|
<br />~ ~, -.i
<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />I
<br />
<br />A.
<br />
<br />
<br />RESTRICTIONS
<br />
<br />The undlrligntd'undlrltrndl thlt thil plrlit IIY bl lubjlct to 'dlld restrictionl' which lay be lorl rll~rictivl thin City
<br />regul,l~l.n~~~i!.~! ~~~,!r~,~,~~~~,~~'~1I r~~~onl,lbi~~tl/or colplllnct wUh Iny IppHubl. dud re~tricUonl.
<br />
<br />. ." " "
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />'. : ."it, -: ll'~""i<.:""",. ," ;......~~ 'I..-r....t~lt... ..... ",_ ""'-' ..' . Ii '-"";' ", ',,~ -.. -:.
<br />.
<br />If the owntrhllhired Icontrlctor or contrlctorl to und.rtlkl work, they IIY be required to b. licensed in Iccordlnce with
<br />Ibte Ind loul'ttgulIUonl,"''''Jf'thl'contractor II not Hctnled .. required by law, both the owner Ind contrlctor IIY be ;r
<br />cited for I lildlle~no~Y\.Jltion under,ltat. llw. If the owner or intended contractor are uncertain 15 to what licensing
<br />requirelents'lay Ipply for'th,'intlnded:Nork, thlY are adviled to contlct the City of Zephyrhilll Building D'plrtlent, 1813)
<br />788-6611.. '
<br />"I. f'1;.-,. . ,~..,:~ _;" .,...,~,j,:, ,,,,": -~' ~
<br />
<br />;" ~
<br />
<br />, ..
<br />i
<br />
<br />, .,....T.l
<br />+' ,..
<br />
<br />Furth.rlore, if the owne~ hn hired I contractor Dr contractors, h. il Idvised to have the contractorls) lign portions of thl;
<br />'Contractor Stdionll' of'thil "Ippliution 'for wblch they wlll be relponsible, If you, .. the owner lign as the contractor, ' . '1
<br />you ,ar'tl,n~~f'l~~gt~I~'Y,~,~,r~th.r thl,thl, CD,,:tractor, Irt re,ponlible for ~he work. If the contractor wishes you to lign ". .
<br />'IS contrador1'bat IIY ~'IJl)ndl,tIUDnithat h. h not propedy Ucenlld Ind IS not entitled to perliUing prhillgel in th.,ll"
<br />'I;' ! ^l' ,;~"(,, . . ,
<br />Cl ty .of,,1.IP.,h. vrhills"r r;'!~\" ': ,,;
<br />l~r~.,,~,r.. (. ~. ,... ~",. .J'6:-."'~\~
<br />
<br />p
<br />
<br />C.
<br />
<br />TR~~peORTATIO~ IMP~~!F.~'8 A~D UTILIT~ CONNECTION. FEES, i
<br />CON~r,~~~I!~~,.,~! EN L~~ ,l 'r!~ fJ'fAPTER 7 ~ :3, ,~FLOR I DA ST A -r:UTE8.,: ~S
<br />
<br />~ ,;,'. I :
<br />
<br />','
<br />
<br />D.
<br />
<br />AMENDED)
<br />
<br />I certify that ,I, the applicant, haye been provid.d with a copy of 'Florida's Construction Lien Llw . HOleowner'l Protection
<br />Guide' prepared by,the Florida D,plrtllnt of Agrlcultur. Ind ConsUler ,Affairs. If the applicant is SOltone other than thl
<br />'oNner', I CI!U!y lthat I hav~~~~~~~d.l,j~~"!Dt the aboy. d!5crib.d docullnt and prolise in good flUh to de!iver, it to t~.
