<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A., NOT-ICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it '.ay be subject to "deed restrictions' which lay be .ore restrictive than C~~y,
<br />regulations. The undersigned assules responsibility for co.pliance 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 licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both 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 Khat licensing
<br />require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (8131
<br />788-6611.
<br />
<br />Further.ore, if the owner has hired a contractor Dr 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 tha.t you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that .ay be an indication that he is not properly licensed and is not entitled to per.itting 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 - Ho.eowner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs, If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docu.ent and promise in good faith to deliver it to the
<br />.owner" prior to co..ence.ent,
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with all
<br />applicable laws regulating construction, zoning, and land developlent,
<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 cOI.enced prior to issuance of a per.it and that all work will be perfor.ed to .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended work, and that it is
<br />,y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />I Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water KanaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Depart.ent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />I US Environ.ental Protection AQency - Asbestos abate.ent
<br />I also certify that, if fill .aterial is to be used in Flood Zone .A" Dr .A,etc,., it is understood that a drainage plan
<br />addressing a "co.pensating volume" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pera.it issuance.
<br />
<br />A per.it 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 pertit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code,. Every per.it issued shall beco.e invalid
<br />unless the work authorized by such per.it is co..enced within six .onths of issuance, Dr if work authorized by the permit is
<br />suspended or abandoned for a period of six months after the ti.e the work is cOI.enced, One 9Q day extension of tile, .ay be
<br />allowed for the per.it with fee charge of $15,00. The extension shall be requested in writing to the Building Official, An
<br />approved inspection .ust be logged during each six tonth 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 IKPROVEKENTS TO YOUR
<br />PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COK"ENCEKENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT',
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />, The foregc1ing instrument
<br />befc'l-e me th i s
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />Th~,foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />who is personally known to me or who has
<br />pl-oduced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(SignatLrce)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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