<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this perJit lay be subject to Pdeed restrictions" wbicb tay'be lOre restrictive than City
<br />regulations. Tbe undersigned assUles responsibility for cOlpliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPON~IBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, they tay 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 tay be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requiretents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurthertOre, if tbeawner has hired a contractor or contractors, be 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 tbe contractor, are responsible for the work. If the contractor wisbes 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 Zepbyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN ~AW (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 - Hoteowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is sOteone' &tiler 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 couencetent.
<br />~
<br />E. CONTRACTOR I S fOWNER I S AFFIDAVIT
<br />I certify that all the infortation in tbis 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 bas cOllenced prior to issuance of a perJit and that all work will be perforaed 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 governtental agenCies aay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in colpliance. Sucb agencies include but are not lilited to:
<br />* Departlent of Environtental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArJY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rebabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />* US EnvirODJeDtal Protection Agency - Asbestos abatetent .
<br />I also certify that, if fill laterial is to be used in Flood Zone "A. or PA,etc.", it is understood that a drainage plan
<br />addressing a .cOlpeDsating volute" will be subtitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
<br />
<br />. A perlit issued sball be construed to be a license to proceed witb 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 pertit prevent the Building Official frOt thereafter
<br />requiring a correction of errors in plans, construction, or VIolations of any code. Every perJit issued shall beCOle invalid
<br />unless the work authorized by sucb perJit is cOllenced within six IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of six IOntbs after the tite the work is cooenced. One 90 day I!Itension of tile, lilY be
<br />allowed for the perJit with fee charge of $15.00. Tbe I!Itension 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 OWRER: YOUR FAILURE TO RECORD A NOTICE OF COMMEIICEMElft' MAY RESULT IN YOUR PAYING 'NICE FOR IMPROYBMmS TO YOUR
<br />PROPERTY. IF YOU IHTEND TO OB'lAIN FINANCING, CONSULT WITH YOUR LENDER OR All AftOHm' BEFORE RECORDING YOUR IOTICE OF
<br />C NCEMEtrr. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMEHT".
<br />
<br />L A:M -~-
<br />
<br />SIGNATURE: cmp
<br />
<br />
<br />STATE OF FLORID~
<br />COllNTY OF . ~u sC 0
<br />The foregoing instrument was acknowledged
<br />before me this Feb. 14 , 19!12 by
<br />
<br />Jo..mes L..' ''SlA.r\'\&\Je..
<br />who is ~rsonall y known to me. or He has
<br />pE:9duced
<br />as identification and whv dId/did not
<br />
<br />tak~~'V a ,~
<br />(Sign~J:u:r;'l)1 A H ,~
<br />K4T,. ec::.^ . en. ~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA I.)
<br />COUNTY OF I C{sc ()
<br />The foregoing instrument was acknowledged
<br />before me this l=("b 14 , 19~ by
<br />
<br />Sieve t>oz.erna.n
<br />who is personally known to me or w~s
<br />pradY.eed
<br />as identification and who did/did not
<br />take an 9~. h. /; --,j I
<br />~pp~ u-~'
<br />(Signat~;e]J f . 11, I .
<br />~T1tleerl n L ttelt t::..
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />KATHLEEN A. HENK
<br />Notary Public, Slate 01 Florida
<br />My Comm. Expires July 5, 1998
<br />No. CC 376761
<br />Bonded Thru ctth'lal Notary ~mll"
<br />
<br />KATHLEEN A. HENK
<br />Notary Public, Slale 01 Florida
<br />My Comm. Expires July 5, 1998
<br />No. CC 376761
<br />Bonded Thru cttfi,lal Notary ~Fr.I"
<br />
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