<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A" NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this peI1lit laY be subject to "deed restrictions" wbieb laY be lOre restrictive than City
<br />regulations. fhe undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake wort, they .ay 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 IlaY be
<br />cited for a .isdeieanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requir9ents 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 bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wbieb they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather tban the contractor, are responsible for the work. If the contractor wishes you to sign ".r
<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 Zepbyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN iaAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeOIfDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Conslller Affairs. If the applicant is &DEone- ather than the
<br />"owner", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to COIleDCgent.
<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 developaent.
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation bas COIIeDced prior to issuance of a per.it and that all work will be perf oIled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDIeDtal agencies aay apply to the intended work, and that it is
<br />If responsibility to identify wbat actions I .ust take to be in cOlpliance. Sueb agencies include but are not li.ited to:
<br />* Departlent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water HanageJeDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />* US EnvirODleDtal Protection Agency - Asbestos abat9ent
<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 uCOlpensating volUleu will be subtitted whieb 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 work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a peI1lit prevent tbe Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall becoIe invalid
<br />unless the work authorized by such per.it is cOllenced within six IOnths 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 cOllenced. One 90 day extension of tile, lilY be
<br />allowed for the peI1lit with fee ebarge of $15.00. The 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 OIflfER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEHEn' MAY RESULT IN YOUR PAYING DICE FOR IHPROVEMDl'S TO YOUR
<br />PROPERTY. IF YOU IJft'ElfD TO NANCING, CONSULT WIfH YOUR LBHDER OR All A BB NG YOUR JOTICE OF
<br />COMHBNCEHBJft' . 088 ,-DIN I VALUE DO NOT TO RECORD AIID POST A "NOTI
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<br />n: OF FLORIDA '-, J _/
<br />COUNTY OF - /9 5(1l)
<br />he foregoing i;nrum~t was acknowledged
<br />before me this 'v9d , 19~ by
<br />
<br />c::__c;-J /'} riA) (2, ~ / L)/:' ~
<br />who is pers~l~ known to .me . or who has
<br />produced o//'1JA.5 ~.
<br />as ide ification and who did/did not
<br />ta~{C an . t " ')
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<br />F
<br />(Name Typed, Printed
<br />NOTARY PUBLIC
<br />
<br />""l'tlt'wo..
<br />.<j.\r. :~ Bobble S. SWetland
<br />f1/"1,~ !*~ ~ COMMISSION # CC534927 FY"'.
<br /><)"'4~: FebrualY 22. 2O(Ji)
<br />~ '9n~~ BONDED THRU TRO'! cAIN IN~"" .
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