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<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 .ure restrictive than City
<br />regulations. rhe undersigned assUles 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 required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both tJJe owner and contractor lilY be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requir8lents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />188-6611.
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<br />FurtherlOre, if the ow~er 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 perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />I ~'
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<br />D. CONSTRUC'l'ION LIEN L'.I\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 _ HOJeOWOer'1 Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOl8ODe 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 COllenC8Ient.
<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
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<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no wort or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforl8d to Jeet ltandards of all lawl
<br />regulating construction, City codes, loning regulations, and land developeent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of otber goverDlental agencies lay apply to the intended wort, and tbat it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liJited to:
<br />t Departlent of EnviroDleDtal Regulation - Cypress Dayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater TreatJent, Septic lanks
<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 .colpensati~g volUle" will be sublitted 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 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. Ivery peIlit issued &hall becaie invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sil IOnths after the tile the work is cOllenced. One 90 day 81tension of tile, III he
<br />allowed for the perlit with fee charge of $15.00. Tbe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sil I9nth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COtIHKIICRHBNT HAY RESULT III YOUR PAYING TWICK FOR ItIPROVIIIBn'S '1'0 YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR All AnORRIY BlFORE RECORDING YOUR RoriCK OF
<br />COHHHNCHHENT. JOBS UNDER $2,500 IN VALUI DO NOT NEED TO RECORD AND POST A .NOTICE OF COHMINCKMKNT".
<br />
<br />~ ~ L --;C ~<{/ .1
<br />
<br />GNArURI: OWNER OR AGENT --
<br />
<br />
<br />STATE OF FLORI91-.
<br />COUNTY OF" Y ~ eo-
<br />The foregOing instrum~ was acknowledged
<br />before me this/a; ,r,,;j-Jg.~ by
<br />
<br />~ ;J;..sc8~.
<br />who . s 'personall v known to me or who has
<br />produced
<br />as identification and who did/did not
<br />tak7-1an oath. ~
<br />LJ\...-~~--,,-' >-ru ...l~
<br />(Signature)
<br />f+yy-, u.. r\Cl K. (0 LA. C\. fI- J e h 0.... c-r. rn
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ~ C2.D Co-
<br />The foregoing instrument was aCknowledged
<br />before me this I C]--l-~ '+~19~ by
<br />
<br />~ eX, ~.~
<br />who s personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath. ~.AL:l
<br />G.IY"~.R 4'A ..:.t:;;t-~ O.rt:M..-vhr-
<br />(Signature)
<br />I4-rn 0<.. V1d 0-- QUOrt-+- 1",,1:; (A u. rv--
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />......'\~~:r~t,,~ Amanda Quattlebaum
<br />{*['Ib:'~'f*~ MY COMMISSION /I CC654052 EXPIRES
<br />o~',~':eY June 9, 2001
<br />"'''-..'9f.:rr-''''' BONOEO THRU TROY FAIN INSURANCE.INC
<br />
<br />'II,\,'t~lft",1
<br />,~<Hi..~., Amanda n..........._..
<br />~"':I'. ..~. -lIIlUlIUm
<br />N J*~ MY COMMISSION # CC654052 EXPIRES
<br />~'. '<1- J 9 200
<br />-,~,O;;;'~'~ una. 1
<br />.,......... BONDED THRU TROY FAIN INSURANCE. INC
<br />
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