<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertit lay be subject to Ideed restrictions" which lay be lOre restrictive than City
<br />regulations. rhe undersigned assutes responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or 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 lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requiretents laY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />188-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of the
<br />"Contractor Sections. of this application for which they will be responsible. If you, as the mmer sign as the contractor,
<br />you are indicating that you, rather than tbe 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 pertitting privileges in tbe
<br />City of Zepbyrhills.
<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 - HOIeowoer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consl1ler Affairs. If the applicant is s0180ne otber tban the
<br />Immer", I certify that I have obtained a copy of the above described docutent and prOlise in good faith to deliver it to the
<br />"owner" prior to cOllencetent.
<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 cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is 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 will be perforted to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies laY apply to the intended work, and tbat it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater rreatlent
<br />t Southwest Florida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rebabilitative Services, Environtental Health Unit - Wells, Wastewater rreallent, Septic ranks
<br />t US Environaental Protection Agency - Asbestos abatetent
<br />I also certify that, if fill laterial is to be used in Flood Zone IA" or "A,etc.", it is understood tbat a drainage plan
<br />addressing a .cOlpensating volute" will be sublitted which 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 tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOt tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becOle invalid
<br />unless the work authorized by such pertit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntbs after the tite the work is cOllenced. One 90 day extension of tite, laY be
<br />allowed for the per.it with fee charge of $15.00. The extension sball be request~.in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IOnth period, or the project wi\lbe considered abandoned.
<br />WARMING '1'0 OWNER: YOUR FAILURE TO RECORD A NOrICE OF COMMENCElfEMT MAY RESUL 1M YOUR PAYING !WICE,FOR IMPROVEMEMTS TO YOUR
<br />PROPERTY.. IF YOU INTEND TO OB'l'AIN FINANCING, CONSULT WITH YOUR LENDER nORm BE HE- RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2 50 N VALUE DO Nor NEED TO RECORD AND S 'NorICE OF NCEJiKMTu..
<br />
<br />
<br />
<br />STATE OF FLORID~
<br />COUNTY OF 71-J C--O
<br />The foregoing instrument was acknowledged
<br />before me this .3,-F'- ~ , 19 9r by
<br />
<br />~/J1 €-J }I... 12:> ~ IJ f! ~/11
<br />who is p~oQ~llY known 0 me or who has
<br />produced
<br />as identification
<br />t~h.
<br />- J1L
<br />(Signature)
<br />
<br />and who did/dffct nn:t;.)
<br />
<br />~~
<br />
<br />STArE OF FLORIDA~
<br />COumOF ~U
<br />The foregoing instrument was acknowledged
<br />before me this c Y4~ J" , 19 ~ by
<br />
<br />&rl'~ &iici, 1-011
<br />who is pers nally own to me or who has
<br />produced D t- -if G0?-3 - 076 -t{:T, _OJ-da--- 0
<br />as identification and who did/~~
<br />
<br />take~ 10. ,L/
<br />
<br />(Signature) ~~~
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />~""".~."'.;" .-.::..~.,~~,--,.."",
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC .._~.._
<br />
<br />UNDA D. MATTiNGLY
<br />Notary I"ublic. State of Florida
<br />My Ccmm, Exp. Aug, 20. 1999
<br />Comm. N.. CC 4!l!717
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