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CONDITIONS OF PEI~IT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands tllat this perl it lay be subject to "deed restrictions" whicll lay be lOre restrictive than City regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CON'l'HAC'l'On HESPONSIBILI'l'IES If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If tile contractor is not licensed as required by law, bolll the ONner and contractor lay be cited for a lisdeleanor violation under state IaN. If Llle ONner or intended contractor are uncertain as to what licensing requirl!lents lay apply for lhe inlended Nork, lhey are advised to contact tile City of ZepllyrhiUs Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a cuntractor or cuntractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as tbe owner sign as the contractor, you are indicating that you, rat/ler than tile contractor, are responsible for the work. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in tbe City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES " D. ~ONSTRUC'l'ION LIJ;:N L1\W (CHAPTER 713, FLOIUDA S'l'A'fUTES, AS AMENDED) I certify t1lat I, the applicant, have been provided Nith a copy of "Florida's Construction Lien Law _ HOleowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If tile applicant is so.eone other than the "owner", I certify tllat I have obtained a copy of tile above described doculent and prolise in good faith to deliver it to the "owner" prior to couencl!lent. E. CONTRAC1'OR' S/OWNER' S AFFIDAVI'l' I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance witb all applicable laws regulating constructiun, zuning, and land develuplent. I Application is hereby lade Lo obtain a perlit to do work and installation as indicated. I certify that no work or installation bas cOIIenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations. and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDlental agencies lay apply to tbe intended worl, and that it is If responsibility to idenUfy what acUOlls I lust take to be in cOlpIiance. Such agencies include but are not Iilited to: · Deparllent of EnviroDlental Regulatioll - Cypress Bayheads. Vet land Areas and EnviroDlentally Sensitive Lands. · Vater/Vastewater Treatlent · Southwest Florida Nater Hanagelent &istrict - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health' Rebabilitative Services, EnviroDlental Health Unit - Wells, Wastewater freatlent, Septic Tanks t US EnviroDlental Protection Agency - Asbestos abatl!lent I also certify that, jf fIll .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "COIPensaUng volUle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. . A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate. cancel alter, or set aside any provisions of the teclmical codes, nor shall is~u~nce of a perlit prevent the Building Official fru. thereafter requiring a correction of errors in plans, construction. or violations of any code. Every perlit issued shall becu.e invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eatension of tile, IaJ be allowed for tbe perlit with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An approved inspection lust be logged during each six IOntb period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVKKRNTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT NITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NRRD TO RRCORD AND POST A "NOTICE OF COKHENCKHENT". SIGNATURE: OVNER OR AGENT --- SIGNATURE: CONTRACTOR (Signature) YilJ.tn\1\ to me or who has o did/did not (Name Typed, Print NOTARY PUBLIC (Name Typed, Printe NOTARY PUBLIC r'i 'iA A. LOVETT . l ~\. M~~t~ri;' :t:::,!jJ~O:~%~o \ ~~., - OU\f;A A. LOVf!'L. ' Notary Pu..!ic, Stat2 01 honda My vrnm. expires JulY.,28~2000 C;>mm No. CC57..910 J ~~"Go a.; .,. o ;; I"