|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to 'deed restrictions. which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for coepliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTR~~T~B RES~ONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake ~~rki {hey may be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not ,licensed dS r~~Jired by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the ONr~r or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are adviSEd to contact the City of Zephyrhills Building Depart.ent, (8131
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or cont,ractor~, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which th~y will be responsible. If you, as the ONner 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 aay 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 (CHAQTER 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 Pro'tection
<br />Guide" prepared by the Florida Depart.ent of Agricul'ilre and Consuler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a cc.py 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 Hork will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<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 cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City code!:., zoning regulations, and land developlent regulatiolls in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies lay apply to the intended lIork, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departaent of Health L Rehabilitative Services. Environlental He',lth Unit - Wells, WastElIater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatelent
<br />! ~!c~ fPrtify that, if fill laterial is to be used in Flood Zone 'A" Dr "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volute" will be subllliHed Mnle;l _. ~;.:t''' d Ly <0 pr~,fc:;:i:,","! engineer rp~istered in the State of
<br />Florida prior to perlit 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 Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall becole invalid
<br />unless the work authorize~ by such pertit is cotaeneed within six lonths of issuance, or if work authorized by the permit is
<br />suspended Dr abandoned for a period of six lonths after the tile the work is cOaaenced. 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 lust 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 COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING 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 />X
<br />SIGI:ATURE: OWNER OR AGENT
<br />
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLORID~
<br />COUNTY OF /-7/5- (' (;
<br />The foregoing instrument was acknowledged
<br />befctl-e me th i s 41'.'.'" / ..J '7 , 19 ~./"'..:J by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<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 />/r"(A,/ // /LIL(;f ;-/
<br />
<br />who is persDnally kn~wn to me or WhD has
<br />prodL{ced ZJre(~CI..J ~;(t/f.,.5C--
<br />as identification and who did/did not
<br />
<br />
<br />~. ~- .....:.
<br />tu.-~ /, ..__---
<br />v~. /'-YKA':~~::--___
<br />(N mE Typed, Printed OY" StampedW~__, /t~
<br />NOTARY PUBLI~ ~/ltV ,;t" ,<j.~e7K//lfvlfE;.....
<br />
<br />/
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />NOTARY f"lE1UC. STAT!! OF FLORIDA.
<br />
<br />r'iY (;CM~H5S;ON. EXPIRES: APRIL 24. 199401
<br />ilONDEU I HR:U NoTARY PUBLJC UNDERWRITERS.
<br />
|