<br />CONDITIONS, OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />Thr undrrsigned undrrstands that this perlit aay be subject to "deed restricti~ns" which ~ay be o~r~ restr.ictive than City
<br />regulations. The undersigned assules responsibility~for, cOlpliance with any applicable deed restrictions,
<br />,,' . ,
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S
<br />
<br />If the owner has hired a c~ntract~ror contractors to undertake work, 'they lay be required t~ be licensed in accordance with
<br />state and local regulati~ns. If the contractor is not licensed as required by law, both the owner and contractor ~ay be
<br />cited for a misdemeanor violation under state laH. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents Day apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8131
<br />788-bbll.
<br />
<br />Furtheraore, 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 Hill be responsible. If you, as the ~wner 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 ~nd 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 Consumer Affairs. If the applicant is s~te6ne other than the
<br />"owner", 1 certify that 1 have e.btained a, cripy of the above described de,cullient and prt,rrli:e in good faith to deliver it to the
<br />.owner' prior to cOI~encement.
<br />
<br />" 1 '. ~: 7 "
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />1 certify that all the information in this application is accurate and that all 110rk will be done in co~pliance with all
<br />applicable laws regulating construction, zoning, and land development,
<br />
<br />Application is hereby made to obtain a perait t~'dD work and installction as indicated. 1 certify that no wor~ or
<br />installation has cOI=enced prior to issuance of a per.it and that all work will be performed to meet standards of all laws
<br />regulating construction, City codes, zoning regulations, an~ land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulatiDns of other governmental agencies may apply'to the intended work, and that it is
<br />/tY responsibility te. identify Hhat actions I must take to be in compliance. Suc!. agencies include bllt ~le Ii(,t linited to:
<br />
<br />...
<br />
<br />I Departle~t of Envir~nmenial ReQul:tion - Cypress Bayheads, Hetland Areas and Environmentally Sensi live L3nds,
<br />Water/Wastewater Treatment
<br />I SouthKest Florida Water ManaQelent District - Hells; Cypress Bayheads, Hetland nreas, Altering Hatercourses
<br />I ArlY Cotps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Depart.ent of Health L Rehabilitative Services, Environroental Health Unit - Wells, Wastewater Treal~en~. Septic Tanks
<br />f US Environaental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if fill aatl:rial is to be used in HClod Ze,ne NAN elr 'n,etc,', it is ur,derst(,e,d t1,~t a drainage plan
<br />addressing a 'colpensating vDlume" will be sub.itted which is prepared by a professional engineer regi5t~red 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 work and not as authority to yiol~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter
<br />requiring a ce,rrection e,f errors in plans; ce.nstructie.n, e.r violations of any c(,de, Every per~it iSSIIl,j "hall bec(,le invalid
<br />unless the lj(or~ authorized by such permit is ceoJllIIenced within six months Df issuance, (,r if lIe,d: aut!.[" ],ed by the perlit is
<br />suspended or abandoned for a period of six lonths after the t;~e the work is commenced. One 90 day e:tensioll of tile, aay be
<br />alloHed for the per~it with fee charge of $15.00. The extension shall be reque~ted in writing to the Building Official. An
<br />approved inspectie,n /!lust be le,gged during each six Illonth period, e,r the proj['ct 11ill be c[,nsidered dbdl,d[,r,fd.
<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 Al'TORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A II NOT I CE OF COMMENCEr1EN r" ,'/" )
<br />
<br />
<br />SIGNATURE ~.. ~ _ i.ffM,..~-- SIGNATURE_2L2,~
<br />1-1-~~~ J ~
<br />DATE__~_~_L~ DATE_______________________
<br />~
<br />
<br />NOTARY AS TO
<br />OWNER OR AGENT
<br />
<br />"
<br />
<br />
<br />MY COMMISSION
<br />
<br />
<br />NOTARY AS TO
<br />CONTRACTOR
<br />
<br />MY COMMISS
<br />
<br />...;):t1
<br />~ iJIil
<br />
<br />, ., .
<br />
<br />MELVIN JAMES MARSHALL
<br />Notary Public. State of Florida
<br />My comm. Expires Sept. 3, 1996
<br />No, CC '&67tIJ .
<br />
<br />l ~: '. MelVIN JAMES MARSHALL
<br />{ , ~I\ Notcry Public, State of F\OrIda
<br />, . My comm, ElCplrw Sept. 3, 1996
<br />_ CC 226760
<br />__..1-._
<br />
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