|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Th~ undersigned understands that this perlit 'Iay b~ su~ject tb 'rieed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibilitr for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONT~ACTOR RESPONqIBILITIE~
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If lhrcbnfractor i: 1l0t';licel1s~d as required by law, both the owner and contractor laY be
<br />cited for a lisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are acvised to contact the City of Zephyrhills Building Departlent, IBI31
<br />7B8-6611.
<br />
<br />Furtherlore, if the owner 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 Hill 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 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 FEE_~.
<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 - H~.eowneT'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 COllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation 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 lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has coalenced prior to issuance of. a perlit and that all work will be perforled to leet 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 governlental 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 />, Departlent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />, Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />, ArlY Corps of EnQine~rs - Seawalls, Docks, Navigable Waterways .
<br />, Departaent of Health ~ Rehabilitative Servires. Environ.ental Health Unit -Uells, Wastewater Treat.ent, Septic Tanks
<br />, US Environ.ental 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 />addr!s!:!!'g ~ .!:!'~p~~!:~t!~g '!!'!!!'!~. ~~!! h!! ~t!~.!.""~'''.: ~h.!rh !!: ~r~~~!"~~ hy ~ r-r~f~!E~!~'!~1 ~~g!n~~!'" !"~~r~-t!r!~ !nth.~ st:!~~ I)f
<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, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beeo.e invalid
<br />unless the work authorized by such perlit is rOllenced within six Bonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOl6enced. One 90 day extension of tile, lay be
<br />allowed f~r the per.it Hith fee charge of $15.00. The extension shall be requested in Hriting 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 OUNER: YOUR FAILURE TO RECORD A NUT'~E OF COMMENCEMENT MAY RESULT IN YOUR PAYIIIG TUICE FOR IMPROVEMEIITS TO YOUR
<br />PROPERTY. IF YOU INTEND TQ OBTAIN FINANCING, CONSULT UITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COM"ENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COM EMEIIT".
<br />
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY O( Pas<co
<br />The foregoing instrument
<br />before me this 4/26
<br />
<br />was acknowledged
<br />19~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />The foregoing instrument
<br />befctl-e me this 4/26
<br />
<br />I-laS ac kne'l-l! edged
<br />, 19-2L by
<br />
<br />David Hi1uq~m ______._ ..,_ _
<br />who is persc.nally Imo\'Jn tD me Cof'-Wi+c"'-F>a05
<br />
<br />~~~---------------------------
<br />
<br />..Ii-i.de.tI.t.1.:t:.i.c.aU.i.CLC. and ",ho .s+e\./ did nt. t
<br />
<br />~~~"'.\:\.o~~~
<br />
<br />~tUl-e)
<br />June M. Herndon
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />.Notary Public, Stat~ "tIf FlorId.
<br />JUNE M. HERNDON
<br />My-commiSSion Exp. Feb. 1, 1991
<br />,Comm. No. 252632
<br />
<br />Charles D. Poole
<br />-.---.---.-----....- -~--_._. --- ._,-~
<br />\'Iho is pel-!:.ona 11 y knol'lIl to me t:'r"'>'l'ht:'-"'l!I"lr
<br />
<br />~~~~-------------------------
<br />
<br />~-i~el't1ri-f..;.ef'rt_i_f:ot~and who c;J.i-EJ.,ld id neft
<br />
<br />
<br />(Si latLll-e)
<br />Ju e M. Herndon
<br />(Name Typed, Printed 0
<br />NOTARY PUDUC
<br />
<br />rlda
<br />
<br />.1997,
<br />
|