|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait 'aay be subject to "deed restrictions" which aay be lore restrictive than City
<br />regulations. The undersigned assuaes responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they aay 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 owner and contractor aay be
<br />cited for a aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sJ 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 work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to peraitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Hoaeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docueent and proaise in good faith to deliver it to the
<br />"owner" prior to coaaenceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developeent.
<br />
<br />Application is hereby lade to obtain a perait to do work and installation as indicated. I certify that no work or
<br />installation has cOleenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developeent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
<br />ey responsibility to identify what actions I aust take to be in coapliance. Such agencies include but are not lilited to:
<br />, Departaent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treattent
<br />, Southwest Florida Water "anaQetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />, Artv Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />, Departtent of Health & Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treataent, Septic Tanks
<br />, US Environaental Protection AQencv - Asbestos abatetent
<br />I also certify that, if fill taterial is to be used in Flood Zone "A" or "A,etc.', it is understood that a drainage plan
<br />addressing a 'cotpensating volute' will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Officijl frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becoae invalid
<br />unless the work authorized by such perlit is cotlenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six tonths after the till the work is cOllenced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection eust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECoR N6 YOUR NOTICE OF
<br />
<br />
<br />~~~-'::_:::_::::~_~CnRD NOn pasT A .~~___________________
<br />
<br />SI ATi/R?:-OWHER OR AGE~~ : CONTRACTOR
<br />
<br />
<br />~~~~~yO~FF~~~~DA~~__________________
<br />
<br />The foregoing instru,ent was acknowledged
<br />before me this _~q__~___, 19J[J_ by
<br />
<br />
<br />;~~~~~:~::~:=~~:~~::
<br />
<br />as identification and who ~/did not
<br />
<br />;;;:fB-1IL_~;;:--------~;-~;J.
<br />___1fAVij)__(&,;._Dett___.1L~J);___L~__
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLI C
<br />
<br />DA ViD W DEAN
<br />Notary STATE OF FLORIDA
<br />My Comm Exp 7/14/95
<br />BONDED
<br />
<br />
<br />~~~~~yO~FF~~~~~~~~______________________
<br />
<br />The foregc,ing i nstru~nt was ac:kn~,wledged
<br />b::lfc:n:: me th is 2'1._______, 19 _'l..!:.._ by
<br />
<br />--~-~~--~-----------------
<br />
<br />who is personally known to me or who has
<br />produced ~J2--------------------------
<br />as identificationZjn. who ~/did not
<br />take~at _//
<br />
<br />-~-- -------------------
<br />
<br />(Sign r} /tJ ~ /Jell//' we/~/"yolff/l/yf).
<br />
<br />----- -------------------------------
<br />(Name yped, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
<br />
|