<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 assuaes responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSEP 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 lay 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 DepartJent, (813)
<br />788-6611.
<br />
<br />Furtheraore, 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 for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to peIlitting 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 'Florida's Construction Lien Law - HOIeOIDer's Protection
<br />Guide" p(epared by the Florida DepartJent of Agriculture and Consuaer Affairs. If the applicant is sOJeone other than the
<br />.owner", I certify that I have obtained a copy of the above described docuaent and proaise in good faith to deliver it to the
<br />"owner" prior to couenceaent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in coapliance 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 peIlit and that all work will be perf oIled 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 governaental 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. Such agencies include but are not lilited to:
<br />t Department of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, Bnvironaental Health Unit - Wells, Wastewater !reatlent, Septic Tanks
<br />t US Bnvironaental 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 subJitted which 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 the 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 frOJ 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 authorized by such peIlit is couenced 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 cOlleJlced. One 90 day l!Itension of tile, aay 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 aonth period, or the project will be considered abandoned.
<br />WARNING TO omR: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING nICE FOR IMPROVEMm'S TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBrAIN FINANCING, CONSULT WITH YOUR LENDER OR AN' A'l'TOIIDY BEFORE RECORDIMG YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />~~ ~I~ ~
<br />
<br />fJ~
<br />The foregoing instrumen
<br />before me this
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />
<br />STATE OF FLORIDA A
<br />coum OF ~
<br />The foregoing inst~t was acknowledged
<br />before me this ~, 19~ by
<br />
<br />~~~I~ ~Yn~
<br />who is sonall JUl to me or who has
<br />produced
<br />as identifica . n and who di~
<br />take an o~t ~
<br />
<br />
<br />was acknowledged
<br />, 19~ by
<br />
<br />
<br />(Nam~ Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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<br />~.~
<br />
<br />~,.~ OF F~fl"~
<br />
<br />BOBBIE J BURKE
<br />My Commlnion CC543871
<br />E)<pires Mar. 31, 2000
<br />
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<br />.<:t :0: ~'"
<br />~.:
<br />
<br />-r,.~ OF f\.fl~
<br />
<br />BOBBlE J BURKE
<br />My Comrninlon CC54a871
<br />ElCpires Mar. 31. 2000
<br />
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