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<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 cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor Dr 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 lay be
<br />cited for a lisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing
<br />requirelen~s 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 contractorl!) 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 Lal - HOleOlner'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 />.ow~er~ 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 lork lill be done in cOlpliance with all
<br />applicable laws regulating ,construction, zoning, and land developlent.
<br />
<br />Application i~ hereby lade to' obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has COllenced prior to'issuance of a perlit and that all work lill be perforled to leet standards of all lals
<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 lust take to be in cOIpIiance. Such agencies include but are not lilited to:
<br />I Departlent of EnviroRlentaI Reuulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent"
<br />I Southwest Florida Yater ftanauelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of Enuineers - Sealalls, Docks, Navigable Waterlays
<br />I Departlent of Health L Rehabilitative Services. Environlental Health Unit - Neils, Nastewater Treatlent, Septic Tanks
<br />I US EnviroRlental Protection Auency - Asbestos abatelent '
<br />I also certify that, if fill laterial is to be used in Flood Zone .A. Dr .A,etc.., it is understood that a drainage plan
<br />addressing a .colpensating volule. lill be sublitted Ihich is prepared 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 lork and not as authority to violate, cancel alter, Dr ,
<br />set aside any provisions of the technical codes, nor shaH issuance of a perlit prevent the Building Official frol thenafhr
<br />requiring a correction of errors in plans, construction, Dr violations of any code. Every perlit issued shall becole invalid
<br />unless the lork authorized by such perlit is cOllfnced within six lonths of issuance, Dr if work authorized by the perlit is
<br />suspended Dr abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of tI5.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project lill be considered abandoned.
<br />WARNING TO OUNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TUICE FOR IKPROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUlT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />I:llIIlENCBIEIII. JOBS UIlIEJIIl!,500 IA vayEI TO AEOOIIIIIIIlIII'tISI A 'NlII1EE OF toIIEII:E,IlEIl'.
<br />
<br />~~ <- '\
<br />
<br />SIGJlATURE: UlINER OR AGENT
<br />
<br />
<br />,',
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ?A Sl' n
<br />The foregoing instrument
<br />before me this /I I afo
<br />
<br />was acknowledged'
<br />, 19,..S.,i, by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P fir S a.D
<br />The foregoing instrument
<br />before me this tll ~(Q
<br />,
<br />
<br />was acknowledged
<br />, 19~ by
<br />
<br />'R.o~~'" C E..'t-\~m~^, 0R
<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 />C&nn1nJ;( Unn.n-lAJ
<br />(Signature)
<br />CONN\~ 1_ \-\A'9..'t:c.\S
<br />(Name Typed, Pr i nted 01- Stamped)
<br />NOTARY PUBLIC
<br />
<br />~BE~\ ~ ~H~m~N JQ
<br />who is oersonallv known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />;\ ~'
<br />
<br />Cb-nnu.L (/.. 1da 1M IJ..)
<br />.
<br />
<br />(Signature)
<br />c..o Nol'l\E. \... J:1..eBJ\ \,5
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />Notary Public. State Of Florida At Large
<br />My CommiSSion Expires Feb. 17, 199:;-
<br />Honded By SAFECO Insurance Company ot America
<br />
<br />Notary PubliC. State Of Flonda At Larg~
<br />My CommiSSion Expires Feb, 17, 199.:.
<br />ROlld~rl Bv SAffCO Insurance Company at America
<br />
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