|
<br />"
<br />
<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 aore restrictive than City
<br />regulations. The undersigned assuaes responsibility for coapliance with any applicable deed. restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS_~ND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors ~o undertake worK, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is nD~ l~cen~ed as required by laM, both the owner and contractor lay be
<br />cited for a aisdeaeanor violation under state laN~ If the owner Dr intended contractor are uncertain as to what licensing
<br />requirelents aay apply ,for the intended worK, they are advised to contact the City of Zephyrhills Building Departtent, (813)
<br />788-6611.
<br />
<br />Furtheraore, 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 Mill 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 say be an'indication that he i~ 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 - Hoseowner'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 co.tencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with'all
<br />applicable laMS 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 Mork or
<br />installation has cOlaenced prior to issuance of a perlit and that all worK will be perforted to teet 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 governmental agencies tay apply to the intended worK, and that it is
<br />IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Has,eMater -, eat.ent
<br />f Southwest Florida Water "anaQelent District - Wells, Cypre~s Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlV Corps of EnQineers - Seawalls, Docks, Nti"igable WatenJays '
<br />f Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abater.rnt
<br />I also certify that, if fill laterial is to be used in FluDd Zone 'A. or "A,etc,., it is understood that a drainage plan
<br />addressing a .cotpensating volute. will be sublitted whith is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
<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 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 pertit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is comienced. 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 month period, or the project Hill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHME~CE"ENT 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 />COH"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT..
<br />
<br />
<br />~~ - A;;:,~~~,
<br />SIGNATURE: OWNER ... AGENT SIGNATURE: RACToR
<br />
<br />STATE of,FLoRI~~_
<br />COUNTY OF IT 5: CO _
<br />The foregoing instrum~nt was acknowledged
<br />befol-e me this II/) HI:; 19q3 by
<br />f
<br />
<br />STATE OF FL~A
<br />COUNTY OF 'It-sco
<br />The foregoing instrument
<br />before me this &10 / /
<br />
<br />was acknowledged
<br />, 19~ by
<br />
<br />
<br />o me CIj- wnc has
<br />
<br />
<br />me or who has
<br />
<br />whc. is
<br />produce
<br />as identificat~on
<br />tak
<br />
<br />and WhCI did/cUd ,')t
<br />
<br />and who did/dirl not
<br />"
<br />
<br />U1-A--:r~_ _
<br />natlwe)
<br />R /tJ Su s;lir/ /;J), I T /VI /1.A1 _"
<br />(Name Typed, Printed or Stamped)
<br />NOTARY f'UBLIC {!()1n1YJ -II /l/1?17tJ!O
<br />t:-X 'p/~es ;(-/;;-41
<br />
<br />
<br />kLkr~
<br />ature) ,
<br />',eft tl' SUS/W JJ/lI T/h/btl
<br />(Name Tvped, Printed or Stamped)
<br />NOTARY' PUBLIC {!tJh1/'n II /J/J?t/9t1j'tP
<br />z.x jJIRt'S" o?,-/I/-qf
<br />
|