|
<br />_...~...'.~~;.-
<br />
<br />. CONDITIONS OF PERMIT AFFIDAVIT,
<br />A. NOTICE OF DEED RESTRICTION~
<br />The undersigned understands that this pe(.itlay be subject to "deed restrictiDns" which lay be IDre restrictive than City
<br />regulations. The undersigned ~ssu.es~re;;ponsibUHy for cOlpltance with 'hrappUll~ble deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTQRS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or c~ntractors to undertake lIork, they lay be required to be licensed in accordance lIith
<br />state and local regulations. If the ''rontr'ktor is not licensed as required by law, both the OMner and contractor laY be
<br />cited for a lisdeleanor violation under ;tate law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended >lork, they are advised to contact the City of 2ephyrhills Building Departlentl (813)
<br />788-6611.
<br />
<br />Furtherlore, if the OHner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the
<br />"Contractor Sections" of this application for which they lIill be responsible. If you, as the OMner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the Mork. If the cDntractDr Mishes you tD sign
<br />. as contractor that lay be an indication that he is not prJperly 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 Ilith a copy of "Florida's Construction lien lall - HOleollner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is SDleone other than the
<br />"oMner", I certify that I have obtained a copy of the above described document and prolise in good faith to deliver it to the
<br />"ollner" prior to cOI.ence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all Hork Hill be done in coapliance lIith all
<br />applicable laMS regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do Mork and installation as indicated. 1 certify that no Ilork Dr
<br />installation has cOllenced prior to issuance of a per.it and that all work Ilill be perforled to leet standards of all laMS
<br />regulating construction, City codes, zoning regulations) and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulatiDns of other govern.ental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify Khat actions I lUSt take to be in cOlpliance. Such agencies include but are not lilited to:
<br />, Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
<br />Water/Wastellater Treatlent
<br />, SouthMest FIDrida Water KanaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - SeaMalls, Docks, Navigable Waterways
<br />f Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environ.ental Protection AQency - A=bestos abatelent
<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" Ilill be sublitted Mhich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed Ilith 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 Df errors in plans, construction, or violations of any code. Every per.it issued shall becole invalid
<br />unless the Ilork authorized by such per.it is cOI.enced within six lonths of issuance, or if Hork authorized by the per.it is
<br />suspended or abandoned for a period of SIX lonths after the tile the Mork is cOllenced. One 90 day extension of tile, lay be
<br />allolled for the per.it Kith fee charge of $15.00. The extension shall be requested in Mriting tD the Building Official. An
<br />approved inspection lust be logged durin) each six lonth period, or the project Mill be cDnsidered abandoned. .
<br />WARNING TO OWNER: YOUR FAILURE TO RECORl\ A NOTICE OF COKKENCEKENT KAY RESULT IN YOVR PAYING TWICE FOR IKPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINAIJ::mS, CONSULT WITH YOUR lENDER OR AN ATTORNEY BH'QRERECORD1NS ViXIB,NOTICE OF
<br />CO"KENCEKENT. JOBS UNDER $2,500 IN VALU,: DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMKEHCEKENT".
<br />
<br />~/?~
<br />
<br />SIGNATURE: OWNER DR AGENT
<br />
<br />{~q~
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />The foregoing instrument
<br />before me this April 27
<br />
<br />was acknowledged
<br />, 1'}.93- by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P il "c. 0
<br />The foregoing instrument
<br />befc.re me th is Apri 1 ')7
<br />
<br />\flas acl,oowledged
<br />, 1 9..9.3.:..- by
<br />
<br />Kevin T. Roberts
<br />who tia ppr<;r,n~ll y known to".l~c,r "-who nas
<br />produced
<br />as identification and who"dli(idid not
<br />t~n oath.
<br />~.~.o~
<br />(Sig ature)
<br />.,,;t .
<br />,(Name Typed, Printed
<br />NOTARY PUBLIC
<br />
<br />
<br />W 0 lS ersonal y or who has
<br />produced
<br />as identification and who did/did not
<br />ta~~' an oath.
<br />-~
<br />Sig tw-e)
<br />
<br />
<br />Nptary Public StAhl nf110rfda
<br />./ANE1 BLACKWE.LL
<br />pe~t Comm. Exp. 9.18.96
<br />Comm. No. CC 228545
<br />
<br />Name Typed, Print d
<br />NOTARY 'PUBLIC
<br />
<br />
<br />I rids
<br />amoe""J:1 BLACKWELL
<br />'My t'omm. Exp. 9.18.96
<br />Comm. No. CC 228545
<br />
|