<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for co~pl:]nce with any applicable deed restrictions. '
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractQr or ~~~tractorsto undertake work, they lay b~ requi,red to be licensed in accordance with
<br />state and local regulations. If the contractor is 'fl'6t"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 Builr.ing Departlent, (B13l
<br />788-bbll.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl 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 pspon;ible for the work., If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is no~ properlf licensed and is not entitled to perlitting privileges in 'the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND U",,:,ILITY CONNECTION FEE2.
<br />
<br />D. CONSTRUCTION LIEN LAW tCHAPTER 713, ~LORIDA 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 prolise in good faith to deliver it to the
<br />'owner' prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance 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 Dr
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all lalls
<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 goverlllental agencies lay apply to the intended Ilork, and that it is
<br />IY responsibility to identify what acti~ns I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable WaterwdYs
<br />f Departlent of Health' Rehabilitative Services. tnvironlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abat~lent
<br />1 also (fi~ll:yi:.lld1., if fill ...,,~..:. ~a: .~ " ..,,:.:_:' :.. :-'~:.;~ ".~~ ":' ':~ '!\,~tc'; it i~ '!l1d"r;tO/lO that il drainage plan
<br />addressing a 'colpensating volule' Ilill be subli tted whch is r.. 'n!~ by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the Ilork 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 frol thereafter
<br />requiring a correction of errors in plans, construction, or Y\ol~tions of any code.. Every permit issued shall becole invalid
<br />unless the work authorized by such per.it is COI.enced within six Bonths of issuance, or if Ilork authorized by the permit is
<br />susp~nded or abandoned for a period of six lonths after the tile the work is coaienced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth peri~d, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEMENT MAY RESULT IN YOUR PAYING THICE FOR IHPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMKENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE uF COMMENCEHENT'.
<br />
<br />
<br />~~~n~~ ~~
<br />
<br />STATE OF FlO~A
<br />COUNTY OF ~ ~r C") ~______ --
<br />The foregoing instrument was acknowledged
<br />before me this ~~~o\- ~\~ 19~ by
<br />
<br />\ t'l\-.. ~~~e.,.
<br />who is per5on~lly known to me or who has
<br />produced ~\)\. - ~\~'d, ~?-.~. o~. \.J.~<1
<br />as identification and who did/did not
<br />tak n oath.
<br />
<br />
<br />STATE OF FLOR.~A
<br />COUNTY OF -__'{'O~ ()
<br />The foregoing instrument was acknowledged
<br />befct\-e me thisJ\~"'(~ ~\\"\l, 19(j,,"\ by
<br />I ~
<br />
<br />~on<i '\n.r~
<br />who is pel-sona 11 y known to me or who has
<br />produced \\)LH'{-\~ fl.' ~~~. 'd~. \4/"'I
<br />as identificatio~ a~n who did/did not
<br />take ^,,\n oath.
<br />~~\)~ ---
<br />(Signature) \\""'. '\\
<br />_ ~~ \e ~ ...:rl:a..t~\ - .
<br />(Name Typed, Printed 01 stamped)
<br />NOTARY PUBLIC NOTARY PUBLIC STATE OF FLORIDA
<br />MY COMMISSION EXP. NOY.20,1993
<br />BONDED THRU GENERAL INS. UNO..
<br />
<br />(Name Typed, Printed or Stampe.)
<br />NOTARY PUBLIC \""r\e.rQ:ba \\&\'i.\ \ \.
<br />NOTARY PUBLIC STATE OF FLORIDA
<br />MY COt~ISSION EXP. NOV.20,1993
<br />BONDED THRU GENERAL INS. UND._,
<br />
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