|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peraitaay be subject to "deed restrictions" which say 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 RES~ONSIBILITIE~
<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 aisdeleanor violation under stdte law. If th~ owner or intended contractor are uncertain as to what licensing
<br />reQuirelents lay apply for the intended work, ~i.ey are advised to contact the City of Zephyrhills Building Department, (8l3J
<br />78B-bbl!.
<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 aay 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 FE~~,
<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 De~artlent 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 document and promise in good faith to deliver it to the
<br />"oNner" prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIl
<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 laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby aade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOlaenced 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 regulations, and land develrplent 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 />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liaited to:
<br />f Departaent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departaent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />i US Environ.ental Pr~tection AqE~CY - Ast~~to~ 3b3~~~ent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc,', it is understDod that a drainage plan
<br />addressing a "compensating volume" Kill be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
<br />
<br />A pertit issued shall be construed to be a license tv 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 per.it is cOleenced 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 cOlienced. One 90 day extension of tile, lay be
<br />allowed for the pertit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CP;1MENCEHENT 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 />CO'KENC,"ENI, 'S UN.ER . ,500 'N 'RlUE 00 NOI NEED 10 RECORD AR' ~~
<br />
<br />
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />
<br />was ae knD'..,l ed'JEd
<br />, 19~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Hi 11 sborQugh
<br />The for~going instrument
<br />tefore me this 28thApri1
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Hill s horolJQh
<br />The foregoing instrument
<br />before me this ?RthApri1
<br />
<br />was acknowledged
<br />, 19~ by
<br />
<br />who isLa;J;Ysc~nUa\1ny known to me Dr who has
<br />produced nri \/pr I c; I ; c:pnsp
<br />as identification and who did/did not
<br />take an oath. "'C ()
<br />~ t...> _~ ~
<br />(Signahu-e) \
<br />Marv S. Colson
<br />(Name Typed~ Printed or St~moed)
<br />NOTARY PUBLIC
<br />
<br />LA. Sinnes
<br />
<br />who is personally known to me or who has
<br />pl-Dduced Dr i vpr I s I i c:pn c;p
<br />as identification and who did/did not
<br />
<br />t~ ~W~
<br />
<br />(Signature) \
<br />Mary S. Colson
<br />(Name Typed~ Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />NOTARY FUBLIC STATE CF r:c,('i IDA
<br />MY C0/1MISSION F;XP. APR.l1.I'l94
<br />BONDED THRU GENERAL INS. UND.
<br />
<br />NOTARY PUBLIC STATE OF FLORIDA
<br />MY COMMISSION EXP. APR.ll,1994
<br />BONDED THRU GENERAL INS. UNO.
<br />
|