|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subjert to "deed restrirtions" whirh lay be lore restrirtive than City
<br />regulations. The undersigned aSSU8eS responsibility for rOlplianre with any applirable deed restrirtions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a rontrartor or rontrartors to undertake work, they lay be required to be lirensed in arrordanre with
<br />state and loral regulations. If the rontrartor is not lirensed as required by law, both the owner and rontrartor lay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended rontrartor are unrertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to rontart the City of Zephyrhills Building Departlent, 18131
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a rontrartor or contrartors, he is advised to have the rontractor(s) sign portions of the
<br />'Contractor Sertions" of this application for which they will be responsible. If you, as the owner sign as the rontrartor,
<br />you are indirating that you, rather than the rontractor, are responsible for the work. If the rontractor 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 FEEg
<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 Protertion
<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 prolise in good faith to deliver it to the
<br />"owner' prior to cOI.ence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with all
<br />applicable laws 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 work or
<br />installation has cO.lenced prior to issuance of a per.it and that all work will be perfor.ed to .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies .ay 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 li.ited to:
<br />f Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environ.ental Protection AQenry - 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 'colpensating volule' will be sub.itted whirh 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 with the work and not as authority to violate, raneel alter, or
<br />set aside any provisions of the technical codes, nor shall issuanre 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 becole invalid
<br />unless the work authorized by such perlit 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 rOlleneed. One 90 day extension of tile, lay be
<br />alloNed for the perlit 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 .onth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO"KENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF CO~NCE"ENT".
<br />
<br />
<br />v~.i-~ .~ jZ,~,
<br />SIGNATURE: OWNER off AGENT) SIGNATURE: tONTRACT
<br />\..,--_/
<br />
<br />was acknowledged
<br />, 19 _ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing i~trument was acknowledged
<br />befc.re me this ~a-ud If, 19 q.3 by
<br />
<br />~~1
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />
<br />who is personally known to me Dr who has
<br />produced
<br />not as identification and who did/did not
<br />take an (9);, h,' _~,.. ,..... ,-
<br />~--e .,..' t;ii.
<br />(Signature) ..< ~ ........... ..I~.'"
<br />~F.tJ::~J \'9 ? :3
<br />· '-Sli &~ .t\
<br />(Name Typed, fPr i ~ or''' tlJ:{
<br />NOT ARY PUBq ~ r~ g ......,. : .q: ~
<br />: ~ :S:,
<br />~... lee 239052 ...~::::
<br />'.- -?L\ -.. ..- ~~
<br />-,'rJ..- e. .' r:!f. ......
<br />'. P" .......:\~ ....
<br />'Rue. Si~....\...
<br />
|