|
<br />CONDITIONS OF PERMIT AFFIDAVIT"
<br />A. NOTICE OF DEED RESTRICTIONS . .
<br />The undersigned understands that this perlitlay 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 or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 1813)
<br />788-6611 .
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) 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 FEE~
<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 Dr
<br />installation has cOllenced priof to issuance of a perlit and that all work will 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 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 co.,liance. Such agencies include but are not lilited to:
<br />, Departlent of Environlental RequIation - Cypress Bayheads, Yetland Areas and Environlentally Sensitive Lands,
<br />Yater/Hastewater Treatlent
<br />, Southwest Florida Water nanaqelent District - Wells, Cypress Barheads, Yetland Areas, Altering Watercourses
<br />, ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />, Departlent of Health 1 Rehabilitative Services, Environlental Health Unit - Wells, Yastewater Treatlent, Septic Tanks
<br />, US Environ.ental Protection Aqency - Asbestos abatelent
<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 sublitted which 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, 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 cOllenced within six lonths of issuance, Dr if work authorized by the perlit is
<br />suspended Dr abandoned for a period of six lonths after the tile the work is cOllented. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of SI5.00. 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 OYNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT KAY RESULT IN YOUR PAYING TYICE FDR I"PRDYE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COIt"ENCE"ENT. JOBS UNDER S2,500 IN YAlUE DO NOT NEED TO RECORD AND POST A -NOTICE OF COMENCEItENT".
<br />
<br />
<br />J!U;~~~ #)~.
<br />
<br />SIGNATURE: 0 ER OR AGENT SIGNATURE: CO TRACTOR
<br />
<br />STATE OF FLORIDA cp
<br />COUNTY OF Q...:"-a(l ()
<br />The foregoing instrument
<br />befc.re me this J() / es
<br />
<br />was acknowledged
<br />, 19_23 by
<br />
<br />STATE OF FLORIDA (\:::h
<br />COUNTY OF ~C' (')
<br />The foregoing instrument was acknowledged
<br />bf?forE' ml!? this J() J I\..~ , 19~ by
<br />
<br />who is personally known to me or who has
<br />produced <.pes,,:>l")'"X;\ q, ~ f'\C1 ~ ~ 1"\
<br />as identification and ~o did/did not
<br />~e an. o~th~ .
<br />..LJ ....,/-~#~ ~_
<br />(Signature)
<br />~.i s-t'\ eo L. f'()c)~()r
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />who is personally known to me or who has
<br />produced pP\~()"'C.t\ hi k 1\0 i..~"\ 1}
<br />as identifIcation and who d~d/did not
<br />take an oath.
<br />~h /l C. ~ ~ W -h?~ ~/Jt-
<br />(?!hnature> '
<br />ri6+-i~ L. m~nr-
<br />(Name Typed, Printed or tamped>
<br />NOTARY PUBLI C
<br />
<br />OFFICIAL <Yf
<br />CfmIsnE L MAJOR
<br />N<YfARY PUBLIC STATE OF FLORIDA
<br />COMMISSION NO. CC316103
<br />MY COMMISSION EXP. SEPI' 15,1997
<br />
<br />
<br />uFFICIAL NOTARY SEAL
<br />CHRISTIE L MAJOR
<br />NOfARY PUBLIC STATE OF FLORIDA
<br />COMMISSION NO. CC316103
<br />MY COMMISSION EXP. SEPT 15,1997
<br />
|