|
<br />. CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this penit.ay be subject to "deed restrictions. which uy be .ore restrictive than Citr
<br />regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBI~ITIES
<br />If the ollner has hired a contractor or contractors to undertake 1I0rk, they aay be required .to be licensed in accordance with
<br />state and local regulations. If the",.-.ctor is nl)i ~icensed as required by law, both the owner and contractor .ay be
<br />cited for a .isdeleanor violation under state laM. If the OMner or intended contractor are uncertain as to what licensing
<br />require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, IB13J
<br />788-661 L
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsJ sign portions. of the
<br />.Contractor Sections" of this application for which they lIill 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 1I0rk. 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 FEEg
<br />
<br />D. CONSTRUCTION LIEN Lr~~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have b~en provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />"ollner" , I certify that I have obtained a copy of the above described doculent and pro.ise in good faith to deliver it to the
<br />"owner" prior to cO.lence.ent.
<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 co.pliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no Mork or
<br />installation has co..enced prior to issuance of a per.it 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 govern.ental agencies lay apply to the intended 1I0rk, and that it is
<br />.y responsibility to identify Mhat actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />f Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southllest Florida Water "anaQe.ent District - Wells, Cypress Barheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health L Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abate.ent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or .A,etc.., it is understood that a drainage plan
<br />addressing a .colpensating volu.e. Mill be sublitted Mhich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed Mith 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 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 authorized by such per.it is co..enced Mithin six lonths of issuance, or if worK authorized by the per.it is
<br />suspended or abandoned for a period of six .onths after the ti.e the worK is cottenced. 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 COHHENCE"ENT "AY RESULT IN YOUR PAVING TWICE FOR IHPRoVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />
<br />~"7BEN:..(~OB: .uN~rn '2 v~,~.: ~T ~ro TO 'EroR>> MD,'DST' ;~Tl:~ u:, :~~~~., " _
<br />
<br />s
<br />
<br />
<br />ATURE: OWNER OR AGENT ~ ~ ~.v""1'-
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />~d
<br />
<br />tJ<.-U?---
<br />
<br />STATE OF FLORIDA ,r)
<br />COUNTY OF r d.,(J e.-D
<br />The foregccing i'nstl-ument lo-Ia~ acknc,wledged
<br />befc1re me this I~ ~ , 19~ by
<br />
<br />!J/;.LSi?1J RV M AAJ
<br />who is pel-sona 11 y knc,wn to me fir ut'le ha!l
<br />~ree!u,-ed
<br />as identification and who ~did not
<br />take an oath .V'!/~# # (1~i?
<br />~.//iJ y-' ~7--~
<br />(SignatLrre) ',._
<br />)<-AT1--H r-- F ~ I <r, J ~ f2&-r J ~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA /J
<br />COUNTY OF r fl>4. e b
<br />The foregoing instrument was acknowledged
<br />befc,re me th i s tt..J!.j ~ ,19.!l2::. by
<br />
<br />JJe'-~oAJ 4<IfM/1,U
<br />who is persc'nall y known to me ""'" \lho has-
<br />'preduEcd-
<br />as identification and who ~/did not
<br />take an oath '''-// .' /1 /J . /1 --1;;( .
<br />~,J Lt., ilk~(.~
<br />(Signatul-e) .. {/
<br />t<A-TH1S~ ~ ':'1. hR.01.....ltJ
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />~~~"..'.'"
<br />o G
<br />;;t ~. ('1
<br />-
<br />
<br />KATHLEEN .I. BROWN
<br />State of FIaIIda
<br />U,=S'tll,-
<br />
|