<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be ~re restrictive than City
<br />regulations. The undersigned assu.es 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 IIiIY be
<br />cited for a lisdeleanor 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 Deparblent, (813)
<br />788-6611.
<br />
<br />Further~re, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of 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 fot the work. " If 'the contractor wishes you to sign
<br />as contractor that aay 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
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<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 - HOIeowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsllEr Affairs. If the applicant is sOlleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docu.ent and prOllise in good faith to deliver it to the
<br />"owner" prior to co..encelent.
<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 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 goveIDIeDtal agencies aay apply to the intended wort, and that 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 />* DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treablent
<br />* Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Deparblent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />* US EnvirODlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A, etc. ", it is understood tbat a drainage plan
<br />addressing a "cOllpensating volu.e" will be sublitted whicb 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 frOll thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOle invalid
<br />unless the wort authorized by such pertit is cottenced within six ~ntbs of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of six IOnths after the till! the work is cOllenced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. Tbe extension sball 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 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMEIft'S TO YOUR
<br />PROPERTY. IF YOU IN'l'END TO OBTAIN FIMAlICING, CONSULT WITH YOUR LENDIR OR All AnORNIY BEFORE RECORDIMG YOUR MO'I'ICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 1M VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
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<br />~~ ~//(~-
<br />810011lllE: OOHII 011 AGEIl! ,. . -.. . 8100TURll : CIIIITIlICTOII
<br />
<br />STATE OF FLORIDA
<br />coum OF ~~U:>
<br />The foregoing instrument was aCknowledged
<br />before me this ?14 ~ ~, 19~ by
<br />
<br />V~~ \. fflllhM
<br />who is personally known to me or who has
<br />produced "1 ~
<br />as identificati n and who
<br />take an oath.
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF l~~c..b
<br />The foregoing instrument was acknowledged
<br />before me this ~ hJo , 19ID- by
<br />
<br />Vak..Q.. Ml l-n,Y\
<br />who is personally known to me or who has
<br />produced J.j ~
<br />as identificatio and who -ctilIi,ldid not
<br />take an oath. -
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC . OU\llf\ A.. Lovm '.
<br />~~..(. Notary Pu;lic, Zlale of Flon~a
<br />:; ~ My comm. ey.pirp.~}~ly 28, 2000
<br />I" n I r~mm. No. (",)12916
<br />
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC OliVIA A. LOvm ..
<br />. .~''''- "FI ';j
<br />_yo ~ Notary Puidlic, "late of on..a
<br />., -: My comm. expires July 28, 2000
<br />% n G0mm. No. CC572916
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