<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A.. NOTICE OF DEED RESTRICTIONS .
<br />The und~rsigned understa~ds that this perlit lay be subject to 'deed restrictions" whi:h lay be lore restrictive than City
<br />regulatIons. The undersIgned assUles responsibility for cOlpliance with any appl icabh deed restric:lions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake Nork, they .ay be required to be licensed in accordance Nith
<br />s~ate and local regulations. If the contractor is not licensed as required by IaN, bo.th the owner and contractor lay be
<br />CIted for a lisdeleanor violation under .state laN. If the ONner Dr intended contractor are uncertain as to lIhat licensing
<br />requirelents lay apply for the intended Nork, they are advised to contact the City of ;~ephyrhills Building Depart.ent (813)
<br />788-6611. '
<br />
<br />Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for which they .ill 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 Construct:ion Lien LaN - Ho.eoNner's Protection
<br />6uide' prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and pro.ise in good faith to deliver it to the
<br />'owner' prior to cOllence.ent.
<br />
<br />E. CONTRACTDR'S/DWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable la.s regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no lIork or
<br />installation has cOI.enced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<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 govern.ental agencies .ay apply to the intended lIork, and that it is
<br />IY responsibility to identify what actions I lUSt take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />I Deoartlent of Environ.ental ReQulation - Cypress Bayheads, Yetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />I Southwest Florida Water "anaqe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Ar.y Coros of Enqineers - Sea.alls, DockS, Navigable Waterways
<br />t Deoartlent of Health L Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />t US Environ.ental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or 'A,etc.", it is understood that a drainage plan
<br />addressing a 'colpensating volu.e' will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A per.it issued shall be construed to be a license to proceed with the Mork and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuante 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 per.it issued shall beco.e invalid
<br />unless the Mork authorized by such per.it is co..enced within six .onths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six .onths after the tile the work is co..enced. One 90 day extension of tile, I.y be
<br />allowed for the per.it "itb fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each six lonth period, or the projett Mill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCIN6, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF CO""ENCE"ENT".
<br />
<br />i1L ~^?L \..)f. 'irC/LuA-
<br />SIGNATURE: OYNER OR AS NT
<br />
<br />i:l~,"b-/LC(-Vj. VJV~_R--U-Z/ G- L 0 .rTc-{e. (!O~7.
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF- FLOR~ '
<br />COUNTY OF . -{Me.{)
<br />The foregoing instrument was acknowledged
<br />before me this 10-:>, ,19:t:t.- by
<br />
<br />~~RC:. \0 r S1JLO~
<br />known to me or who has
<br />
<br />STATE OF F~
<br />COUNTY OF '\;---V A-SCV
<br />. The foregoing instrument was aC~9wledged
<br />befclre me this fO' ''"1 ,19...J.::L. by
<br />,.....--",
<br />.D ~ ~ r:F...A \\0 , ~ i (.\.Y'-
<br />wh~ is oersonally known to me or who has
<br />produced ~
<br />as . en ification did/d d not
<br />t ke a ath.
<br />
<br />
<br />G
<br />
<br />~
<br />
<br />~fl6
<br />or Stamped)
<br />
<br />
<br />€'S
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~?,~. BONITA G. JONES
<br />l.:i~;: MY COMMISSION' CC 358355
<br />~ .~! EXPlII:S: March 22. 1998
<br />"'~ f..~if.'~ Bonded TIvu ~ PubIC lln\lIlWIIteII
<br />..~....
<br />
<br />
<br />.~:,-:r.~'fi;k', BONITA G. JONES
<br />~~.' ''t<o MY COMMISSION' CC 358355
<br />.:;f EXPIRES: March 22. 1998
<br />~, Bonded ThRl NoIIrY PubIC UndelWritllrS
<br />
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