<br />. .... r
<br />" ~
<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />NOTICE OF DEED RESTRICTIONS
<br />
<br />A.
<br />
<br />lhe,underslgned understands that this per.lt .ay bl sub3ect ~o 'deed restricti~ns" which may b~ oor~ restrjctive than City
<br />regulations. The undersigned assu~e5 responsib~1it"~for"cor.pliance with any applicabl~ deed restrictions.
<br />" ..'
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the own~r has hired a contractor ,~r contractors to undertake Hork, 'they Ray be required to be licensed in accordance with
<br />state and local regulatic>ns. ' If the contractor is not licensed as required by law, be,th the e.uner and contractc>r nay be
<br />cited for a Disdemeanor violation under state law" If the owner or intended contracte.r arc uncertain as tD what licensing
<br />requirelents ~ay apply for the intended Hork, they are adviscd to contact the City of Zephyrhills Building Dcpartlcnt, 18131
<br />7BB-bb II.
<br />
<br />Furthermore, if the Oliner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions Df thc
<br />'Contractor Sectic>ns' of this application fc>r 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 contradH that aay bc an indicaticln that he is not prclperly liccnsed ~nd is not entitled te, per~ittir,g privileges in H,C
<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~ FLORID~ STATUTES, AS AMENDED)
<br />
<br />I ccrtify that I, thc applicant, have been provided with a copy of 'Florida's Construction Lien Law - Ho~eowner's Protection
<br />Guide' prcparcd by the Florida Departlent of Agriculture and Consuler Affairs. If the "pplicant is soteonc othcr than the
<br />'owner', I ccrtify that I have clbtained a, co'py of,the above describcd document and prc.IT.ise in ge,od f.iH, to deliver it \0 the
<br />'ollner' prior to cOIr.encellent. I
<br />
<br />; " '~':~:, ". . ; : .
<br />
<br />E. CONTRACTOR'SIOWNER'S AFFIDAVIT
<br />
<br />I certify that all thc infor~ation in this application is accurate and that all \tork Mill be done in co~pliancc with all
<br />applicable laws rcgulating construction, zoning, and land developDcnt.
<br />
<br />., . ,
<br />Application is hereby ..ade to obtain a permit to"do ~ork and install~tion as indicated. I certify that no liork or
<br />installation has cOI~enced 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 regulations, and land development regulations in the jurisdiction. 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 />my rcsponsibility tel identify lihat actions I /Dust take to be in compliance. Such agerlcies ir,clude bu\ :Ole Ji{,t linited to:
<br />
<br />...
<br />
<br />I Deparhe~,t (If Envir~M!!ntal RCQul;tion - cypr~ss Bayheads, lIetland Areas and Envirclnm!!ntally Sensi ti\;~ L~ndsr
<br />Water/Waste~ater Treatm~nt
<br />I South~est Florida Water'ManaQer.ent District - Wells; Cypress Bayheadsr H~tldnJ ~r~ds, Altering HatercOUfses
<br />I ArDY Corps ~f EnQineers - Seawalls, Docks, Navigable Haterways
<br />f Departlcnt of Health L R!!habilitative Service5, Environ~ental Health Unit - W~lls, Wastewater Trea\~en: I Septic Tanks
<br />I US Environcental Protection ~Qencl - Asbestos abatement
<br />
<br />also certify that, if fillaatE:rial is to be used in FIMd Zone '~. Clr "~,dC,', it is underst(,(,d 1I,:\t a drainage plan
<br />addressing a 'co~p~nsating volu~e' will be sublitted which is prepared by a professional engineer r~gi5t~f~d in the state of
<br />Florida prior to permit issuance.
<br />
<br />A permit issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, or
<br />set aside any provisiDns ~f the technical tDdes, nor shall issuance of a permit prevent the Building Officiil fro~ thereafter
<br />requiring a C{lrrection elf errors in plans; c(.nstrudicln, elr violations of any cc,de. EYery pl'r~i\ iSS\II~j ohall bece.lC inv~lid
<br />unless the wDrk authe,ri2ed by such permit is cCoJlll\enced within six months (If issuance, e,r if 11(<1\: at,t!,c" ),ed by the per.it is
<br />suspended or aband(lner! feor a peri{ld (If six lonths after the tbe the lfork is cc'Menced. One 9(; day ~~\~"SiOIl of tiH, tUY be
<br />allowcd for thc pcr~it with fec charge of $15.00. The extension shall be requested in Hriting \0 the Building Official. An
<br />approved inspedi(.n /'Just b~ logged during cach six Illonth period, or the project Hill be ce,nsidered db,;l.de",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 OBTAI~ FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />00 NOT NEED TO RECORD AND POST A II NOT I CE OF Cm1MENCEI'1ENT to .
<br />
<br />
<br />SIGNA;URE_~1L-...~ SIGNATURE~_~---------
<br />OWNER OR AGENT CONTRACTOR
<br />
<br />DA TE_____M(j])-'--~-L-?_tL'~-----,-------
<br />
<br />DATE______~~~~-~L~~~J------
<br />
<br />NOTARY AS TO //~. / ---r f ~ I NOTARY AS TO f\ .. ' Q ,2 . A 0
<br />OWNER OR AGENT -0Q~ . CONT~ACTOR--~-------~~
<br />
<br />MY COMMI SSION EXPIRESNOIAHY_!:l1.~.!.S-~T!;~~~~.?~~~ MY COI'I1'11 SS ION EXP I RES__________________
<br />My commission expire B. ht AgencY
<br />Bonded thrU Patterson - ec
<br />
<br />NOTARY PUBLIC, STATE OF FLORIDA
<br />Jt4Iy commission expires Oct. 2. )992
<br />Bonded tbnI Patterson - Becht A&ency
<br />
|