|
<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 lay be lore restrictive than City,
<br />regulations. The undersigned assUJes responsibility for cOlpliance with any applicable deed restrictions. ' ,
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they lay 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 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, (813)
<br />788-6611 .
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) 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 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 perlitting privileges in the
<br />City of Zephyrhills.
<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 - HOleowner's Protection
<br />6uide' 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 doculent and prolise in good faith to deliver it to the
<br />'owner' prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that a~l ,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 perlit 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 regulations. and land developlent regulations in the jurisdiction. I also
<br />certify that 1 understand that the regulations of other governlental 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 lilited to:
<br />f Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health l Rehabilitative Services. Environlental Health Unit - Wells, Waste.ater Treatlent, Septic Tanks
<br />f US Environ.ental Protection Aqency - Asbestos abateaent
<br />I also certify that, if fill .aterial is to be used in Flood Zone 'A' or 'A,etc,', it is understood that a drainage plan
<br />addressing a 'co.pensating volute' will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proteed 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 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 cOI.enced. One 90 day extension of tile, .ay be
<br />allowed for the perlit with fee charge of 515.00. 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 will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCEnENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROYEnENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO~NCE"ENT. JOBS UNDER 52,500 IN VAlUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF CO""ENCE"ENT'.
<br />
<br />~/~r- ~..,... --
<br />SI TURE: OWNER OR AGENT
<br />
<br />~-u - ;Ji-~
<br />SI6NATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PASCO
<br />The foregoing instrument was acknowledged
<br />before me this MRrrh ?q , 19~ by
<br />
<br />STATE OF FLORIDA P.
<br />COUNTY OF 'A~ C- 0
<br />. The foregcling instrummt
<br />before me this '1-, g
<br />
<br />was aC~~Wledged
<br />, 19 by
<br />
<br />Raymond T. Hopue
<br />who is personally known to me or who has
<br />produced WT T,; r#Hl 00 71R? l..l..l..q Of.
<br />
<br />z-Jd:~t~:~~~tion and' oho ~/did not
<br />J[JJJJ~ 0.1 Jr~~
<br />(SignatUl-e)
<br />DRle. s. T.RrRPn
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />D ci?;,(!f) (l). 6/E V C-
<br />who is personally known to me or who has
<br />pl-oduced Pi::: 1\) ER...5 ^-,1c..EIJ6 E-
<br />as identification and who did/did not
<br />
<br />tak~?<f/ y. Aft:
<br />
<br />(51 a Ul-e) .-.- 0 r:
<br />t-INOfJ~. I
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />LINDA J. on
<br />Notary Public. State of Florida
<br />My Comm. Exp. June 5. 1998
<br />Comm. No, CC 378684
<br />
<br />#'~'
<br />*JfI*
<br />">.t~OfI\."
<br />
<br />DALE S LARSEN
<br />My Commlnlon CC345153
<br />Expires Jan. 30.1GG8
<br />BondedbyANB
<br />800-852-5878
<br />
|