|
<br />f'-
<br />
<br />l,~--~'~.
<br />
<br />CONDITIONS OF P_RMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it ~ay be ~~bie~t te "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assu.es responsibilit, for co.pli~n(e Ni~h any app'icable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRAC10R RESPONSIBILITIES
<br />If the owner has hired a contractor or cpntractors to undertake work, they laY-be r~Quired to be--licensed in accordance with
<br />state and local regulations. If the contractor is' not licens2r as required by law, both the owner and contractor lay be
<br />cited for a .isde.eanor violation under state IaN. If the owner 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, (813)
<br />7BB-bb 11.
<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 FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (C:~APTER 713, FLORIDA STATUTES~ AS AMENDED)
<br />I certify that I, the applicant, have been provided with a cOPr of "Florida's Construction Lien LaN - HOleONner's Protection
<br />Guide" prepared by the Florida Departlent 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 COllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVI~
<br />I certify that all the inforlation in this applicatiun is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, 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 or
<br />installation has cOllenced prior to issuanre of. a perlit and tha~ all work Nill be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and IJn~ develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is
<br />.y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liaited to:
<br />f Departlent of Environlental Reoulation - fypress Bayh~ads, Wetlard Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water "anaoelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Enoineers - Seawalls, Docks, Navigable Waterways '
<br />t Departlent of Health ~ Rehabilitative Service~. Environle~t~l Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnvironlentaI Protection Aoency - Ash~stDs abatement
<br />I also certify that, if fill laterial is to b~ used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volule" will be sublitted which 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 l~c~nse to proceed ~ith 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 from thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the Nork authoriled by such perlit is cO.lenced within six tonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the ti.e the work is comaenced. One 90 day extension of time, lay be
<br />allowed .for the perlit with fee charge of $I~ 00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection. lust be logged during each six lonth pericd, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVE~ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORD INS 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 />~~~9rIb ~C?
<br />
<br />SIGNATURE: OWNER OR AGENT SIGNATURE: NTRACTOR
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF G!../~ . ..___,_
<br />The foregoing instrument was acknowlpdged
<br />
<br />b~= /~ ,190_ by
<br />~ Q ,_~ ~<rl- ~~ ____
<br />who is pers~ll y_ known tg,,)Tle 01- who has
<br />produced ~~~/.f~ ~e
<br />as identification and who did/did not
<br />
<br />ca~~'~_ ) >Y V~
<br />(Si~ture) hi 7b nfl-
<br />'r1r~/~/ /I' c:J<< /1C7
<br />(Name Ty~ed~ P:-inted Dr Stamped) /
<br />NOTARY _EUBL I C
<br />
<br />STATE OF FLORI~
<br />COUNTY OF CY t:lt:LL.o
<br />The foregoing instrument was acknowledged
<br />oefcq-e me this //~ ,19 ?..3 by
<br />.
<br />
<br />
<br />~~~k or who has
<br />
<br />produced ~~ ~? /
<br />as identif' ation and who did/d~d not
<br />ath_
<br />
<br />
<br />~;-~/~ /t
<br />
<br />(Name Typed~ Printed
<br />NOTARY PUBLIC
<br />
<br />f~otary Public. State of Floridi
<br />My Comm. up Sept. 3. 1994
<br />
<br />J~otary Pub/lc" State- of JIroti...
<br />My Comm. lip SeRlo ~ 4994
<br />
|