|
<br />..
<br />
<br />CONDITIONS.OF PERMIT AFFIDAVIT
<br />, :, I :
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />Thl undlTligned undlrltlndl thlt thil plTlit lay b, lubjtct to 'd"d Teltrictions' which .ay be lort TII~Tictivl than City
<br />ngul~U!~!.:,;'.!!~! .~~~;!~~i.~n,~~,~~,-~~~,r~~~o,~,1-bl~ttl/OT COIpUlncl wUh Iny IppllClblt dltd r.~tridlons.
<br />
<br />. ." , '
<br />
<br />B. UNLICENSED CONTRACTOR~ AND CONTRACTOR RESPONSIBILITIES
<br />" ".~..t""',~",~~ ,-..,.t~""!"",,,,,,,iI'''';...t:Ijj.,,,,,...,....~....,:~~'':'''''l'''!'-''';.:,,, .It.--,- '" :' " ' -
<br />,.
<br />If the ownlT bas hirtd a contrlctor Dr contractorl to undertake work, thty lay be rtquir,d to bl licensed in accordlnt' with
<br />ltate Ind IOi:ll'ttgulaUonl,"'U"th" cOlltractor 11 not Hnnlld .. nqulnd by lall, both th, owner Ind contndor IIY b.:
<br />cittd fOT I lild'ltlnOT Y~.lltion underltlt, lal. If the owntr or intendtd contractor art uncertain IS to what licensing
<br />requirel,nts'llY apply for'th.'intlnded'loTk, they are adviled to contact the City of Ztphyrhills Building D'plrtlent, (813)
<br />788-66U, '
<br />\. t_,'.. .j.,;.. ' ~.'.." _: ,,: 'I' .....c. ~ ;"., :,~i_ !
<br />
<br />,':
<br />
<br />',,:
<br />
<br />. .. '.'
<br />
<br />l ',\r 1
<br />i!o "
<br />
<br />FurtherloT', if th. Diner hll hired I contrlctor Dr contrlctorl, hi il advised to have th, contractorCs) lign portionl of th,'
<br />'ContrattoTStctionl"of"thi"'lppllutlon'forllhich they will bl responsible. If you," the owner lign al th, contractor, 'f,,'
<br />you ,ar..,indictUng thltY!U,t,TlthlT tha~ th. con~ractor, Ire n~ponlible for the work. I f the contractor wish" you to lign, '.
<br />'as contractor~\h.t lay b"lnlildi,caUonthlt he il not proptrly llcenl,d Ind is not ,ntitled to peTlitting priYilegel in th.,l;..
<br />I' ",.~., , I' . f ."
<br />CUy of:"Zephy~bi115. ,i~'~,li '< ,
<br />. .,II,'Ii'i"A.. ,'.':. ...~~.. fI
<br />
<br />C.
<br />
<br />TRANp~ORTATION IMPA9~ F~~S A~D Ui'ILIT~ CONNECTION FEES
<br />CONSf~U~!,~9~.,~~EN L~W .d,~f.J'lAPTER 7~3"FLORIDA STAT,UTE~, AS
<br />
<br />,,"- ~ :.
<br />
<br />D.
<br />
<br />AMENDED)
<br />
<br />I certify that ,I, the applicant, have bien provid.d with a copy of -Florida's Construction Lien Law. HOleowner's Protection
<br />Guide' prepared by.the Florida Departlent of Agriculture and ConsUler ,Affairs. If the applicant is sOltone other than th,
<br />lowner', I certi!r 1hat I hav~ o~t,ained,a,~~p,!o', the above described doculent and prolise in good faith to deliver it to the
<br />lowner' prior: to coIIIRCllent. ' . " ,', ' ' '
<br />
<br />'.'.. ,"
<br />
<br />, ; ,,;''-:,.: ; ,)~,
<br />
<br />,
<br />.;. \
<br />
<br />. ... ,. 'I
<br />
<br />E. CONTRACTOR'S/OWNER'SAFFIDAVIT
<br />
<br />I certify that III the inforlation in thil applicltion is accurlt, and that all work will be dont in cOlpliance with all
<br />Ipplicable, lall regulating, construction, zoning, and Ilnd,~,veloplent.
