads, Hetland Areas and Environmentally Sensi tiv~ Lands,
<br />Hater/Wastewater Treatment
<br />I Southwest Florida Water ManaQe!ent District - Hells; Cypress Bayheads, Hetland Areas, Altering Hatercourses
<br />I Arty Corps ~f Enqineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health L Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tanks
<br />I US Environmental Protection Aqency - Asbestos abatement
<br />
<br />I also certify that, if filllllaterial is to be used in Flclod ZClne 'A' Clr "A,e\c.', it is undl'rste,e,d t1,,;t a drainage plan
<br />addressing a "compensating volume' will be sublitted which is prepared by a pr~fessional engineer regi5t~fed in the State of
<br />Florida prior to permit issuance.
<br />
<br />A perait issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prl'vent the Building Ufficial froft thereafter
<br />requiring a ctorrrction elf errors in plans; construction, (lr violations of any ce'ol'. EVf.>ry per~it issll\!d ~hall beee'le invalid
<br />unless the we,rk authtorized by such permit is C(ollllenced within six lIIonths e,f issuancl', e,r if lie, If; autl,[q ],ed bi the perait is
<br />suspended or abandoned for a period of six lonths after the ti~e the uDrk is c~.mf.>nced. One 90 day e=te~5iDll of tiae, aay be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in writing t~ thf.> Building Official. An
<br />approved inspedi(,n i!lust be logged during each six month period, or the pre,jt'd IIi II be (C,nsidered dbcillde,r,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 Al"TORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />5IGNATU~~(C_~fL-
<br />~~~rRACTOR r
<br />
<br />DATE 10-<3I-Q /
<br />-----------------------------------
<br />
<br />
<br />NOTARY AS TO . j,^'f) ,r /l.. . J ~ J
<br />CONTRACTOR___~--liJ~
<br />
<br />SIGNATURE__~~~----------
<br />
<br />DA TE___LQ--_.aL:_9. L__________'~___,__,_______
<br />
<br />NOTARY AS TO P. _ . ' \ r!l . J---:'Y../
<br />OWNER OR AGENT,~~ d)--11-~-
<br />Niltll1V Public, St{!~a 0'1 f!m"illlf
<br />MY COMMISSION EXPIRE~~mm;...i~nl~~LC~~~.l~-
<br />
<br />Bonded Thru Troy Fain - In!.urc.r,c.e Inc.
<br />
<br />MY COMM I 55 I ON EXP I R~l!;'1 f'lJ:'!::, Sill^(" ,,'II;bl.1a
<br />My(~rr~~~~\rx~~$~~~~~19r.t
<br />.Dondad Ti1iU Troy fain. Insurance Inc.
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