|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The undersigned understands that this permit may be subject t~ "deed restrictions" which may be ~ore restrictive than City
<br />regulations. The undersigned assules responsibility for compliance 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 wor~, 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 Ollner and contractor ~ay be
<br />cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813)
<br />788-6611.
<br />
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />'Contractor Sectie,ns' of this application f{lr which they will be respe,nsible. If ye,uJ as the e,.mer sign as thl? ce,ntractor,
<br />you are indicating that you, rather than the contractor, are responsible for the worr.. If the contractor wishes you to sign
<br />as contractor that may be an indication that he is not properly licensed and is nut entitled to permitting privileges iTI 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 - Homeowner's Protection
<br />Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is so~eone 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 cOI~ence~ent.
<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 co~pliance with all
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I certify that nu work Dr
<br />installation has com~enced prior to issuance of a per_it 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 t.he jurisdiction. I also
<br />certify that I understand that the regulations of other governffiental agencies may aODI, to the intended work, and that it is
<br />flY responsibility tCI identify what actions I lIiust t.ake to be in ([Iillpliance. Suc~! agencies include bill ~I e ilc,l li'lited to:
<br />
<br />I Department of Environmental ReoulatioD - Cypress Bayheads, Hetland Areas and Environmentally Sensitiv! L~nd5,
<br />Hater/Wastewater Treatment
<br />. Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering WatercDurses
<br />t Army Coros of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departll?nt of Health L Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~f~~. Septic Tanks
<br />I US Environmental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if fill material is to be used in Fle,od Zone "A" or "A,etc.', it is underste,(,d tk.t a d!ainage plan
<br />addressing a 'coMpensating volume" will be submitt.ed which is prepared by a professional engineer reqi5t~f2d in the State of
<br />Florida prior to permit issuance.
<br />
<br />A permit issu~d shall be construed to be a license to proceed with the worr. and not as authority to ,ioj~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Uffjci~J from thl?reaftel
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perIDit issllud ~hall becole invalid
<br />unless the I'wrk authorized by such permit is c{'llillenced within six ..onths of issuance, e,r if \'I e, d: autl'i" ;;:21 bi the periflit is
<br />suspended or abandoned for a period of six months after the time the work is commenced. One 90 day e~t~~5JOII of ti~e, ~ay be
<br />allowed for the per~it with fee (harge of $15.00. The extensiDn shall be requested in writing to the Building Official. An
<br />approved inspection ~ust be logged during each six month period, Dr the project will be cDnsid~red db6i~Dned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERfY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND ;.:oDST A "1\iOT I CE OF COMI'IENCEMENT".
<br />
<br />SIGNATURE_~-g~--
<br />CONTRACTOR
<br />
<br />DATE_________[L~2;!~L-----------------
<br />
<br />SIGNATURE__~-6~~~---~-~-
<br />DATE__________1L~-~~~-------------------
<br />;;~:~~NT.i!~:};~~'t!~~-
<br />:M~~~ ON EXP I RESt r.:;:,l::~~! :;:;;:.....;;.;'.)...22 lllli$
<br />".,~i,;e:::'(',{ } ""rClff:ciT:IL::,L ,'is. "',", -
<br />
<br />
<br />'\,":::'." '14.,;t
<br />"f\, ...~~;, .' u~ " ,,!->(
<br />
<br />NOTARY AS TO/7 J.. j
<br />. '. CONTRA:,,:~*~;~~.~~z:f---
<br />"'~.. t>-RY pUSJ2..... ~'JTf':~c~.,r:~.I,)..,,~c :.:,.,:.h.,.C.'.:-C r'.'.CifUDA
<br />MY ctJ ISSli!lN'.,.EXPIRE!:~ C.,,,,,:,,'.' ,; ", .".'" ')c'..J':n.
<br />* ''''''q{ -I< ";C,::-r7-TT-:;-."T-'''',--:~~~~''":--' .,",:,)
<br />$} /~... * UV"~'4_:.J 'I.') I," '.-: : ,.".: : ,"',"
<br />
<br />~, {,J~::~:~/:; 1 . .. ,.<. V"U.
<br />
<br />:( r. ....
<br />*<~'~.'\ ;._ ': '~l.:;..~<.",:::~:~-\(
<br />" '{. :.~ ~~-;~ ,,-~
<br />
<br />"OFFICU:. r:~Ti~;(Y S:::11!.."
<br />Cf\;'~DiS S~!E: YG!F~S
<br />MY co~.:rJ. EX? t:!;::..:'J5
<br />
<br />"OFTICU.I~ ri;OTARY SEAl."
<br />CA~QIS SUE YOUNG
<br />MY COMM. EXP. 4/29/'63
<br />
|