<br />'"
<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The undersigned understands that this pertit lay be subject to "deed restricti~ns' which' ~ay be m~re res~rictive than City
<br />regulations. The undersigned assules responsibilitY,for compliance with any applicable deed restrictions,
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a contractor or contractors to undertake wor~, 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, b~th the o~ner and contractor ~ay}e
<br />cited for a misdemeanor violation under state law. , If the ~wncr ~r intended c~ntractor are uncertain as to what licensing
<br />requirements lay apply f~r the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-bbll.
<br />
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible, If ye,u, as the ~wner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the w~r~, ]f the contract~r wishes you to sign
<br />as contractor that lay be an indicati~n that he is not properly licensed and is not entitled to permitting 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 - Homeowner's Protection
<br />Guide' prepared by the Florida Department of Agriculture and Consulller Affairs. If the appl icant is se'IIEe,ne other than the
<br />'owner', I certify that I have obtained a copy of the above described d~cument and pr~.ise in good faith to deliver it to the
<br />'owner' prior to cOllencement.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the information in this application is accurate and that all ijor~ will be done in co~pliance with all
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />Application is hereby aade to obtain a perlit to do work and installation as indicated. I certify that no w~rk or
<br />installation has commenced prior to issuance of a perlit and th2t all w~rk will be p~rf~rmed to meet standards ~f 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 work, and that it is
<br />IY responsibility to identify what actions I must ta~e to be in compliance. Such agencies include bllt ~le not lilited to:
<br />
<br />I Department of Envi~onmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treat~ent
<br />I Southwest Florida Water Manaqelent District - Wells, Cypress Bayheads, Wetland Areas, Alt~ring Watercourses
<br />I Army CorDs of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Hells, l~ast~Hat~r Treat~ent. Septic Tanks
<br />I US Environmental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if fill material is to be used in Flood Ze,ne "1\' or 'Il,etc,', it is understoe,d that a drainage plan
<br />addressing a 'colpensating volule' will be subaitted which is prepared by a pr~fessi~nal engineer registcied in the State of
<br />Florida prior to perait iss~ance,
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority t~ violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter
<br />requiring a correction of err~rs in plans, construction, or violations of any c~de, Every perlllit issued :hall bec~le invalid
<br />unless the work authorized by such permit is cOI.enced within six months of issuance, ~r if H~rk auth~rJled by the pertit is
<br />suspended or aband~ned for a period of six lonths after the time the wor~ is commenced, One 90 day e:tE~sioll of tile, lay be
<br />allowed for the permit with fee charge of $15.00, The extension shall be requested in ~riting to the Building Official, An
<br />approved inspecti~n must be logged during each six month period, or the project Hill be c~nsidered ~balidoned,
<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 />SIGNATUHE_~C/tdii::.~Z>C!:~------- SIGNATUHE~C./"/ w.~.~--
<br />OWNE OR AGENT . CONT~k
<br />
<br />DATE _L_?:;.._=-:2----fL-------------------- DATE __L2-.:-1..:::--L'~--,--------------
<br />
<br />~~~~:YO~SA~~NT__~~-~~~--
<br />MY COMMISSION EXP~~i~~~~f.f-----
<br />
<br />. .......... T1IYu rroy Felln ......._ Inc,
<br />
<br />NOTARY AS TO /. /J ~ . ~./1 )
<br />CONTRACTOR_~-~~
<br />
<br />~ ~ 'faft If...... ,""
<br />MY COMM I SS I ON ~~"tlqIItVCkI."'9;t99t"----
<br />_lied 111011 TrO!' Fain' tmuroftdo InI:.
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