<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it .ay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for co.pliance 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 .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 lay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply (or the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, be is advised to have the cootractor(s) sign portioos of the
<br />"Contractor Sections. of this application for wbich they will be responsible. If you, as the owner sigo as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If tbe contractor wisbes you to sign
<br />as contractor that lay 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
<br />
<br />l..'
<br />,
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<br />D. CONSTRUC'l'ION LIEN Ii.l\W (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 - HOJeOMDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If tbe applicant is sOleone other than the
<br />.owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
<br />"owner" prior to couencelent.
<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, loning, and land developlent.
<br />I ~
<br />
<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a per.it and that all work will be perfoIJed to leet standards of all lils
<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 otber goverDlental agencies lay apply to tbe intended work, and that it is
<br />.y responSibility to identify what actions I .ust take to be in co.pliance. Sucb agencies include but are not liJited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />I DepartJent of Health , Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />I US EnviroDlental Protection Agency - Asbestos abatelent
<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 "co.pensating volUle" will be sublitted whicb is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it. issuance.
<br />
<br />. A perlit 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 shall is~u~nce of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eltension of tile, liY be
<br />allowed for the perlit 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 IOntb period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKHENCEHENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMIIIS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORl RECORDING YOUR NOIICI OF
<br />COKHENCRHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEEP TO RECORD AND POST A "NOTICE OF COKHKNCKHRNT".
<br />
<br />
<br />~~~%.(?~ ~1ii~
<br />SIG . R OR AGENT SIGNATURE: 0 T TO
<br />
<br />STATE OF FLORID~
<br />COUNTY OF <:;;c t)
<br />The foregoing instrument ,was acknowledged
<br />before me this .7~ t I, 19 C;? by
<br />4f!-o L to cc.
<br />
<br />
<br />o is personally known to m or who has
<br />pr
<br />as identification an~ who did/did not
<br />
<br />tak~p I(_/~
<br />
<br />(Signature) .
<br />
<br />
<br />STATE OF FLORI~
<br />COUNTY OF ~ 0
<br />The foregoing in~t~a. acknooledged
<br />before me this J4pt,l, 19~ by
<br />5c-oil Ii . cL 7' J.J e.
<br />
<br />o is personally known to or who bas
<br />~e--
<br />as identification an~who did/did not
<br />
<br />take ~ /-~
<br />(Signature)
<br />
<br />
<br />Pr~fbJilfiT~d)
<br />My COlfImlaIon 003087-48
<br />Expirn Aug, 1e, 1987
<br />BondM by HAl
<br />800-422-1555
<br />
<br />(Name T
<br />NOTAR
<br />
<br />
<br />Nri~rfMcE~If~)
<br />
<br />My COfflnliRion CC308748
<br />~.... Aug. 1eo 1987
<br />BIIMIed by HAl
<br />800-422-1555
<br />
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