|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which aay be lore restrictive than City
<br />regulations, The undersigned assules responsibility for cOlpliance Nith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ONner has hired a contractor or contractors to undertake Nork, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by laN, both the ONner and contractor lay be
<br />cited for a lisdeleano! violation under state IaN. If the ONner Dr 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, IB131
<br />788-6611. '
<br />
<br />Furtherlore, if the ONner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the
<br />"Contractor Sections" of this application for Nhich they Nill be responsible. If you, as the oNner, sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the Nork. If the contractor Nishes 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 FEE2,
<br />
<br />D. CONSTRUCTION LIEN LAW. (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided Nith a copy of "Florida's Construction Lien LaN - HOleoNner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />"oNner" , I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the
<br />"oNner" prior to cOllencelent.
<br />
<br />J
<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 />a~plicable laNs regulating construction, zoning, and land developlent.
<br />
<br />I
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated, I certify that no Nork or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all la~s
<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 Nork, 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 tc,:
<br />f Departtent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water Kanaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />f D art.ent of Health ~ Rehabilitative Services Environ.ental Health Unit - Wells, Wastewater Treataent, Septic Tanks
<br />f Environlental Protection Aqency - Asbestos abatelent
<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 volute" will be sublitted Nhich 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 alifi, or
<br />set aside any provisions of the technical codes, nor shall issuance of a ~erlit prevent the Building Official frol theredfter
<br />requiring a correction of errors in plans, construction, or violations of any code., Every perlit issued shall becote i0~alid
<br />unless the work authorized by such perlit is cOltenced Nithin six lonths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOI.enced. One 90 day extension of ti~e, ~3t be
<br />alloNed 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 Nill be considered abandoned.
<br />WARNING TO OIlNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT I'IAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO;C'UR
<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 COMMEN KENT..
<br />
<br />
<br />
<br />SIGNATURE I OIlNER OR AGENT
<br />/.A!.ncre.-- m ~/q1L
<br />
<br />STATE OF FLORIDA~ 0
<br />COUNTY OF ~ <=-
<br />The foregoing inSj'ument was ~~, ,wledged
<br />befclj-e me this 5"; If ,19 by
<br />J nA~J.-; I.'^-, I .11, tJJ/kJ
<br />j-..Q70f'-L" I , W ,-
<br />who is per nally known to me or ho has
<br />produced i:>L : fJ: WSI (p -533' d7-~ClD
<br />as identification and who d' /did not
<br />take, an 0 th
<br />
<br />STATE OF FLORIDA --p A-::J .
<br />COUNTY OF r. () _
<br />, The forego i ng i ns tn~ent vJas ac knovJl edged
<br />befol-e me this ~. / ( , 19~ by
<br />
<br />
<br />r
<br />
<br />
<br />Clj- Stamped)
<br />
<br />who is Dr who has
<br />pl-oduce
<br />as identi~~ion and who didldid not
<br />takeanc~rn '~
<br />
<br />(SignatLrre) ~-- (j
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed
<br />NOTARY PUB~ll..
<br />
<br />~~
<br />
<br />JUDITH l, SCHAPER
<br />Notary Public, State of Florida
<br />My Comm. Exp, June 6. 1907
<br />No, CC 292357
<br />
<br />I ~.,.f"0.""." SUSAN M. AlMV
<br />;' .' 'Z:,;;~ 61 N:tery Public, State of FIorfdo
<br />. '"',, t..'f Comm, Exp. Mat. 25. 1998
<br />l_~'!"~ ' N.. 359632
<br />
|