|
<br />,.
<br />
<br />_ CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it.ay be subject to "deed restrictions" which lay be .ore restrictive than City
<br />regulations, The undersigned assWles responsibility for co.pliance 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 .ay 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 .ay be
<br />cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to Khat licensing
<br />require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, IB131
<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 .hich they .ill 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 Depart.ent 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 inforlation 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 develop.ent.
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated, I certify that no work Dr
<br />installation has cOllenced prior to issuance of a per.it 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 .ay apply to the intended work, 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 lilited to:
<br />f Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />f Depart.ent of Health L Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater 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" .ill be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it 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 per.it issued shall becole invalid
<br />unless the work authorized by such per.it is cOllenced within six .onths 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 cOllenced. One 90 day extension of tile, lay be
<br />allowed 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 lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COH~NCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IHPROYE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMENCE"ENT. -- N$2 DO NOT NEED TO RECORD AND POST A "NOnCE OF CO""ENCEKENT".
<br />
<br />
<br />&c6-~ U- ' ~/c;:.L _ ..srEYt? eo;..)s. i-,
<br />SIGNATURE: CONTRACTOR
<br />
<br />
<br />STATE OF F~
<br />COUNTY OF - "'::::X:J:.:J
<br />The foregoing i~~mrr~was ac~owledged
<br />before me this . ,19~ by
<br />\-\f-~tt::.~~,.r::(. ~\~~-+
<br />U~t\ ~. L --(~~
<br />~~ lly known to me
<br />produced .~
<br />, identificatl who di
<br />a~e
<br />
<br />STATE OF FLORID~
<br />COUNTY OF I {.t~C J 0
<br />. The foregcting instrument....was acknowledged
<br />befctre me this {\oD I::J, 19 q 3 by
<br />
<br />0" r. >Or' "" I 'ill ",. u.....
<br />who is personally k wn to me or who has
<br />produced - S
<br />as identification and who didl id not
<br />tak~ath. _\ ^ \.
<br />~ L2 lijeJh4-D
<br />(Sign<<tTI}e) It
<br />-en n : +4 l ~ ~(~ (\~ ~
<br />(Name Typed, Printed ctJ- Stamped) Af+ 1:;ql{/O
<br />NOT ARY PUBLI C P bile, State of Florida
<br />Ieclt8IY u 8 1994
<br />.. CalPml..1ol1 hpl'" Fall. 2 ,
<br />
<br />(Name Typed,
<br />NOTARY PUBLI C
<br />
<br />\
<br />Printed or Stamped)
<br />Nota'Y Pubfic, State At large. Florida.
<br />My Commission Expiros May 22,1995
<br />
<br />~J~.L5oD'~1>ooS"3'11 (y\\01. \,.\~
<br />
|