|
<br />it
<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit.ay be subject to 'deed restrictions' which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlplian,e with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contrac~~rs t& 'oI1~rt1ke 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 aisdeaeanor violation under state IaN. If thp. o~ner or intended contractor are u~certain as to what licensing
<br />requirelents lay apply for the intended work, they are advisee to contact the City of Zephyrhills Building Department, (B13!
<br />7B8-6611.
<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 ONner 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 1S not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTIONFEE~
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided Nith a copy of "Florida's Construction Lien LaN - HOleONner's Protection
<br />Suide' prepared by the Florida Departaent of Agriculture and Con5u.~r Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a co~1 of the above described document and promise in good faith to deliver it tel the
<br />"owner" prior to cOllenceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVI~
<br />I certify that all the infertation in this application is ~ccurate and that all Nork Nill be done in compliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby tade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation has coatenced prior to issuance of a pertit and that all Mork will be performed to meet standards of all laMS
<br />regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies aay apply to the intended work, and that it is
<br />ty responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not limited to:
<br />f Departtent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/~asteNater Treatment
<br />f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways .
<br />f Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treattent, Septic Tanks
<br />f US Environtental 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 "compensating volute' Mill be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed Kith 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 perlit issued shall becote invalid
<br />unless the work authorized by such pertit is cOllenced within six lonths of issuance, or if worK authorized by the permit is
<br />suspended or abandoned for a period of six tonths ~fter thr. ti~e the MorK is comienced. One 90 day extension of time, lay be
<br />allowed f~r the per.it with fee charge of $15.00. The exten~i~n shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth p~riQd, or the project will be considered abandoned.
<br />WARNINS TO OWNER: YuUR FAILURE TO RECORD A NOTlr: OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCINS, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COM"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECOR~ AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />SISNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />was acknowledged
<br />19 by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befct}-e me th i s
<br />
<br />STATE OF ~LORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
|