<br />
<br />CONDiTIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to ~deed restrictions" which
<br />may be more restrictive than City 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 11censed in aCcordance w1th state and local regulations. If the contractor 1s not
<br />licenaed as requ1red 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 />Further.more, if the Owner has h1red a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the ~Contractor Sections* of this application tor which they
<br />will be responsible. If you, as the owner s1gns as the contractor, you are indicating that
<br />you, rather than the contractor, are responsible tor the work. It 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 (CHlU'TER 713, FLORIDA STATUTES, AS AHENDED)
<br />I certify that I, the applicant, have been provided with a copy of ~Florida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<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' 5 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 per~t and that
<br />all work w111 be performed to m.et standards of all laws regulating construction, City
<br />codes, ZOning regulations, and land development regulations 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 must take to
<br />be in compliance. Such agencies 1nclude 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-Seawalla, Dock., Navigable Waterways
<br />*Department of Health & Rehabilitative Se~ces, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill maCerial is to be used in Flood Zone ~A# or ~A,etc.", it is
<br />understood that a drainage plan addressing a "compensating volume" w11l be sUbmitted which
<br />is prepared by a prOfessional engineer registered in the State of Florida prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a license 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 Co~enced within
<br />six months of issuance, or if work authorized by the permit 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. The 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, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEy BEFORE RECORDING YOUR NOTrel!: OF COHMENCI!:HENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND .POST A ~CEMENT".
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<br />The foregoing inst;;ument wa~ss^ ~~q,.OW~d~~, The foregoing i IS ent wa~c.kD.Ow'fed~e
<br />Befo~ IIlEl thisL1C'!:l:-rJay of ~. . ~^' Betore e t is of~, 6fX:>.:l..-
<br />by O~ t+ ~""vtLri l by r
<br />)1,. (name of person aCknowledged) '"' (nillllEl of erlSon acknowledged)
<br />~Who is personally known to me, or ~ho is pereonally known to me, or
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<br />Dwho hae prOduced Dwho has produced
<br />(type (type of identification)
<br />did no ~id n t ke an oath
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<br />JENlRgL.....owledgment
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