|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this perait lilY be subject to "deed restrictions" which lily be lOre restrictive than City
<br />regulations. !he undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIfIler has hired a contractor or contractors to undertake work, they lilY 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 0IfIler and contractor IilJ be
<br />cited for a lisdeJeanor violation under state law. If the OIfIler or intended contractor are uncertain as to wbat licensing
<br />requireJeDts lilY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furthenore, if the owner has hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections I of this application for which they will be responsible. If you, as the OIfIler sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign
<br />as contractor that lilY be an indication that he is not properly licensed and is not entitled to peraitting privilegu 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, have been provided with a copy of "Florida's construction Lien Law - BcIIeolmer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUleI' Affairs. If the applicant is BOEHle other than the
<br />"OIfIler", I certify that I have obtained a copy of the above described dOCUlent and prlllise in good faith to deliver it to the
<br />lownerl prior to C~CeIl!Dt.
<br />
<br />E. CONTRACTOR'S/OWHER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in COIpliance with all
<br />applicable laws regulating construction, loning, and land develollleDt.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has CCIII8I1ced prior to issuance of a perlit and that all work will be perfoned to leet standards of alII_
<br />regulating construction, City codes, loning regulations, and land developlellt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other gOYeIDIeIltal agencies lilY apply to the intended work, and that it is
<br />Ii responsibility to identify what actions I lUSt take to be in COIpliance. Such agencies include but are not luited to:
<br />A Departlent of EnviI'Olllelltal Regulation - Cyprus Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water /lfaStewater freatlent
<br />A Southwest Florida Water Managelel1t District - Wells, Cyprus Bayheads, Vetland Areas, Altering Watercourses
<br />A Al'IJ Corps of Engineers - Seawalls, Docks, Mavigable Watenays
<br />A Depar1:lent of Health i Rehabilitative Servicu, BnviroDlental Health Unit - Vells, Wastewater freatlent, Septic fann
<br />A US EnvirOJ1leDtal Protection Agency - Asbestos abateleJlt
<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 "COIpeD8ating volule" will be subJitted which is prepared by a profusional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perait 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 sball issuance of a perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued shall becme invalid
<br />unless the work authorized by such perlit is co.enced within sillODths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of sil IODths after the tile the work is co.enced. One 90 day atension of tile, laY be
<br />allowed for the perait with fee charge of $15.00. !be atension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillODth period, or the profect will be considered abandoned.
<br />WARlfIffG to 0IRfER: YOUR FAILORB to RECORD A MOtICE OF aJIIIDCIIIIIff lilY RESULf Iff YOUR PAYIffG DICE FOR DIPROVIIID!S fO YOUR
<br />PROPERfY. IF YOU IJlfIlfD to OBtIIJI FlIfllfCIJlG, COIfSOLf WItH YOOR LllfDBR OR IIf AnomY BIFORB RICORDIMG YOUR DICE OF
<br />COOIDCBHBJIf. JOBS UNDER $2,500 IN VALUE DO IfOl' IfDD fO RICORD IIfD POSf A 'MOtlCE OF COIIBliCIIIIJftI.
<br />
<br />~~
<br />SIGIJ'lUIIB: OR IGIlII
<br />
<br />~
<br />W~-
<br />SIGlllfURI: .
<br />
<br />
<br />SfAfE OF FLORIDQ
<br />coum OF {J.. ~ UJ
<br />The foregoing j,JuItI'UDlent was ;WkPowledged
<br />before me thiu v....f'.R- :J. 0 , 192L by
<br />
<br />tJ{\'~(\l ~~~I~/Ld
<br />who is personal y known to e or who has
<br />produceCl
<br />'dentificat"
<br />t It an Da
<br />
<br />StAn: OF ~p
<br />courm OF 6{ ~ Lu
<br />The foregoing instrument was ac~~ledged
<br />before me this ~ ""'-"- ::to, 19~ by
<br />
<br />U ~U{\QDl~W~ti eJJ
<br />who is ersoDafly mown to or who has
<br />produced
<br />identific
<br />It an th.
<br />
<br />
<br />l""'''''
<br />
|