|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The.undersigned understands that this per.it lay be subject to "deed restricti~ns' which may b~ a~re restr.ictive than City
<br />regulations. The undersigned assules responsibility;forcolpliance with any applicable deed restrictions.
<br />
<br />E. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a c~ntractor Dr contractors to undertake work, they lay be required t~ be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the o"n~r and contractor ftay be
<br />cited for a aisdemeanor violation under state law. If the ~wn~r or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Z~phyrhills Building Departlent, l8131
<br />789-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 Hork. If the contrdctor wishes you to sign
<br />as contract~r that aay be an indication that he is not properly licensed and is not entitled to per&itting 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 Construction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Department of Agriculture and Consu.er Affairs. If the applicant is SOle6ne other than the
<br />"owner", I certify that I have obtained a copy of the above described dc,cullient and prc,mise in good faith to deliver it to the
<br />"owner" prior to cOllence.ent.
<br />
<br />"i..:'
<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 c~.pliance with all
<br />applicable laws regulating c~nstruction, zoning, and land develop.ent.
<br />
<br />Application is hereby lade t~ obtain a perlit to. do work and install~tion as indicated. I certify that no work or
<br />installation has CO.lenced prior to issuance of a permit and that all work will be performed t~ 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 ~ay apply'to the intended ~ork, and that it is
<br />IY responsibility tCI identify what actions I must take to be in complianc!? Such agencies include but ~l e m,t Jil!ited to:
<br />
<br />'"
<br />
<br />I Departle~t of Envir~n.ental ReQulation - Cypress Bayheads, Wetland Areas and Envirunmentally Sensi live L~nds,
<br />Water/Wastewater Treatment
<br />I S~uthwest Florida Water ManaQetent District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses
<br />I Arty Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~e~~, Septic Tanks
<br />I US Environaental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if fill aat!?rial is to be used in FICtOd ZClne "A" or "A,etc.', it is understo[,d t1lilt a drainage plan
<br />addressing a 'co.pensating volume" will be sublitted which is prepared by a professional engineer fegist~led in the State of
<br />Florida prior to permit issuance.
<br />
<br />A pertit issued shall be construed tu be a license to proceed with the work and not as authority to yiolate, 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 ;hall becole invalid
<br />unless the work authorized by such permit is comlenced ~ithin six months of issuance, or if w~l.k authol lzed by the per.it is
<br />suspended or abandoned for a period of six lonths after the tiJe the work is co~menced. One 90 day e:tE~sioll of tile, lay be
<br />allowed for the per~it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection I!ust be logged during each six tonth period, or the project Hill be considered dbilJdoned.
<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 DETAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500
<br />DO NOT NEED ~AND POST A "NOTICE OF COMMENCE NT".
<br />
<br />
<br />_~---- _ __~8 SIGNAl
<br />OWNER R GENT
<br />DAlE_f:-(; - ------------. -:7'-,---------
<br />;;t-~ .... /
<br />
<br />NOTARY AS Tst-I _ . 1:'>/ A
<br />CONTRACT~-~~~~4'~!:::~L~Bf~~...../
<br />,,~ (/ /
<br />MY COMMISSION ~jUt --
<br />State of Florida
<br />My Comm. Exp. Sept. 12, 19"" ~
<br />
<br />
<br />DA TE_____~-::~-~=-::-ZL---------_.-------
<br />
<br />NOTARY AS TO ~I . ;~;:;;) d .
<br />OWNER OR AGE~~~7'~~?~PJ"~
<br />
<br />MY COMMISSION EXPIRES
<br />
<br />
<br />VALUE
<br />
<br />
<br />1M iiOWN
<br />___d~
<br />My ..... bp. Sept. 12. 1~
<br />
<br />
|