|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait 'aay be subject to "deed restrictions" which' lay be lore restrictive than City
<br />regulations. The undersigned assuaes 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 aay 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 aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the Cily of Zephyrhills Building Departlent, (BI3)
<br />7BB-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 FEE2.
<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 docu.ent and promise in good faith to deliver it to the
<br />"owner" prior to cOI.eocelent.
<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 />applicable laws regulatih~ construction, zoning, and land developlent.
<br />
<br />Application is hereby made to obtain a perlit to do work and installation as indicated. I certify that no work or
<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 codes, zoning regulations, and land developlent 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 lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />I Departlent of Environlental ReQuIation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Services. Environaental Health Unit - Wells, Wastewater Treataent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abate.ent
<br />I also certify thdt, if fill aaterial is to be used in Flood Zone "A' or "A,etc,., it is understood that a drainage plan
<br />addressing a "colpensating volule" wiil he suhaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A pertit 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 pertit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code~ Every pertit issued shall becole invalid
<br />unless the work authorized by such perlit is cotlenced within six tonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six lonths after the tile the work is cos.enced. One 90 day extension of tile, lay be
<br />allowed for the perait with fee charge of $15.00. The extension ~hall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each six aD nth period, or the project will be considered abandoned.
<br />WARNING TO OWNER~ YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAV RESULT IN YOUR PAVING 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 />COM"ENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST "N CE OF COMMENCEMENT".
<br />
<br />
<br />~l..''t O. ~ fu If?t:--Q )
<br />SIGNATURE: OWNER OR AGENT~~
<br />
<br />STATE OF FLORIDA~
<br />COUNTY OF ~~ ...v .
<br />The foregoing in5tru~en!-was acknowledged
<br />before me this Oh / L~ , 19 901 by
<br />/J I' (J
<br />L ~lk~// L '-1_ff;1U~t2> )-J
<br />who is ~ersonally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />tar,:e a oath.
<br />
<br />
<br />(Signa tun:! )
<br />P8r.l!.Jc64
<br />(Name Typed, Printed Dr
<br />
<br />NOT AF:Y PUBL! C Notary Public, Stat~ of Florida
<br />M): Comm. Exp Sept. 3. 1994
<br />
<br />
<br />STATE OF FLORIDA nt"' f\ ~
<br />comITY OF t Lrru J ROJ))
<br />The foregoing instrument was acknowledged
<br />bef()!-e me th1SC)b.lhd \ \, 199..~ by
<br />
<br />&J 0 0 n c (" (~. C:'.nu/JQQQ J~ LO
<br />whc. is pel-sona 11 Y ,:nO\'Hl to me -Eo+' \JI._ h!lii
<br />prQI;h..lc{;1g ;v J t:+-
<br />iil. i.doptifictL _...e 'II',!'! did/did not
<br />-ta:~~~1 Dath. /) ') . t1
<br />X2.ly. J )/J A () ? ~-.;. {J Lf~ t~ ~' L
<br />(Signatw-e)
<br />
<br />(Name Typed, Printl
<br />NOTARY PUBLIC
<br />
<br />j Cl)- S~~-...A
<br />...,~ II ......
<br />..i 'IlII....... t1._
<br />",.00_
<br />
|