<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit .ay be subject to "deed restrictions" which lay be lore restrictive than Cit;-- '
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licen~ed in accordance with
<br />state and local regulations. If the contractor is not licensed as required.by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner Dr 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 Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, 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 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 lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<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 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 proeise in good faith to deliver it to the
<br />"owner" prior to coeeenceeent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforeation in this application is accurate and that all work will be done in coepliance with all
<br />applicable laws regulating construction, zoning, and land developeent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has coelenced prior to issuance of a perlit and that all work will be perforeed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I eust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Departeent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaQllent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abateeent
<br />I also certify that, if fill eaterial is to be used in Flood lone "A" or "A,etc.', it is understood that a drainage plan
<br />addressing a "coepensating voluee" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />
<br />A perlit 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 perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becDle invalid
<br />unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of six lonths after the tile the work is totlenced. One 90 day extension of tile, lay be
<br />allowed for the perlit ilith fee tharge of $15.00. The extension shall be requested in writing to the Building Offitial. An
<br />approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK"ENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEN} TO OBTAIN FINANCING, CONSUlT WITH YOUR LENDER DR AN ATTORNEV BEFORE RECORDING YOUR NOTICE OF
<br />CDKKENCE"ENT. JOBS UNDER $2,50 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF CO""ENCE"ENT".
<br />----===.---
<br />:L:
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF flORIDA STATE OF FLORIDA
<br />COUNTY OF P ASeO COUNTY OF
<br />The foregoing instrument was acknowledged The foregoing instrument was acknowledged
<br />before me th is ~1-2~- , 19 ~ by befc.re me th is, 19 _ by
<br />Frank Arenas as res~dent of rreerlight, Inc.
<br />
<br />known oersonallv by me.------------------
<br />who is personally known to me or who has who is personally known to me Dr who has
<br />produced ------------------------------ produced
<br />as identif~~ati/) and who ' did not as identification and who did/did not
<br />tak an oat~ take an oath.
<br />
<br />(Signature) NOTARY PUBLIC, STATE OF FLORIDA. (Signature)
<br />MY COMMISSION EXPIRES: Jan. 25, 1995.
<br />Dawn E. Woodward BONDED TlUW NOTARY PUBLIC UNDERWRITERS.
<br />(Name Typed, Printed Dr Stamped) (Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC NOTARY PUBLIC
<br />
<br />
|