<br />c;;.:;-;^'~~"id
<br />
<br />. ~ .
<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />
<br />'A~ .NOTICE OF DEED RESTRICTIONS
<br />
<br />The undersigned understands that this perlit lay be subject to "deed restricti~ns" which lay be I~re res~rictive than City
<br />regulations. The undersigned alSUles responsibilitl;.for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a c~ntractor or contractors to undertake work, they lay be required t~ be licensed in accordance with
<br />state and local regulations, If the contractor is not licensed as required by law, b~th the owner and contractor ,ay be
<br />cited for a lisdeleanor 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 Department, IBI3)
<br />7B8-bbll.
<br />
<br />Further.ore, if the owner has hired a contractor or contract~rs, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application f~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 c~ntractor that lay 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 - HOleowner's Protection
<br />Guide" prepared by the Florida Departaent of Agriculture and Consumer Affairs, If the applicant is SOIEone other than the
<br />"owner", I certify that I have obtained a copy of the above described document and pr~mise in good faith to deliver it to the
<br />"owner" prior to cOllence.ent.
<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 c~nstruction, zoning, and land developeent.
<br />
<br />Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no w~rk or
<br />installation has cOI.enced prior to issuance of a permit 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 governmentai agencies may apply to the intended work, and that it is
<br />'Y resp~1\sibility to ide1ftify llhat actions! e1st. take to be in compliance. Such agencies include bllt ~l e not limited to:
<br />
<br />I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArtY Corps of EnQineers - Seallalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - W~lls, Wastewater Treatment. Septic Tanks
<br />I US Environlental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc,', it is understo~d that a drainage plan
<br />addressing a 'co.pensating volu~e" will be sublitted which is prepared by a pr~fessional engineer registered in the state of
<br />Florida prior to peTllit issu,ance.
<br />
<br />A per.it issued shall be construed to be a license to proceed with the work and n~t as authority to vioI~te, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ~hall becole invalid
<br />unless the work authorized by such perlit is co.~enced within six months of issuance, or if work authDrlzed by the per.it is
<br />suspended Dr abandoned for a period of six lonths after the time the work is commenced. One 90 day e~t~nsio\l of tile, lay be
<br />allolled for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official, An
<br />approved inspection must be logged during each six month period, or the project will be c~nsidered dbaHdoned.
<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 ENCE~C /~~; p"
<br />
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<br />SIGNATURE_ ~:_~________~_____ SIGNATURE --r~~~
<br />OWNER OR AGENT /J CONTRAC"FDR .' {.
<br />DAT~---'-_3-r-~-~-~-~---------- DATE_~"~_~--~J:~~------
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<br />~~~~:YO~5A~~NT ~J~~ - - ~g~~~~C~~R~~:Z~. -- · - -
<br />l-ff(L\'F Notary Public. S Florida Notary Pub c t t
<br />M C MY' COMMISSION EXP E~{ Mu /"hmm a e of Florida
<br />MY COf't\1I S5I ON EXP I RES ~;"...-;.L~.:n.:..P<J>.:..~.!:...!.7.di9.L- .::'"~~............Exp..-A4ar;-i-r."1~5
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