<br />." I" "
<br />
<br />" .' ~
<br />
<br />Applitation is hereby .ad, t~obtlin I p.r.it toldo lork and lnltllla~ion al indicated, I certify thlt no work or
<br />inltlllltion hll cOII,nc.d prior to illulntl of . plr.it Ind th.t .11 work lill bl perforled to leet stlndards of III laws
<br />regulating con~truction, City cod'l, zoning ,'Igul.tionl, and land dev,loplent r.lgulations in the jurisdiction, 1,1110
<br />certify that funderlhnd that the regulaUonl of other governltnhl Igencies lay apply to the intended Mork, and that U is
<br />IY responsibility to identify ""It; Ictionl 1.lult hke to be in cOlpliance. Such agencies include bllt all! Ilot lilited tOI
<br />
<br />. DeDartlent of Envirenltn.n Reaulatloft.;Cyprfls Bayhlldl, lIetland Areas and Environltnhlly SensitivI lilnds,
<br />, " ". " lIater/Wntewater Treiltlent'
<br />. Southwest Floridl lIater "ilnaaelent DistTic\ . 11.111" Cypress Bayheadl, lIetland Areils, Altering lIatercourse5
<br />. ArlV CorDI of Enaineers - Selwllls, Dockl, Navlglble IIlterwlYI
<br />. DeDartlent of Health l Rehlbilitltive Servlc'l. Environlental Health Unit - lIelll, lIastewater Treatlent, Septic Tanks
<br />. US EnviroRlentll Protection Aa.ntv - Alb.~tol ,abatelent . '
<br />0; , ; '" .' ;1,;:~..j' ," .. .
<br />
<br />I also certify that, if fill Iilterill il to be used in Flood Zone ~A~or "A,etc,', it is undefstood that a dfainage plan
<br />i1ddre5linga ,'colpensating volulI~ wi11,be lubliUed whichllprepilred by a professional engineer registered in the Shte, of
<br />Floridl prior: to penU issuance.;', !; · ' '
<br />j' ~,d; l i
<br />
<br />A perlit illued shall be construed to be . licenle to proceld with the work and not'll authofity to violate, cancel aiter, Dr
<br />Sl!t aside Iny provisionl of the technicIl cod.s, nor shill iSluance of a ptrlit prevent the Building Official frol thereafter
<br />requiring I correction of 'rrorl in pllnl,cDutrutUon, or. violations of Iny code. Every ptflit issul!d shall beeolt invalid
<br />unless the;..rk'luthorized by,such perllt:1lPCOllenced .lthin six lonths of issuanct, or if work authorized by th, perlit is
<br />suspended Ot,Jlblndonedfor IptriDd6f;lhJI..tlal .ner 'hI! \lit ,the work is u..~nttd. On. 90 day extension of UIt, lay be
<br />IlloMed forth, perlit lith fee chlrg.'.r.1S~OO.The .xtension Ihall be requllted'in wrUing to the Building Official, An
<br />approved inspec'ion,lUlt be logged during elch lix lonth ptriod, Dr the project'Mi11 be considered Ibandoned.
<br />. .': .' '~ -1','; .
<br />
<br />WARNING ,TO OWNERs, YOUR FAIL.URE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT <IN ,YOUR pAYING 'TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
<br />INTEND TO OBTA1N.FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE. RECORD I YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT~NE;EDL R CORD,~AND,POST A "NOTICE OF, COMt1EN~EMENT".
<br />':;fLk:",:'';'' ';~:" "\ -~-,.,. ,,' "
<br />, >,".".,"'1.:,.'...~'4:~
<br />, . . ,""V" '. _ '.-.~SIGNATUR
<br />---~-~- -------- --~ - ---
<br />, ,OWNE~ OR AGENT,
<br />
<br />DATE_~_~7.c2--~~JZ~~fZ----~--------,_.
<br />
<br />NOTARY ~S;TO "A',. .':': .~
<br />OWNER ~.,~~~,,~---------
<br />MY COMMISSION EX;IRES___~~_~~~---------
<br />
<br />
<br />
<br />R
<br />
<br />DATE_____________~~_~___:_~!_________
<br />
<br />NOTARY AS TO /il ;~
<br />CONTRACTOR ~
<br />MY COMMISS~:~-~::~~::~~~~~~~;?~~~~
<br />
|