|
<br />~ONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this perl.it JaY be subject to "deed restrictions" "bieb Jay be lOre restrictive than City
<br />regulations. !be undersigned asSUles responsibility for co.pliance "ith any applicable deed restrictioos.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIfIler bas bired a contractor or contractors to undertake work, they JaY be required to be licensed in accordance "ith
<br />state and local regulations. If the contractor is not licensed as required by law, both the 0IfJleI and contractor Ja' be
<br />cited for a lisclelll!allOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requiruents JaY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the 0IfJleI bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections I of this application for whieb they lill be responsible. If JOU, as the OIfIler sign as the contractor,
<br />you are indicating that JOU, rather than the contractor, are responsible for the work. If the contractor Wi8bes you to 8ign
<br />as contractor that JaY be an indication that be is not properly licensed and is not entitled to perl.itting privileges in the
<br />City of Zepbyrbills.
<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, bave been provided lith a copy of "Florida's construction Lien Lal - lkIIeolmer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUll!I Affairs. If the applicant is SOI8ODe other than the
<br />"OIfDer", I certify that I have obtained a copy of the above described cloc1JIent and plOlise in good faith to deliver it to the
<br />"owner I prior to COIIencuent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIlation in this application is accurate and that all IIOrk will be done in COIpliance lith all
<br />applicable laws regulating construction, loning, and land developleDt.
<br />
<br />Application is berebylade to obtain a peIlit to do IIOrk and installation as indicated. I certify that no IIOrk or
<br />installation bas ~ced prior to issuance of a perlit and that all work lill be perfoIled to _t stanc1ards of all laws
<br />regulating construction, City codes, loning regulations, and land develo(lleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies I8Y apply to the intencled work, and that it is
<br />If responsibility to identify.hat actions I lUSt take to be in COIpliance. Sueb agencies include but are not lilited to:
<br />t Departlent of BnvirODleDtal Regulation - Cypress Baybeads, Vetland Areas and InviroDleDtally Sensitive Lands,
<br />Vater /lfastewater treatlent
<br />t Southwest Florida Vater Managel8llt District - VeIls, Cypress Baybeads, Vetland Areas, Altering Vatercourses
<br />t ArIy Corps of Ingineers - Sealalls, Docks, lavigable Vatenays
<br />t Departlent of Health' Rehabilitative Senices, InvirODl8Dtal Health Unit - VeIls, Vastewater t'reatlent, Septic tanks
<br />t US InviIODleDtal Protection Agency - Asbestos abatuent
<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 "COIpenSating volUll!" "ill be sublitted "bieb is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the IIOrk 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 fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall becoIe invalid
<br />unless the IIOrk authoriled by sueb peIlit is COIIenCed within six IODthS of issuance, or if IIOrk authoriled by the perlit is
<br />suspended or abandoned for a period of sillODtbs after the tile the IIOrk is co.enced. One 90 day utension of tile, I8Y be
<br />allOlfed for the perlit lith fee charge of $15.00. 'be utension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sil IODth period, or the profect lill be considered abanc1oned.
<br />IfAlUtIIfG 'lO (lOR: YOUR FAILURE 'lO RECORD A IO!ICE OF CClMBlCBIIIII MAY RBSUL! II YOUR PAYIIG niCE FOR IMPROVIIIIIIS 'lO YOOR
<br />PROPERlY. IF YOU IIt'fBID to 0BI1Dl FIIIBCIIG, COISULt VltH YOUR LBIIDIR OR II AftORDY BIPORI RICORDIIG YOOR JOIICI OF
<br />COMMDCBMm'. JOBS UlDIR $2,500 Iii VALUE DO IO! IUD to RECORD AMD POS! A -IO!ICI OF COMMDCBIID'l'.
<br />
<br />SIGlAIURE: (MIIR OR AGBII!
<br />
<br />SIGllAtURI: COI!RACtOR
<br />
<br />STATB OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknOWledged
<br />before me this , 19____ by
<br />
<br />S'lAn: OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_____ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
|