|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlitlay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules 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 lay 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 lay be
<br />cited for a lisdeleanor violation under state law. If the owner,or intended contractor are uncertain as tq what' licensing
<br />requirelents laY apply for the intended work, they are advised, to contact the City'of Zephyrhii1s Building D~artlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, 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 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 perlitting 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 - HOleowner's Protection
<br />Guide" prepared by the Florida Departaent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"owner" prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby aade to obtain a perait to do work and installation as indicated. I certify that no work or
<br />installation has coaaenced prior to issuance of a perait and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies aay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I aust take to be in coapliance. Such agencies include but are not liaited to:
<br />f Departlent of Environlental ReQuIation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US Environlental Protection AQency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone "~" ,r "A,etc.', it is understood that a drainage plan
<br />addressing a "colpensating voluae" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A per.it 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 perait prevent the Building Offici~l frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such perait ,is coaaenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six .onths after the tiae the work is coalenced. One 90 day extension of tile, lay be
<br />allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six aonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT "AY RESULT IN YOUR PAYING TWICE FOR IHPROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />
<br />
<br />COMIEHCEIONT. J.8~~_::_~::::_~~~~~~~____________
<br />
<br />G TURE: OWNER OR AGENT Si(,ftrU~E: CONTRACTOR .------~-'
<br />
<br />
<br />~~~~~YO~FF~~~~~--------------------
<br />
<br />The foregoing instrument was acknowledged
<br />before me thiS~2L~~~___' 19!~_ by
<br />
<br />
<br />Wh~~;n~~~-;;-~;-~h~-h~5
<br />produced _______________________________
<br />as identification and who did/did not
<br />take ary f"f~h,. _ /. ~
<br />
<br />(sig;:;~~_,~i;,!t-;,-.-of"~;ti;----
<br />_____________~t~u~~p~H~-~!mJl~~Jj----
<br />(Name Typed, IT'd n~ TM'-TrcSt'ampett't lee,
<br />NOTARY PUBLIC
<br />
<br />~~~~~Y~FF~~~~~~~~-------------------
<br />
<br />The foregoing instrument was acknowledged
<br />befc:ore me th i s ~..J-2-___, 19~~_ by
<br />
<br />~h~-m::.~~~-k;:;~~~-~h~-h;~
<br />---
<br />produced _______________________________
<br />as identification and who did/did not
<br />
<br />take if) ~~. / ~
<br />
<br />---~-------------------------~----
<br />(Signature) ~"o'aryPubfic. State 0' "ortler
<br />___________Jltt~~u~n!~k~_~~wJ1Ll~9J_____
<br />(Name Typed, Pr!.m!ttlru b'fi F<S'tasm~'.
<br />NOTARY PUBLIC
<br />
|