|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject t~ "deed restrictions" which lay be lore restrictive than City
<br />regulations, The undersigned assules responsibility for cOIPI;ar.~e with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTF;riCTOR F:ESF~ONS.IBILITliti
<br />If the owner has hired a contractor or contractors to under tate work, they may 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 th~ owner 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 Department, (8131
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!sl 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 respo,sible for the work. If the contractor wishes you to sign
<br />as contractor that aay 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 FEEti
<br />
<br />D. CONSTRUCTION LIEN LA~ (CHAF'TER 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 document and promise in good faith to deliver it tc, the
<br />"owner" prior to cO'lencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVII
<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 perait to do work and installation as indicated, I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning reg~lations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not limited to:
<br />. Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />. Southwest Florida Water ManaQelent District - Wells, Cypress Ba~.heads, Wetland Areas, Altering Watercourses
<br />. Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways .
<br />. Departlent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />. US Environ.ental Protection AQencv - Asbestos abatement
<br />I also certify that, if fill aaterial is to be used in Flood Zone "A" or .A,etc.., it is understood that a drainage plan
<br />addressing a "colpensating volume" Mill be sublitted Nhich is prepared by a professional engineer registered in the State of
<br />Florida prior to permit 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 perlit prevent the Building Official froD 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 .onths after the tile the work is cO&lenced. One 90 day extension of tile, lay be
<br />allowed ~or the permit 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 month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEHENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDI~YOUR NOTICE OF
<br />COHIIENCEHENT. l JOBS UNDER $2,500/1NJAlUE DO NOT NEED TO RECORD AND POSj} I"NOTIC~~F CllmIEUCEHfNT".
<br />
<br />~/ ~/ / "\/1
<br />(~i;7~ I..'~ Y"I~
<br />SI~URE. OIlNER OR AGENT ' / SIGNATURE: CONTRACTORe
<br />
<br />
<br />STAE OF FLORIDA --71 '
<br />:'Dl\~TV !IF ~L.o~__
<br />The foregOin~g instnlment vJas acl~10VJledged
<br />befcq-e me th is ,. ?-cJ, 19 ~ by
<br />
<br />);",-6)' /!; /W rr~
<br />who is personallY known to me or who has
<br />Pl-Dduced
<br />as identification and WhD did/did not
<br />take an oa
<br />
<br />STATE OF flORIDA V // '
<br />COU~TY OF ~~~
<br />The foregoing instrument was acknowledged
<br />before me this 2....--<< '20, 19.a by
<br />c:?
<br />
<br />
<br />who i ~~,n~~ ~wn to me or whD has
<br />prod~ed .
<br />as identification and who did/did not
<br />ta(e oath...
<br />
<br />
<br />~
<br />
<br />I L=-
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />I\,<-~,~b~;..
<br />
<br />...ti!~'.
<br />
<br />KA n,:i>: .
<br />
<br />"r)';\/!'>I
<br />
<br />My CJmm. ;':,p. {'V.' i ,~3
<br />Col1lfll. II CC DS5; : 7
<br />
<br />";"{). !".~,
<br />l~
<br />
<br />KATHLEEN J, (:'>-10WN
<br />State of florid;;.
<br />My Comm. Ella. April 2, 1995
<br />Colla Ice 0956'7
<br />
|