|
<br />. CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit 'Iay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<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 the contractor is not licensed 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 Khat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 18131
<br />788-6611.
<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 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 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 FEES
<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 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 prolise 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 COllenced 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 wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />f Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water KanaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Depart.ent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is tD be used in Flood Zone "A" or "A,etc,", it is understood that a drainage plan
<br />addressing a "colpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit 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, 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 becole invalid
<br />unless the work authorized by such perlit is CDltenced within six lonths of issuance, Dr if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is COllenced, 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 CO"KENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKENCEKENT".
<br />
<br />/?~ J-/-
<br />U~~)?J,/ /U?C~~
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />STATE OF FLORIDA tl '
<br />COUNTY OF f:t!~e.o
<br />The fC1rego i ng instrument ras acknowledged
<br />before me this St;pr Z,\C, 19Qa. by
<br />
<br />Aft . m .f,. . Il~
<br />who is personall known to me or who has
<br />produced "-
<br />as identification and' who did/did not
<br />
<br />ta~~'na~ . (1~
<br />
<br />(~'nature) U
<br />J>ANf\- "',. Q,1e.1la.
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />""UU~'lI" DANA Ii. EtA
<br />
<br />CD"':., ~
<br />f*. .h '''f."j. ' MY COMMISS1Ofl.ec301855 ~
<br />~ ~ . . July 14.1987
<br />. BONDED THRU 11lOY fAlllINS\IIANGI.ItlC.
<br />
<br />~ V , ~~v-z Ie; . L - .5TEYtZ C {)";;~T.
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE Of FLORIDA C'\
<br />COUHTY OF \.......~
<br />. The foregc.ing i~stT~ument was acknowledged
<br />befc1re me this ~. 9 , 19 q3 by
<br />
<br />-p-€~ A 4J. STev
<br />who is personally r who has
<br />produced
<br />as identification and who did/~i8 npt
<br />take an oath.
<br />
<br />
<br />
<br />(Signat~)f\
<br />
<br />(Name Typed, rinted
<br />NOTARY PUBLI C
<br />1<<(((((((((((((<.(<.( <<.<.<.<<.<.<.<.(((((((((((((((((((((S.
<br />,I ~t-t.Y ""#. MARY L. CROOK ~
<br />. c .. ~1'> Notary Public, State of Florida )
<br />: ~"i Commission No. CC 28681S ~
<br />': ~'F f\.~ My Commission Expires Sl16l91 )
<br />C Iaaded Throuab FIL NoIary Servlc:e I< IIoodiaa Co. ~
<br />0>>>>>>>>>>>"'>>>>"'>>"'>>"'''''''>>''>>>>>',]
<br />
|