|
<br />~==.::;... I ::: -,
<br />
<br />r
<br />
<br />~l:r...~~~"'"'-~
<br />
<br />CONDITIONS OF P~RMIT AFFIDAVIT
<br />
<br />A. NOTICE OF DEED RESrRICTIONS
<br />
<br />.
<br />lhe .undersigned understands that this perlit lay bl sublect to "deed restrictiDns' which may be 5~re restr.ictive than City
<br />regulations. the undersigned alSUles re5pons\b\lit~:~or,.colpl\anCe Ni~n ~ny appli,cabl,~deed restr~ctions.
<br />
<br />, '. '. ',' . ,",,' ,
<br />B. UNLICENSE~CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />~. .
<br />
<br />If the ONner has hired a c~ntractor or contractors to underta~e work, they.ay be required t~ be licensed in accordance with
<br />shte and'l'ocal regulations. If t~e contractor is not l\censl!d as required by'l'aw, bott.-the' o\t~er and cl'intrador uy be
<br />,cited for a aisde.eanor violation under state laM. If the Dl,ner or intended contractDr are uncertain as t~ what licensing
<br />'requinl~nts aa.y apply-felr, the intended work, they are advisE'd to cDntact the Ci ty DfUphyrhiHs Build.iDgDeparhent, IBl31
<br />7BB-6611. '
<br />
<br />. ,
<br />Fur theraore, if the owner has hired a contrac tor Dr conti'actors', h'e is, advtsed to' ~aVe, tll!! c ~ntr actor( s) si gn port i ons ~f the
<br />"Contractor Sections' of this application for which they will be respDnsible. If y'elu, 'as th'e.Dwner sfgn 'as .'the cclntractDr,
<br />you are indicating that YDU, rather than the contractor, are respDnsible for,~he wDrk. If the cDntractDr wi~hes YDU to sign
<br />as contractc-r that uy be an indication that he'is'not 'pr[lperh_license~,and is n~t entitled tel perillitting privileges in the
<br />City of Zephyrhills. ' " '
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D.
<br />
<br />CONSTRUCTION LIEN LAW
<br />
<br />(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />
<br />I certify that I, the applicant, have been provided with a copy of "Florida's CDnstructiDn Lien Law - HDaeoHner's Protection
<br />Guide" prepared by the FlDrid~ Deparhent of Agriculture and Consul,e.r Affairs. If the applicant is Sellee~ne other than the
<br />'Dwner", 1 certify that 1 have obtained a. cripy of the above describ~d ~e~p.!..ent and pre'~lise in g~od faith to deliver it tD the
<br />'OHner' prior to cOltence.ent. I ' .
<br />'i 0.:"
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the information in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating cDnstructiDn, zoning, and land developlent. '
<br />
<br />Application is hereby lade to obtain a penit to do work and inshlli:ltion as indicated: 'lcertify that no worK or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be performeo tD leet standards of all laws
<br />regulating construction, City codes, zoning regulati~ns, anl land development regulations in the jurisdictiDn. I also
<br />certify that I understand that the regulations of other governmental agencies ~ay apply to the intended work, and that it is
<br />my responsibility to identify what actions 1 lust take to be in compliance. Such agencies include bill ~\I! Iit,t lillited t~:
<br />
<br />. ".#11'
<br />I D€i-oai~;erl" ~f [,lVironacntal R~!l'~1:ltiO!l - CYP!Po:s Bayh~-2d i \!;.:~' -d ~~~~;<; ~f;rj Elivir:,~~'~ntally Sensi tive L~nd5,
<br />" . " '. .,'~, .,.', \later IWastewater Treahent "
<br />* Southwest Florida \later ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Trl!at~en~, Septic Tanks
<br />* US Environmental Protection AQenc~ - Asbestos abatement
<br />
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood t,,~t a drainage plan
<br />addressing a 'c~lpensating volule' will be sublitted which is prepared by a professional.'engineet rI!Qist~il!~ in the State of
<br />Florida prior to permit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proce~d with the work and not as authority to violate, cancel alter, or
<br />set aside any prDvisiDns Df the technical codes, nor shall issuance of a p~rmit prevent the Building Official fro. thereafter
<br />requiring a correctiDn Df errors in plans; construction, Dr violations of any code. Every permit iSSlled :hall becole invalid
<br />unless the work authorized by such perlit is (o.lenced within six months of issuance, or if wOl'k authDI lZl!d by the perlit is
<br />suspended or abandoned fe.1" a period elf six lonths after the ti:le the wCJrk is (t.Menced. One 90 day 1!~\Eiisi{\1\ of tile, lay bl'
<br />allowed for the permit with fee charge Df $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspectieln i!lust be le,gged during each six lonth pe!"iod, or the prcljllct will be considered dbcil.de,ned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />~ SIGNATURE_Il~-l..d'-~
<br />CONTR~OR
<br />
<br />XSIGNATURE__~~~~~~----
<br />OWNER OR AGENT
<br />
<br />DATE____2-je:i:flJ9J.----------------'-------
<br />
<br />NOTARY AS TO N' V ~ . .-If
<br />OWNER OR AGENT ___ _ _.a.:.'Jijf1~-'---.-
<br />1'll~~ Sftff IJf f='IorfiJI
<br />MY COt1MISSION EXPIRES___~_~~~-~-2:!--~---
<br />
<br />DATE
<br />
<br />-----------------------------------
<br />
<br />NOTARY AS TO
<br />CONTRACTOR_____________________________
<br />
<br />MY COMMISSION EXPIRES__________________
<br />
<br />"
<br />
|