|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />.
<br />The ,undersigned understands that this perlit lay be subject to "deed restrictions" which may be more restr.ictive than City
<br />regulations. The undersigned assules responsibillty":for, co_pliance with any applicable deed restrictions,
<br />'. . ,
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owntr 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 ~ay be
<br />cited for a .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended Hork, 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 contractorts) sign portions of the
<br />'Contractor Sections' of this application for which they Hill be responsible. If you, as the OHner 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 />D.
<br />
<br />CONSTRUCTION LIEN LAW
<br />
<br />(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
<br />
<br />I certify that I, the applicant, have been provided with a copy of 'Florida's Const\uction Lien Law - HOleowner's Protection
<br />Guide' prepared by the Florida Depart_ent of Agriculture 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 document and promise in good faith to deliver it to the
<br />'owner' prior to cOIDenceDent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the information in this application is accurate and that all work will be done in compliance with all
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />Application is hereby lade to obtain a perlit to do work and install~tion as indicated. I certify that no work or
<br />installation has COllenced prior to issuance of a per_it and that all work Hill be performed to leet standards of all laMS
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies ~ay apply'to the intended worK, and that it is
<br />IY responsibility to identify what actions I lust taKe to be in compliance. Such agencies include but ~l e m.t liaited to:
<br />
<br />...
<br />
<br />I Departle~t of Envir~nmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water ManaQeDent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Arty Corps Gf EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~ent. Septic TanKS
<br />I US Environaental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if filllaterial is to be used in Flood Zone 'A" or "A,etc.", it is underste.od th,t a drainage plan
<br />addressing a "colpensating volute' will be sublitted which is prepared by a professional engineer regist~(ed in the State of
<br />Florida prior to permit issuance.
<br />
<br />A pertit issued shall be construed to be a license to proceed with the HorK and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Offici~l frol thereafter
<br />requiring a correction of errors in plans; construction, or violations of any code. Every permit issll~d ;hall becote invalid
<br />unless the work authorized by such permit is cOIDenced within six months of issuance, or if H01'k authDI lied by the pertit is
<br />suspended or abandoned for a period of six lonths after the tiJe the work is commenced. One 90 day e:tE~siD" of tile, lay be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection ~ust be logged during each six Donth period, or the project will be considered dbdlldoned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />~~! '
<br />SIGNATURE_____________~~~--
<br />OWNER OR A~NT
<br />DATE !1u fl.t, S:t ~ Lee; / ,.
<br />-- _:1-:) }tL_______j-_ ..LA------~-.- ----
<br />NOTARY AS TO l '~I - ) //
<br />OW\\IER OR AGENTva~' - -1;2iLr-tlLf!f"
<br />
<br />~J,. ..'. -,'.,.. ','.:''.'-, ",;t :tlqo-,.iJa
<br />MY COMMISSION EXPI~ff~~;~~,',;;~;J7~~9~--
<br />
<br />.. t,;;.,,:':?G ''-il;.:; Tp/ fain, ..ll):>ur(,.1nc.~ 10<;.. ..~
<br />
<br />SIGNATURE______________________________
<br />CONTRACTOR
<br />
<br />DATE
<br />
<br />-----------------------------------
<br />
<br />NOTARY AS TO
<br />CONTRACTOR_____________________________
<br />
<br />"
<br />
<br />MY COMMISSION EXPIRES
<br />
<br />------------------
<br />
|