<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A.' NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait 'May be subject t~ "deed restrictions' which may be aore restrictive than City
<br />regulations. The undersigned assules responsibility for c~apliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contracto~ or contractors to undertak~ work, they may be required to be licensed~in.acc~rdance with
<br />state and local regulations. If the' c'ont'Tactor is noto'licensed as required by law, both the (,wner and contractor lay be
<br />cited for a lisdeleanor violation under state laft. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents aay apply for the intended Nork, they are advised to contact the City of Zephyrhills Building Deparhent, (BI3)
<br />7BB-bb 11.
<br />
<br />Further.ore, if the owner has hired ~ 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 responsiLle for the worK. If the contractor wishes you to sign
<br />as contractor that aay 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 Depart.ent 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 document and promise in good faith to deliver it to the
<br />"owner" prior to cOllence.ent.
<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 co.pliance with .all
<br />applicable laws regulating construction, zoning,and land develop.ent.
<br />
<br />Application is hereby .ade to obtain a pertit to do work and installation as indicated. I certify that no worK Dr
<br />installation has cO.lenced prior to issuance of. a per.it and that all work will be perfor.ed to leet standards of all laMS
<br />regulating construction, City codes, zoning regulations, and land.~eveloplent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is
<br />.y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />f Departlent of Environlental ReQuIation - Cypress Bayheads, W2tland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Trea'~ent
<br />f Southwest Florida Water ManaQelent District - Wells, Cypres,j Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways '
<br />f Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zene 'A" or "A,etc,', it is understood that a drair.a~p. plan
<br />addressing a "colpensatinq volule" Mill be sub.itted which is rrepared by a professional engin~er registered i~ th~ Siate ~f
<br />Florida prior to pertit 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, Dr
<br />set aside any provisions of the technical codes, nor shall ~ssuance of a per.it prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit_issued shall becole invalid
<br />unless the wOTk authorized by such per.it is cOI.enced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended Dr abandoned for a period of six tonths after the tile the Mork is comaenced. One 90 day extension of tile, lay be
<br />allowed f~r the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved ins tion lust be logged during each six month period, or the project will be considered abandoned.
<br />WARNING T OW R: Y~UR FAILURE TO RECORD A NOTICE UF COMMENCEHENT HAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR
<br />PROPERT. I YO t TEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COHHE EH 0 UNDER $2,500 VALUE DO NOT NEED TO'RECORD AND POST A 'NOTICE OF COMMENCEMENT'.
<br />
<br />
<br />alC~~
<br />
<br />SIGNATURE: NTRACTOR
<br />
<br />
<br />STATE OF ~LORIDA ~ ~ In
<br />COUNTY OF . -=L. c;uar~
<br />The foregoin~9~tru~ent was acknowledged
<br />before me thfSW, I~ , 19~ by
<br />
<br />STATE OF FLORIDA ~ ~ 1\
<br />COUNTY OF r Q,JQ. ~
<br />The foregoing instrument wa~ acknowledged
<br />befcll-e me this ~ It, 19..1...2..- by
<br />
<br />t~
<br />
<br />
<br />~'lh(l has
<br />
<br />
<br />who has
<br />
<br />
<br />who is
<br />produced
<br />as identification and who did/did not
<br />
<br />~'v~4( m. ~~
<br />
<br />L()/?.;7?tt-1f 0. ,?-l.(SJC~_
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />nc,t.
<br />
<br />~€
<br />
<br />tioCIIy P~1Ic. State of Aofida at.....
<br />Mv ~iaft..... -..,.. ...
<br />4t ceo <.(. 3 'iJ \0 9
<br />CJJyYV/Y\.
<br />
<br />Sig atLn-e)
<br />L \i rz.; ~ cHI In.
<br />(Name Typed, Printed or
<br />NOTARY PUBLIC
<br />
<br />C0r-v'v1->'\ .
<br />
<br />,.." NtIr. ",CI F1o*II......
<br />... 0IImlItIIIn...._.. ...
<br />.::It ~ C\)4S(j~9
<br />
|