|
<br />~' lM"" '1'~ -,,~.....=-_.._~~
<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The undersigned understands that this per.it lay be subject to "deed restrictions" which' ~ay be lore res~rictive than City
<br />regulations. The undersigned assules responsibility ,for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a contractor or contractors to undertake work, they may 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 misde.eanor violation under state laM. If the owner or intended contractor are uncertain as to Mhat licensing
<br />requirelents lay apply for the intended Mork, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />78B-bblt.
<br />
<br />Furthermore, if the OMner 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 permitting 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 Mith a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Suide" prepared by the Florida Departtent of Agriculture and Consumer 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 cOlmenceeent.
<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 laMS regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation has cOltenced prior to issuance of a pertit and that all work will be performed to meet standards of all laws
<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 governmental agencies may apply to the intended work, and that it is
<br />,y responsibility to identify what actions I lust take to be in compliance. Such agencies include but ~le not lillited to:
<br />
<br />I Department of Envitonlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water Mananelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks
<br />I US Environ_ental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.., it is understood th~t a drainage plan
<br />addressing a .colpensating volume" will be submitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to permit iss~ance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to viol3te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ~ha)1 becole invalid
<br />unless the work authorized by such permit is cOI.enced within six months of issuance, or if wor~ authorIzed by the perlit is
<br />suspended Dr abandoned for a period of six lonths after the tile the worK is commenced. One 90 day e~tEnsioli of tile, may 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 lUSt be ioggedduring ~a(h six tonth peTi~d, or the proj~ct will be considered dbalidoned.
<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 />CONTRACTOR
<br />
<br />
<br />
<br />NOTARY AS TO
<br />OWNER OR AGEN
<br />
<br />NOTARY
<br />
<br />__~_~~_~-1___----
<br />~---
<br />
<br />DATE
<br />
<br />DATE_____
<br />
<br />MY COMMISSION
<br />
<br />COMMISSIO E PIRES
<br />~o ~R~PU,B,LIC. STATE-OFFLORIOj(.------
<br />"IY <;U"il,II::;SION EXPIRES' IAN 28 199;{
<br />SONOEO THRU NQTARy puaLI~ "'uNO"ERW'RITER':
<br />
|