<br />'owner' priOf: lo,collenc:llent.' ' " ., . '
<br />
<br />E. CONTRACTOR'S/OWNER'S,AFFIDAVIT
<br />
<br />; ..~,!.,; \;-,~ \ I . (
<br />
<br />: ". ", ,'"
<br />
<br />I certify that III lh. inforlation in thil applicltion is accurlte and thlt all Nork Nill be done in cOlplilnce with III
<br />, applicable,laws regulating, construction. loning,lnd llll!l.d.,yeloplent~
<br />, . :: ; 'I ,. ;. ~.I.' :"
<br />
<br />Application b herlby .adl tD!obtlin I ,.r.n tD"dD ltDrk ;Indin.hllltion IS indicated, 1 certify that no work Dr
<br />inltlllltion hllcollene,d pr,lor to ilsulne. of I plr.lt Ind thlt III work will be perforltd to leet Itlndlrdl of 111 llWI
<br />regulating tDn.tfu~liDn,Ctity COdl., 'loning1f.gu.ltionl, Ind Ilnd deYlloplent r.lgulations in the jurlsdlctio~. 1,1110
<br />certify that I ,understand that thl regulationl of other governlentll Igencies lay apply to the intended work, and that it is
<br />IY responsibility to ide"Ufywhat.. adio,nl I;,ult take to be in cOlpllance. Such agencies include bllt ill! 1I0t lilited tot
<br />
<br />I DeDartlNt of EnvireJtl.n"'l ReauhUoD,;',Cyprtls Blyhelds, WeUand ~rels and EnvironltntaJJy sensi tl ve lands,
<br />'. ; " '..' lIater/lllltewlter Tr.atlent
<br />I Southwlst Floridl lIater "InIQI.ent District. Utlls" Cypr~s5 alyheads, Wetllnd Arlls, Altering Wltercourses
<br />I ArlY CorDS of Enoineers - SelNllls, Dockl, NaYiglbll IIlterMIYI
<br />I DeDlrtlent of Hellth lRehabilitatiye Seryices. Environlental Hellth Unit - IIells, IIllteNlter Treatlent, S.ptic Tlnks
<br />I US EnYiroRlentll Protection AalntY - Asbelt~1 Ibatelent ' '
<br />
<br />... :;:c. '."J .' ! '~I'~
<br />
<br />I 1150 certify thlt, if fill laterial is to be uled in Flood Zone ~A' or "A,etc.', it is understood that a drainage plan
<br />addressing I rco.penslting ,volUII~:Nill;be lublitted which il prepared by a professional engineer registered in the stlte of
<br />Florida prior to perlit issulnce.", ,; hI, . , '
<br />" \
<br />
<br />'. I. ,;
<br />
<br />A perlit issued shill be tonstrued to be I license tD proceed Nith the Mork Ind not 15 authority to violate, cancel alter, or
<br />set aside Iny provilions of the technical COdIS, nor shall illulnce of a perlit prevent the Building Official frol thereafter
<br />requiring I correction of errors in pllns, construction, or yiolations of any code. Every perlit issu~d shall becole invalid
<br />unless the Mork luthorhedbysuch perlUi."collfnced wUhin six lonths of issuance, or if "ork luthorized by the perlH is
<br />suspended or,lblndoned, for a period of Iii tontbl Ifter the U.e the work is to'lenced. One 90 day extension of tilt, lay be
<br />Illowed for 'the plr.it with fll tharg' of $15,00. The e.tension shall be requested in writing to the Building offlcill, An
<br />approved inspection lUst: bl logged during IIch IIx .onth period, or the project NiH be considered abandoned.
<br />, ~ ,- .
<br />
<br />WARNING TO OWNERI, VOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAV
<br />RESULT fIN, YOU~'; pAVING' TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
<br />INTEND TO OBTAXN.FINANCING, CONSULT WITH VOUR LENDER OR AN ATTORNEV
<br />BEFORE'RECORDING VOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOTk NEED,i;,TO, RECORD", AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />SIGNAT~!~~l~
<br />, ,'\; ',;.~,(]~E,~9R,AGENT,
<br />DATE_~_~____-LjJ.Z~_~~~~~_~~~__~_________
<br />NOTARY;'~S;'~O ,;:~'~'~"() j rl7-r
<br />. OWNER ~I.~"~:~___
<br />MY COMM~SS~O~ '~X~I~ES~_~_~~L~_d1.~-------
<br />
<br />, SIGNATUR
<br />
<br />
<br />NOTARY AS TO
<br />CONTRACTOR____
<br />
<br />MY COMMISSION EXPIRES___~~~~~~~__
<br />
|