|
<br />fP'ii.la'r
<br />
<br />CONDIT~ONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait ..ay 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 c9ntractors to undertake work, they lay 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 aisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8131
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sJ 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 (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 docu.ent and promise in good faith to deliver it to the
<br />"owner" prior to cOlaencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this applic~tion is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby aade to obtain a perait 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 developaent 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 />ay responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental ReQulation - Cypress ~ayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />t Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways '
<br />t Departaent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatement
<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 volule" will be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />
<br />A per.it 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, or violations of any code, Every perl it issued shall becole invalid
<br />unless the work authorized by such perait is co..enced within six lonths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six aonths after the tile the work is coaienced. 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.must be logged during each six month peri~d, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOP. IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CON~~LT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COK"ENCEHENT. OBS UNDER $2,500 IN VALUE DO NOT ":ED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />~..~2L/
<br />
<br />S~GNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF J':. A- J C 0
<br />The foregc. i ng 1 ilS (~llment vIas a~}~ncl\.'Jl edged
<br />befclj-e me th i s -I-r .:j)rI , 19z.L- by
<br />
<br />, Q on. "f o;..J ~N h/l..-, ~ k.
<br />who is- pel-s.ecnally kno\.'1n to me <IT wl,,_, t,a.S
<br />J'l"1 1:1 J L."..:t?d
<br />as identifi,c-, ion a.ll.d w~7 ~/Jjd not
<br />
<br />:zal oa -d:k~
<br />
<br />(Big -t 1I-.r 5 / I-
<br />I 1'~fi1.,:) U~ L6-.J
<br />(Name Typed, P~Intcd or Stamped)
<br />NOTARY PUBUC"""'.offtorfAt "-'"
<br />..... . JloalJlpbso..29.199'
<br />",., .....,.....,._.,.
<br />
<br />STATE OF FLORID~
<br />COUNTY OF ~~c.....O
<br />The foregoing lnstrllmen~was acknowledged
<br />before :roC' t!:'..s ~ ~.::;[fi ; 1Q.:i1_ by
<br />
<br />~A"-I\-?t C~(Lo~ b~
<br />who is per onally kno~'lll to me C>f" ~I,C' h-ets
<br />p,oduc:ed
<br />as identi ication and who ~/did not
<br />
<br />take n at ~--4f-de/~
<br />(Bi"~'71A~ . 5- :5 cl~kl
<br />
<br />(Name Typerl, ...!'ri,nted c,,- mar.:;:>ed) _
<br />NOTARY PUBLiC. ....,.....tf~
<br />-., CiII..... ExPra Dee. 29. 199~
<br />~A/ n.... f...; '"Fa. """"'1"0'_ ".,
<br />
<br />
|