<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 lOre restrictive than City
<br />regulations. The undersigned aS8U1es 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 reguired 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 />reguirelents lay apply for the intended work, they are advised to contact ~he City of Zephyrhills Building Departlent, (813)
<br />788-6611. .
<br />
<br />Furtherlore, if ~e own~~ 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 per.itting priVileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND U'l'ILI'fY CONNECTION FEES ~"!
<br />
<br />D. CONSTRUCTION LIEN unw (ClmPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law _ HoIeoNner's Protection
<br />Guide~ prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />.owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"owner" prior to couencelent.
<br />
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'l'
<br />I certify that all the inforlation in ,this'appIication lsaccurate,ahd that all work will be done in co.pliance with all
<br />applicable laws regulating construction, loning, and land developlent. .
<br />I I
<br />
<br />Application is hereby lade to obtain a perlit to do work and instaifation as indicated. I certifr 'thit.no worl or
<br />installation has cOllenced prior to issuance of a per.it and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveCDIental agencies lay apply to tbe 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 11lited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Netland Areas and EnviroDlentally Sensitive Lands,
<br />Nater/Nastewater Treallent
<br />t Southwest Florida Nater Hanagelent District - NeIls, Cypress Bayheads, Netland Areas, AlterIng'Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Deparllent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "An or "A,etc.", it is understood tbat a drainage plan
<br />addressing a "colpensating volU1e" will be subtitted 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 constr~edto be a l~cense to proceed with tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the tech~Ical cOdes, nor shall is~u~nce of a per.it prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery per.it issued shall beCOle invalid
<br />unless the worl authoriled by such per.it is cOllenced within Sil IOnths of issuance, or if worl authorized by the per.it is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day 81tension of tile, .y be
<br />allowed for the per.it 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 IOnth period, or the project will be considered abandoned. _
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHBNT HAY RESULT IN YOUR PAYING !VICE FOR IHPROVlllm'S TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUr;T NUB YOUR LENDER OR AN ATTORNIY BEFORI RlCORDIIIG YOUR HarlCB OF
<br />COHKENCEHE~r: JOBS UNBER $2,500 VALUB Do NOT NEID TO RICORD AND POST A "NOTICE OF COMMENCIKKNT".
<br />
<br />~?
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<br />. I
<br />
<br />STATK OF FLORIDA
<br />COUNTY OF PAS e.-O
<br />The foregoing instrument was acknowledged
<br />before me this 6 E;pT:2.. , '19.::tL by
<br />
<br />Na~ON 'RY!'1AN
<br />who is personally known to me or who hss
<br />,reduced-
<br />as ideRtifieati9R and who'~/did hot
<br />tak~e, oath. . 1.2
<br />-- ;C-~ .R --1f. J -8' '/.J). I'J-7 p :l--n..J
<br />(Sign ture)
<br />XATI-IL~E1J V. 13RoWN
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATK OF FLORIDA
<br />COUNTY OF p,q.<;c:..e~
<br />The foregoing instrument was acknowledged
<br />before me this ,<).cPr..:z , 19 97 by
<br />
<br />AI ELSoNRv "1 A^'
<br />who is personally known to me ~r whe has
<br />fJl:odu=all
<br />as ;dpntificatioR and who 444/did not
<br />take ~. )
<br />i.fJ~ .~
<br />(Signatu e). . :; .~ ~
<br />T7-f L8~N . R t)
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~1l1 ~II#.
<br />"''''ij'<'1o KATHLEEN J BROWN
<br />My Oomrnlsalon CC44Q029
<br />* . * &lql1te8 Apr. Qt, 1191)
<br />II). r.l
<br />"It 0; #\.~.
<br />
<br />I\~ ~II WN
<br />"'''''n"'''~ KATHLEEN J 8RO
<br />~. My CommIssion CC449029
<br />* ,* &..-Apr,02,1191)
<br />"} {(t~
<br />",., OF f\.#-
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