<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 as sOles 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 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 .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, 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 perlitting privileges in the
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN LAW (CIffiPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Hoaeowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agricultur~ 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 cOllenceJent.
<br />
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'l'
<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, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforaed 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 govefDIental agencies lay apply to the intended work, and that it is
<br />IY responsi~ility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />· Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />· Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />· US EnviroDlental 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 "colpensating volUle" will be sublitted which 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 issuance of a per.it prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it 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 perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day extension of tite, laY 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 IOnth period, or the project will be considered abandoned.
<br />WARNIHG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVIMENTS TO YOUR
<br />PROPERTY. IF YOU IHTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR HOTICE OF
<br />COHHENCKHENT. JOBS UNDER ,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF NeKKENT".
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<br />STA.E 0' 'LORlOA~
<br />COUNTY OF ~'J
<br />The foregoing instrument was acknowledged
<br />before me this 11/1;,/R,:i9 00 by
<br />
<br />
<br />::~l~f~~~e or who has
<br />;~.;:e: ar7~
<br />~~?/C 4~ey-~/)~~~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA ./~.~
<br />COUNTY OF (. /L,~
<br />The foregoing instrument was acknowledged
<br />before me this / 17Y1'-17)R~, 1ir Ch.J by
<br />
<br />~~~-
<br />rJ1---. -y: e
<br />who is 1>. 1y kno~o e r who has
<br />prOduced .... . . '.. '.
<br />as' 1 ation and who di4~
<br />t e an 0
<br />
<br />
<br />,,"-:r.~:'H:,"'" Bobbie Swetland
<br />{:tJi..~~ MY ceMMISSION # CC893160 E.X. PUlES
<br />~~.~ir< February 2L, 2004
<br />~'1,i""ft.~,f BONDED THRU TROY FAIN INSURANC.~ INC.
<br />'Jift"..
<br />
<br />....\'..~~':M1" .
<br />~''#.-\~''"r!;:~ Bobble Swetland
<br />~f'i;I!~h./f MYCm~M'SSION#CC89316O EXPIRES
<br />~~';';;;;'bi~/ "'n Fe,bruary 22, 2004
<br />,.,,,,,,,, ..u..~w fHKU T~OY FAiN INSURANCE, INC.
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