|
<br />CO~DITIONS OF,PERMIT AFFID~VIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />Th,.undvrsign'd undRrstands that this per.lt .ay bl sublect ~o "deed restrictions' ~hlch ~ay be oor~ rlstrjctlv, than City
<br />regulations. Th, undersign,d assunes responslbllltf;for..colpllance with nny iPplicuble dIed restrictions.
<br />
<br />'.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIRILITI~S
<br />
<br />If the own~r has hired a contractor .~r contractors to undertake work, .they nay be required to be licensed in accordance with
<br />stat, and local r'gulations. . If the contractor is not licensed as required by law, both the ouncr and contractor nay be
<br />cited for a Disdeneanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing
<br />requirelents ~ay apply for the intended work, they are advised to contact the City of Zcphyrhills Building Department, 18131
<br />7BIHbll.
<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 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 contractor wishes you to sign
<br />as contractH that aay be an indicatic.n that he is not pre.perly licensed 'and is not entitled te. perilliltir,g privileges in tt,e
<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~ FLORID~ ST~TUTES, AS AMENDED)
<br />
<br />I certify that I, the applicant, have been provi~ed with a copy of 'Florida's Construction Lien LaM - Ho~eoMner's Protection
<br />Guide' prepared by the Florida Depart_ent of Agriculture and Consumer Affairs. If the applicant is sOfe~ne other than the
<br />'owner', I certify that 1 have obtained ~ c~py of. the above described document and promise in good faith to deliver it to the
<br />'owner' prior to cOI~encelent.
<br />.. ~ 1. Of ~~;. ", j ; : .
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the information in this application is accurate and that all Mork Hill be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land developm~nt.
<br />
<br />Application is hereby made to obtain a permit to"~o ~~rk and install~tion as indicated. I certify that no Mork or
<br />installation has cOI~enced prior to issuance of a per_it and that all work Hill be performed to roeet standards of all laws
<br />regulating construction, City codes, zoning regulatiDns, 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 />ay responsibility te, identify Hhat actions I lIlust take to be in complianco. Such i\gerlcies ir,clude bllt ~1 e Ii(.t li~ited to:
<br />
<br />. ,,~.>
<br />I Department of Environmental Requlation - Cypress Bayheads, H~tland Rreas and Environmentally Sen5jtjv~ L~nd5,
<br />Water/Wastewater Treatlllent
<br />I Southwest Florida Hater' Manaqement District - Hells; Cypress Bayheads, Wetland nreas, Altering YatercDur5es
<br />I Armv Corps ~f Enqineers - Seawalls, DDcks, Navigable HaterNays
<br />t Departlent of Health L Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treal~en~. Septic Tanks
<br />t US Environoental Protection Aqenc~ - Asbestos abatement
<br />
<br />I also certify that, if fill material is to be used in He.od Ze.ne "R" or 'tl,etc.', it is undude.e.d lid! a drainage plan
<br />addressing a 'co~pensatlng voluno" will be sublitted which is prepared by a professional engineer regi5t~red in the State of
<br />Florida prior to permit issuance.
<br />
<br />A permit issued shall be construed to be a lice~se to proceed Nith the Hort and not as authority to violate, 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 cod~. [very per~it iS511~d ~hall beCOle Invalid
<br />unless the lle.rk autheorized by such permit is ce'lUenced within six ~onths e,f iS5\1i\nCe, (.r if 11(<1 f; aut"'" I.ed by t~,e perlit is
<br />suspended or abande.nen fe.r a period of Sill lonths after the tbo the \fork is c('Menc~d. Oile 9(; day c,'d~;.sioll of tile, /lay be
<br />allowed for the per~it with fee charge of $15.00. The extension shall be reque5t~d in Mriling to tho Building Official. An
<br />approved inspeclie.n r.oust be le.gged during each six lIIonth period, eor the prc.ject ui II be c(,nsiderEd ab.;lIde.ned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER1'Y. IF YOU
<br />INTEND TO OBTAIN' FINANCING, CONSULT WITH YOUR LENDER OR AN Al'TORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOT I CE OF COMMENCEI'IENT".
<br />
<br />
<br />SIGNATURE___~~~-~~---------- SIGNATURE_ .~-~~~--
<br />OWNER OR AGENT ~NTR.CTOR
<br />
<br />D AT E ____._ __ __j/..:J.-9..--CZ1-----;.-.~---.__._------
<br />
<br />~~~~:~~~SA~~NT~R~;~~~~?t;-
<br />MY",'t:~~ON EXPIREliY COlf,r.lISSlC;; r:;::'. l"<iR.29, 199~
<br />,: ',_ {, \. BtffieftJf!-if{ttt:Em::KH('"1N5":-ffim:- -
<br />*" ..
<br />"if *
<br />~ ..
<br />" ..
<br />.'l .It-
<br />.. )(-
<br />:.:-:
<br />....;{<.
<br />
<br />DATE___________LL:~q~-~~--------------
<br />
<br />
<br />NOTARY AS TO/) . j
<br />CONTRAcTon__~~~~--
<br />NOlf!iRY PU3UC STfit: (FtORI
<br />MY CO~~-wmH~N EX~YH~~r.N!S':,,';.1 ,::,!'. F,,:,.::';),199
<br />.."~o~ ~<.;. EONDElT1r.,-:tn;cT,:":,,.r-f1'1s.-t1mr.-, 4:
<br />** -te:*...;.- ,
<br />: ~
<br />I.. *
<br />..
<br />..
<br />,.
<br />:,.:rf},l
<br />
<br />
<br />
<br />r,lY
<br />
<br />,::.r~'~i' \2 't SE~L u
<br />.~; :_;l.:L '{GU!.iG
<br />;:;;P. 4/29/95
<br />
<br />[,:_ ',": rr:RY SEAL"
<br />;:;\;~DI3 SlE YOUNG
<br />l'IY CO::;.;. EXP. 4/29/95
<br />
<br />.I:G~:.~:j.C
<br />
|