|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it .ay be subject to "deed restrictions" which .ay be .ore restrictive than City
<br />regulations. The undersigned assu.es responsibility for co.pliance 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 say 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 .isde.eanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing
<br />require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, l813}
<br />788-6611.
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorls} 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 .ay be an indication that he is not properly licensed and is not entitled to per.itting 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 - Ho.eowner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er 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 promise 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 co.pliance with all
<br />J applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work Dr
<br />installation has co..enced 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 develop.ent 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 />'Y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />I Southwest Florida Water ~anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f De art.ent of Health L Rehabilitative Services Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f Environlental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or 'A,etc.., it is understood that a drainage plan
<br />addressing a "colpensating volule" Mill 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 perlit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code., Every per.it issued shall becole invalid
<br />unless the worK authorized by such per.it is cOllenced within six lonths of issuance, or if Mork authorized by the per.it is
<br />suspended or abandoned for a period of six lonths after the ti.e the work is cOlienced. One 90 day extension of tile, lay be
<br />allowed for the pertit 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 tonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"~ENCE~EHT ~AY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEV BEFORE RECORDING YOUR NOTICE OF
<br />CO"~ENCE~ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND PO~~' ~E"ENT".
<br />
<br />/ ~ '
<br />
<br />SIGNATURE: OWNER OR AGENT IGNATURE: CONTRA
<br />
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLORI~
<br />COUNTY OF . ~
<br />The foregoing instrument
<br />befclj-e me this .$-/2-
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19 92- by
<br />
<br />:;;;;;//1/' r /{; AII'Ve Y
<br />who is pel-s I 11 y knowl (. me or who has
<br />produced
<br />as identification and who
<br />
<br />take a~ rG],.1
<br />(Sign~ e)
<br />, () B12 /(. r ( Lc;c <("
<br />(Name Typed~ Printed or Stamped)
<br />NOTA~Y_PtJBL!.C
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />
<br />lSignatUl-e)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOT ARY PUBLI C
<br />
<br />2-~7-9?
<br />CrNU~:n,t- ~x~
<br />
|