|
<br />CONDIfIONS OF PERMIT AFFIDAVIT
<br />A. N.QI.LI;E OF DEED F:ESTR I CT I Q.!:Jf3
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assuaes responsibility f~r 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 u~dertake ;ork, they -~~y'-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 />require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, IBI31
<br />798-66 I l.
<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 "ill be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contract~r, 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 per.itting privileges in the
<br />City of Zephyrhills.
<br />
<br />c. TRANSPORTATION H1PACT FEE? AND UTIJ_I TY _~ONNECI1...Q.!:LFEE$..
<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 - Ho.eowner's Protection
<br />Guide" prepared by the Florida Departtent 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 pro.ise in good faith to deliver it to the
<br />"owner. prior to cOllencelent.
<br />
<br />E. .CONTRACTOR ' S/m.Jt.,jER 'S AFF I Q!:!Y-I.I
<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 developlent.
<br />
<br />Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation has cOI.enced prior to issuance of a per.it and that all work will be perforled to teet 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 govern.ental agencies .ay apply to the intended work, and that it is
<br />.y responsibility to.identify what actions I lust take to be in cOlpliance. Such ~gencies include but are not li.ited to:
<br />· Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive lands,
<br />Water/Wastewater Treat.ent
<br />t Southwest Florida Water nanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f. ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />· Depart.ent of Health & Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />, US Environlental Protection AQency - Asbestos abate.ent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.., it is understood that a drainage plan
<br />addressing a "colpensating volule. "ill be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A per.it 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 pertit 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 cOI.enced 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 cO'lenced. One 90 day extension of tile, tay 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 .ust 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"nENCEnENT nAY RESULT IN YOUR PAYING TWICE FOR I"PROVEnENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO""ENCE"ENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A .NOTICE OF OHnENCE"ENT..
<br />
<br />
<br />~Ah0~11
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ~
<br />The foregoing instrument was acknowledged
<br />before me this 1/ - I'? ! 19~ by
<br />
<br />Cj~()" \ G. O"\(l...(1n ()e\1\
<br />who is personally known to me or who has
<br />produced CP/Pr~nn \ h I \~ not.'\ f""\
<br />as identification and who did/did not
<br />~ke an oath. .
<br />~-"' . .ora D ~ ~. m<::L,"",-
<br />W.ign~tLII~e) ,
<br />~n.s+l~ K. rlIn~r
<br />(Name Typed~ Printed Dr tamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF <:1=b~ C.D
<br />The foregoing instrument
<br />before me this 1/ - Ix
<br />
<br />Io'las acknolo'lledged
<br />! 19~ by
<br />
<br />w . ~. Ne t l-JY\C1 A t""\
<br />who is personally known to me or who has
<br />pl-oduced C\)e..- .""0 V"\ n I ''-l k.r..r.....' .'.. ........
<br />as identification and who did/did not
<br />take an oath.
<br />(1j)..~""t....'a-' ~ f'l\~
<br /><,$ignatLl~-e )
<br />( l h r'I.~+ IC" K rY"\~ C~.,..-
<br />(Name Typed~ Printed or Stamped)
<br />NOT ARY PUBLI C
<br />
<br />OFFICIAL NOTARY SEAL
<br />CHRISTIE L MAJOR
<br />NOTARY PUBLIC STATE OF FLORIDA
<br />COMMISSION NO. CC316103
<br />MY COMMISSION EXP. SEPT 15.1997
<br />
<br />Ofl'iCIAL NOTARY SEAL
<br />Ci-mISTIE L MAJOR
<br />NOTARY PUBLIC STATE OF FLORIDA
<br />COMMISSION NO. CC316103
<br />MY COMMISSION EXP. SEPt' 15,1997
<br />
|