<br />CONDITIONS OF,PERMIT AFFID~VIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The ,undersigned understands that this petlit lay be sub3ect to 'deed restrictions' which ~ay be ~ore restrjctive than City
<br />regulations. The undersigned assules responsibilitf:for. co~pliance with any applicable deed restrictions.
<br />
<br />E. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S
<br />
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required tu be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, buth the O\1ner and contractor ~ay be
<br />cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents 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 Dr contractors, he is advised to have the contractor(s) sign portions uf 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 ~nd is nut entitled to per~itting 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 provi~ed with a copy of 'Florida's Construction Lien Law - Ho~eownerts Protection
<br />Guide' prepared by the Flt,rida Deparhent of Agriculture and Consuller Affairs. If the applicant is st,eec7ne other than the
<br />'owner', I certify that I have obtained a c~py of the above described document and proffiise in good faith to deliver it to the
<br />'owner' prior to cOllencelent.
<br />
<br />~ 1 ... I' ~ '
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the information in this appli~ation is accurate and that all Hork Mill be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land development,
<br />
<br />Application is hereby ~ade to obtain a perlit to'do work and install~tion as indicated. I certify that no work or
<br />installation has commenced prior to issuance of a perlit and that all work Mill be performed to roeet standards of all laws
<br />regulating construction, City codes, zoning regulati~ns, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agen~ies ~ay apply. to the intended work, and that it is
<br />my responsibility ttl identify what actions I must take to be in compliance. Such agencies include bid "1 e IiC,t linited to:
<br />
<br />. J. tI>' ->
<br />I Department of Environmental ReQulation - Cypress Bayheads, ~~tland Areas and Environmentally Sensitive L~ndsf
<br />Water/Wastewater treatment
<br />I Southwest Florida Hater. ManaQetent District - Wells; Cypress Bayheads, ~etland ~reas, ~ltering Hatercvurses
<br />I ArllY CofOS ~f EnQineers - Seawalls, Docks, Navigable ~aterways
<br />I Depart.ent of Health L Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tanks
<br />I US Environ~ental Protection AQency - Asbestos abatement
<br />
<br />I also ~ertify that, if fill latedal is to be used in Flttod Ze,ne 'A" or '~,etc"f it is unders.te,e,d 1I1~t a drainage plan
<br />addressing a 'compensating volume' will be sublitted which is prepared by a professional engineer rcgist~rcd 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, Dr
<br />set aside any provisions uf the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter
<br />requiring a correction of errors in plans; construction, Dr violations of any code. Every per~it issu~j ~hall becole invalid
<br />unless the "e.rk authtorized by such permit is c(IJIlIIenced within six months t,f issuance, c,r if Ile'l \: a\lthe", ),ed by the perlit is
<br />suspended or abandoned for a period of six lonths after the tiJe the "Drk is (Dlmenced. One 90 day c:le~sioll of tile, aay be
<br />allowed for the per~it ~ith fee charge of $15.00. The extension shall be requesled in writing to the Building Official. An
<br />approved inspectit,n ~ust be Itlgged during each six month period, (.r the prc.ject liill be ce,nsidered dbdIIGe.ned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUF< PROPERTY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />
<br />
<br />::G::~R:~_~~.~~). ~.D~5T A __'.~~TlC5~G::Tu~,:~~;0d4 _~___---
<br />
<br />
<br />OWNER 0 E . CONTRACTO~
<br />,FiSK tl-AJZOc.. , . tE
<br />
<br />DATE ____91~-~~-_.L-:.s..~ DATE_________!~.:i--9..~-
<br />
<br />
<br />NOTARY AS T
<br />CONTRACTOR
<br />
<br />"
<br />
<br />
<br />MY COMMIS
<br />
<br />MY COMMISSI
<br />
<br />~~.tl
<br />...'t' It
<br />: ~
<br />
<br />MELVIN JAMES MARSHALL
<br />Nota'( Public. state of FIOIIda
<br />MyComM, Expll1MSept, 3. 1990
<br />No, CC 22i760
<br />
<br />(~
<br />
<br />MELVIN JAMES MARSHALL
<br />NotcII'Y Public, Stot. of Florida
<br />My Comm, ElIpll'lP sopt, 3. '*
<br />No, CC 226760
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