<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NO'rICE OF DEED RESTRIC'l'IONS
<br />The undersigned understands that this permit may be subject to "deedrestr:lctiol1s" which
<br />may be more restrictive than Clty regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they May be required
<br />to be licensed in accordance with state and local regulations. If the contractor is not
<br />licensed as required by law, both the owner and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor Sections" of this application for which they
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign as contractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION 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
<br />lien Law - Homeowner's Protectlon GuIde" prepared by the Florida Department of Agricultur.e
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
<br />have obtaIned a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to commencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no work or installation has commenced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulatJons in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is my responsibility to identify what actions I mus!; Lake to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health , Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if ftll material is to be used in Flood Zone "An or "A, etc.", it is
<br />understood that a drainage plan addressing a "compensating volume" will be submitted whleh
<br />ls prepared by a professional englneer registered in the state of Florida prior. to per.mit
<br />issuance.
<br />A permit issued shall be construed to be a llcense to proceed with the work and not as
<br />authority to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become invalid unless the work authorized by such permit is conooenced within
<br />elx months of issuance, or if work authorized by the pennit is suspended or abandoned for a
<br />period of six months after the time the work is commenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. 'I'he extensIon shall be requested
<br />in writing to the Building Official. An approved inspection must be logged durIng each six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUI,'I'
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ,TOB5 UNDER
<br />$2,500 IN VAJ,UE DO NOT NEED '1'0 RECORD AND pos'r A "NOnCE OF COMMENCEMEN'r".
<br />
<br />CA ~ 1Je//~
<br />
<br />SIGNA~ E: OWNER OR AGENT
<br />
<br />(W tcJ~~
<br />SIGN~ RE: CON'l'RAc'roR
<br />
<br />STA'fE OF FLOIHpA (fA- r
<br />COUNTY OF r, tJe
<br />The foregoing instrument was acknowledged
<br />Befor~ me. . tIS ~ t.ay of . .~ ' 1:!Q..0u2.
<br />by '.h!.b.( W~tc.
<br />(name of person ackno~ledged)
<br />pfwho is personally knowf. to me, or
<br />
<br />STATE OF FLORIDA ~ //
<br />COUNTY OF r.i.Je'(II~r
<br />The foregoing instrument wa~acknowledged
<br />:;<0<0 mo ~~~< "'!7 ,a~<
<br />
<br />(name 0 person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />
<br />~~~7t~e an oath.
<br />
<br />ature of person taking acknowledgement
<br />
<br />o who has produced
<br />(type of identification)
<br />
<br />ft~~~ke an oath
<br />
<br />Signature of person taking acknowledgment
<br />
<br />=::--
<br />Name
<br />"ped, printed
<br />
<br />"Y P
<br />
<br />(~edi COMMISSION # CC 961647
<br />..~.. - -EXPIRES: August 16,2004
<br />"~OFflrJlo~ Bonded Thru Budge' Norery SolVice.
<br />.~
<br />
<br />Name typed, prl
<br />
<br />~RY Pfl
<br />
<br />~~.. sM~ ION#CC961647
<br />..~.. EXPIRES: August 16, 2004
<br />It 0' "dI' Bonde~. Thru Budge' Notary SelVice.
<br />
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