<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'he undersigned understands that this pemlt lilY be subject to -deed restrictions- which lilY be lOre restrictive than City
<br />regulations. !be undersigned assUIeB responsibility for CCIIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertate wort, they tay 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 0IIJler and contractor lilY be
<br />cited for a lisd_anar violation under state law. If the owner or intended contractor are uncertain as to what liclDsing
<br />requir8lents lily apply for the intended wort, they are advised to contact the City of Zepbyrbills Building IJepartlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner has bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />-Contractor Sections~ of this application for wbich 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 "isbes you to sign
<br />as contractor that lily be an indication that he is not properly licensed and is not entitled to peIJi~ting 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 -Plorida's Construction Lien Law - lbIeow.ner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsllleI' Affairs. If the applicant is 8OI8OIle other than the
<br />-ownerR, 1 certify that I have obtained a copy of the above described dOCUleDt and prOlise in good faith to deliver it to the
<br />-owner- prior to COIIeDC8leDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infollation in this application is accurate and that all wort "ill be done in COIpliance with all
<br />applicable laws regulating construction, Joning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do IIOrt and installation as indicated. I certify that no wort or
<br />installation has co.enced prior to issuance of a perlit and that all wort will be perfoIJed to .et standards of all laws
<br />regulating construction, City codes, Joning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other gOYeIDl8Dtal agencies lilY apply to the intended IIOrt, and that it is
<br />IY responsibility to identify wbat actions I lust tate to be in COIpliance. Such agencies include but are not lillted to:
<br />t Departlent of BnvirODllDtal Regulation - Cypress Bayheads, lIetland Areas and BnviroDIIDtally Sensitive Lands,
<br />lIater/lfastewater 'l'reatleDt
<br />t Southwest Florida Nater Hanagl!lll!llt District - lIells, Cypress Bayheac1s, lIetland Areas, Altering Watercourses
<br />t AllY Corps of Engineers - Seawalls, Docks, lIavigable lIatenays
<br />t DepartleDt of Health' Rebabilitative Services, BnvirODllDtal Health Unit - lIells, lIastewater 'l'reatleDt, Septic 'l'ants
<br />t US BnvirODleDtal Protection Agency - Asbestos abat8lellt
<br />I also certify that, if fill Iilterial is to be used in Flood Zone -A- or -A,etc.-, it is understood that a drainage plan
<br />addressing a -COIpIDsating vol_- will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A peIlit issued shall be construed to be a license to proceed with the IIOrt and not as authority to violate, CIIlC81alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frill thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery peIJit iuued shall becCIIe invalid
<br />unless the IIOrt authoriled by such peIlit is co.enced within sillODths of issuance, or if wort authoriJed by the perlit is
<br />suspended or abandoned for a period of sil IODths after the tile the IIOrt is co.enced. One gO day utension of tile, lilY be
<br />allowed for the perlit "ith fee charge of '15.00. !he utension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sil IODth period, or the project "ill be considered abandoned.
<br />"WIRG '1'0 (MIR: YOUR FAILURI '1'0 RBCORD A 1I0'l'lCE OF C<IIIIDCBIIIH'1' MlY RBSUL'I' III YOUR PAYlIIG !IIICE FOR DIPROVIIIBII'I'S '1'0 YOUR
<br />PROPBR'I'Y. IF YOU III'1'BIfD '1'0 OB'l'AIII FIIfAlfCIIIG, COIISUL'I' 1I1'I'B YOUR LBIfDBR OR All A'I"I'ORDY BlFORB RICORDIIIG YOUR IO'I'ICB OF
<br />aJDfBIICIHIII'1'. JOBS UlDBR '2,500 IN VALUI DO 110'1' IfBBD '1'0 RBCORD AIfD POS'I' A -RO'I'ICB OF WlIIDCIIIBII'I'-.
<br />
<br />, - 4 ~ ~
<br />/ ~ -/ / J '_ --..-....., .
<br />SIGmUBWf~~~ SI~~~ -
<br />
<br />S'I'A'I'B OP FLO~
<br />coum OF ~,:, t! 0
<br />The foregoing jD~~~t was acknowledged
<br />before me thi&>€~~ I 19.1!L by
<br />
<br />O/I~ fa If.~ Loue-rf
<br />who is personaltz known.. to me or who has
<br />produced k Lr v-
<br />as identification and who did/did not
<br />
<br />ta~~th:y:J~dI---'"''
<br />(S;'!l'~~8. _I -if
<br />UIA L. a{l~ e
<br />(NUt!. ed, priZted or Stamped)
<br />NOTARY PUBLIC "'~-:;'~~:::;;:. JUDY 0 P'''''''-
<br />~-"il' .,,~- . N,fUI;' I
<br />....... :.i WN COMMISSION I CC381458 EXPIRES
<br />~" : j May 31.1998
<br />"'~R:.~~' .~ IONOED THRU TAllY fAIN I~NCf.INC,
<br />
<br />S'I'A'I'B OF FLORI/~
<br />COUII'1'Y OF /--#d~~
<br />The foregoing instrument was a~~ledged
<br />before me this ~ .;)-J( , 19 ~~ by
<br />
<br />(f) h'o I ~ If, /--v J (] 77-
<br />who is per!onalJy known. to me or who has
<br />produced j'::L /J/2 ~ c.-
<br />as identification and who did/did not
<br />~_9!tth. //~ '7
<br />-, ~.., ..(Lt7 cd.
<br />( ~atureP /?:z j /
<br />J/..<~O cf94l
<br />(Nue ed, Printed or Stamped)
<br />NOTARY PUBLIC II ~~:.:. JUDY o. PADGETT
<br />:~.i MY COMMISSION' CC369458 EXPIRES
<br />.: . May 31, 1998
<br />lOlIlEIl1lRllllOl' fAIN tNllUlWtCI!.lNC,
<br />
<br />
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