|
<br />r
<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit aay be subject to .deed restrictions. which lay be .ore restrictive than City
<br />regulations. The undersigned assules 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 may 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 lisdeleanor violation under state IaN. 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 City of Zephyrhills Building Departlent, (813!
<br />788-6611.
<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 FEES
<br />
<br />D. CONSTRUCTION LIEN LA~ (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 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 doculent and promise in good faith to deliver it to the
<br />"owner. prior to cOllencelent.
<br />
<br />E. CONTRACTDR'S/DWNER'S AFFIDAVI~
<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 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 or
<br />installation has cOI.enced prior to issuance of. a perlit and that all work will be performed to leet standards of all laws
<br />regulating construction, City codes, zoning requlations, and land developtent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies tay 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 />f Departlent of Environlental ReQulation - Cypress Bayheads, W2tland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water KanaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways '
<br />t Departlent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abatement
<br />I also certify 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 volule" Kill be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<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, Dr violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be
<br />allowed .for the perlit with fee charge of $15.00. The exten~ion shall be requested in writing to the Building Official. An
<br />approved inspection. lUSt be logged during each six tonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 LUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COMMENCEMENT',
<br />;--, ~.
<br />-~~-- ~
<br />
<br />-....------
<br />
<br />
<br />
<br />~
<br />
<br />
<br />~
<br />
<br />SIGNATURE: CONTRACTO
<br />
<br />STATE OF FLORI~
<br />COUNTY OF ~
<br />The fQreooino instrument
<br />before m; this ~/I
<br />
<br />was ackncwledqed
<br />, 19 ~ by
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF ~
<br />The foregoing instrument
<br />befol-e .me th i s Ij / I
<br />
<br />vias ac knovl 1 edged
<br />, 19 -!l...l by
<br />
<br />
<br />who is personally
<br />prc.duced
<br />as identification
<br />ta .'e an oath.
<br />
<br />know~\\ \t'fnE:POi'>'/-:zwho has
<br />.Jf' ~ ...........h.... lJ ~
<br />;;0'" ...~
<br />anJ~}io did/df. ~pt
<br />~ : ~ =
<br />" +; :
<br />\ !
<br />
<br />who is per sona 11 v,,,Al/nown to me Clj- who has
<br />\\{\ ""'11.
<br />prc.duced ~\\\\ fI" Pu;;~ .
<br />as identi fiCff~r'I....ai1i1..... J'%.did/d id not
<br />t~ rtf7J.' .......
<br />tak an 021 I~~t "
<br />
<br />(SignatUl-e) % ..r \. ff
<br />~/...... .... ~~
<br />':os ~,. ............. ~ \,. {;'
<br />(Name Typed, P?~tn,~~d\,~~~Stamped)
<br />. 'fI'I/II II nil
<br />NOTARY PUBLIC
<br />
<br />
<br />(Name Typed, Printed
<br />NOTARY PUBLIC
<br />
<br />Net..,., P.....~ 5_ "" Ifllof_
<br />ID~ II.- lr~11.
<br />Uy eo.....1EJ9. _. U.. ll~
<br />~ -. << ~~~..
<br />
<br />Notary Public. St~,:.~, (ti..~,,:i.l1;da
<br />DIANNA L. 1 ,,~,,'" ,_L 9i
<br />My Comm. E.p. Nov. 11, .~
<br />Comm. No. CC \ 591 '"
<br />
|