<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peIlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for COIpliance 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 aay be
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherJOre, if the owner has'hhea a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections I 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 be 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 IFlorida's Construction Lien Law _ Hoaemmer's Protection
<br />Guide" prepared by the Florida Departllent of Agriculture and ConsUler Affairs. If the applicant is soaeone other than the
<br />nowner", I certify that I have obtained a copy of the above described docuaent and proaise in good faith to deliver it to the
<br />"ownern prior to co_nceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIlation in this application is accurate and tbat all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOlleDced prior to issuance of a peIlit and that all work will be perforaed to aeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agencies .y apply to the intended work, and that it is
<br />ay responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not liaited to:
<br />t Departllent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departaent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />* US Environaental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood ZOne "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "coapensating volUle" will be sublitted wbich 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 frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall beCOle invalid
<br />unless the work autborized by such peIlit is cOllenced within six aontbs of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is co.enced. One 90 day l!Itension of tile, .Y be
<br />allowed for the peIlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARNING TO OIINER: YOUR FAILURB TO RECORD A NOTICE OF COHHBRCEHm MAY RESULT IN YOUR PAYING fIIICE FOR IMPROVEIIDt'S TO YOUR
<br />PROPERTY. IF YOU IJ/TEND TO OBTAIN FINANCING, CONSULT WUB YOUR LINDER OR AN AnORm' BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEHEN OBS DER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMEHC ..
<br />
<br />PiOk:--
<br />
<br />
<br />
<br />STATE OF FLORIDA n
<br />COUNTY OF t"'~" c. u
<br />The foregoing instrument was acknowledged
<br />before me this ?-s- , 19~ by
<br />
<br />STATE OF FLORIDA ()
<br />COUJ/TY OF r>~.2 <:.. D
<br />The foregoing instrument
<br />before me this 7 - s-
<br />
<br />was acknowledged
<br />, 19q~ by
<br />
<br />who i~sonal1y known ~ or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />who is(15i!rsonally known to ~cbor who has
<br />producecr-
<br />as identification and who did/did not
<br />take an o~th.
<br />
<br />
<br />(Signature
<br />
<br />
<br />(Signature
<br />
<br />l\' STEPHEN L. YOVfNO
<br />i State of Florida
<br />_Camm. Exp,Jn27. 19l18
<br />Comm., CC 387829
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<br />6..._1. YOVINO
<br />"411 fIDIIdI
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