|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlitlay be subject to "deed restrictions" which .ay 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 ONner 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 .isde.eanor violation under state law. If the owner or 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 contractorlsl sign portions {if the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contracto.,
<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 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 - HOleowner's Protection
<br />Guide" prepared by the Florida Depart.ent 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 promise in good faith to deliver it ti' the
<br />"owner" prior to cOllencelent,
<br />
<br />1.
<br />.I
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor_ation in this application is accurate and that all work will be done in cOlpliance with all
<br />a~plicable laws regulating construction, zoning, and land develop_ent.
<br />
<br />I
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated, I certify that no work or
<br />installation has cOI.enced prior to issuance of a per.it and that all work will be perforled to leet standards of all lans
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern_ental agencies lay apply to the intended work, and that it is
<br />.y responsibility to identify what actions I lust take to be in co.pliance, Such agencies include but are not lilited to:
<br />I Depart.ent of Environ.ental ReQulatiDn - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />I Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I De artlent of Health L Rehabilitative Services Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I Environlental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" Dr "A,etc,., it is understood that a drainage pIa"
<br />addressing a "colpensating volu_e" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida priDr to per.it 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 per_it prevent the Building Official froD thereafter
<br />requiring a correction of errors in plans, construction, Dr violations of any code,. Every pertit issued shall becole iuvalid
<br />unless the work authorized by such per.it is cO.lenced within six _onths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the tile the worK is cOI.enced. One 90 day extension of ti~eJ ~dj be
<br />alloNed for the perlit 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 .onth period, or the project will be considered abandoned,
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYIN6 TWICE FOR IMPROVEMENTS TO ',OUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN6 YOUR NOTICE OF
<br />COMMENCEMENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT.,
<br />
<br />
<br />~~~~
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />was acknowledged
<br />, 19 _ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />. The foregoing instlument
<br />before me this ~ I 7
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />vias ac knovJl edged
<br />I 19.2.:2- by
<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 />who is personally known to me or who has
<br />pl-oduced
<br />as identi f~' c. at~' cln nd
<br />take an oa. ~
<br />~'
<br />
<br />(Signature) Notary Public Pasco Co, FL
<br />
<br />(Name Typed 1M;f.1Cf/NW~~,_E~~~ p.l'"
<br />NOTARY PUBLIC
<br />
<br />10 did/did
<br />
<br />not
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
|