<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The undersigned understands that this per.it lay be subject to "deed restrictions" which lay be aore restrictive than City
<br />regulations. The undersigned assules responsibility for cDapliance 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 work, they lay 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 OHner and contractor ~ay be
<br />cited for a aisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813)
<br />788-6611.
<br />
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractorls} 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 aay be an indication 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 - Ho.eowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs, If the applicant is SOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the
<br />"owner. prior to cOllencelent,
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the inforlation in this application is accurate and that all work will be done in compliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation has coalenced 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 development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is
<br />IY responsibility tCI identify what actions I lust take to be in cCtlllpliance. Such agencies include bllt i'iP. liCtt lilliited to:
<br />
<br />I Depart.ent of Environ.ental ReQulatiCtn - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Ldnds,
<br />Water/Wastewater Treat.ent
<br />I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY CCtrps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatmen~, Septic Tanks
<br />I US EnvirCtnaental Protection AQency - Asbestos abate.ent
<br />
<br />I also certify that, if fill aaterial is to be used in FICtod Zone "A" Ctr "A,etc.., it is understood that a drainage plan
<br />addressing a .coapensating vCtlute" will be sub.itted which is prepared by a prCtfessiCtnal engineer registefed in the State of
<br />FICtrida priDr to pertit issuance,
<br />
<br />A pertit issued shall be construed to be a license tD proceed with the work and not as authority tCt yioj~te, cancel alter, or
<br />set aside any prCtvisions of the technical codes, nor shall issuance of a permit prevent the Building Officidl frol thereafter
<br />requiring a correction of errors in plans, construction, Ctr viCtlatiCtns of any cCtde. Every permit issued ~~dll becoie invalid
<br />unless the work authorized by such perlit is co..enced within six months of issuance, or if wCtrk authol lzed by the permit is
<br />suspended Ctr abandoned for a pericld clf six aonths after the tillle the work is i:olilllenced. One 90 day l:~t€iISIO" of time, Uy be
<br />allowed fCtr the permit with fee charge of .15,00. The extension shall be requested in writing to the Building Official. An
<br />apprCtved inspection lust be ICtgged during each six .onth period, Ctr the project will be (Ctnsidered dbaildoned.
<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 A1TORNEY
<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 />SIGNATUR~'!:'_~. '()f~--- SIGNATU~~-LI
<br />V::~(fOR AGENT ----0'---. CONTRACTOR ..
<br />DATE_______l~~_10_::tj------------------- DATE_____~~j{l~l-------------------
<br />NOTARY AS TO ({) \ J. /J ~, dltt A /'LL.I
<br />OWNER OR AGENTL!~l~/~~=~-~~
<br />MY COMMISSION EXPIRES___~~~:Z~-------
<br />
<br />
<br />@ Michelle McCray
<br />. Notel'y STATE Of FLORIDA
<br />; Public My Com'n E~V27195
<br />BONDED
<br />
<br />NOTARY AS TO IIV! J'.... A " J (j vI7 Lt
<br />CONTRACTOR__tJ_~~--[!~--~
<br />MY COMMISSION EXPIRES___)_~~-~_~--
<br />Michelle McCray
<br />STATE OF FLORDA
<br />My Corrm E~V27/95
<br />BONDED .
<br />
<br />
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