|
<br />, CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit aay be subject to "deed restrictions" which aay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ONner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance hlth
<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 lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the 'Ci~y 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!?! sign portions (if the
<br />.Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contracb,',
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to 51gn
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges if the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
<br />
<br />D. CONSTRUCTION LIEN LA~ (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 />Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is SOleone other than tce
<br />"owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it le, the
<br />"owner" prior to cOlaencelent.
<br />
<br />)
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVI~
<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 />I
<br />
<br />Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no worK or
<br />installation has co.aenced prior to issuance of a perlit and that all work will be perforled to leet standards of all lafls
<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 .ay apply to the intended MorK, and that it is
<br />.y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not Iilited te,:
<br />f Departlent of Environaental ReQuIation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, .
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f De artlent of Health L Rehabilitative Services Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f Environlental Protection AQency - Asbestos abatetent
<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 "co.pensating volule" will be sublitted which is prepared by a professional engineer registered in the state of
<br />Florida prior to pertit 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 perait prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code.. Every pertit issued shall becole iGvalid
<br />unless the work authorized by such perlit is co..enced within six tonths of issuance, or if work authorized by the per~lt 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, ~ay be
<br />allowed for the pertit 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 aonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO 'lOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />~~~M~'1~J.
<br />SIG URE: R OR A6ENT SIGN URE: RACTOR
<br />
<br />was aC~OWledged
<br />, 19 &J by
<br />
<br />~~~~~Y u~/LORIOA ~&
<br />
<br />, The foregoing instrjment
<br />befo\-e me th i 5 S 5
<br />
<br />STATE OF FLURIDA ~
<br />COUNTY OF ~~
<br />The foregoing injfrument
<br />befol-e me this ~ ..s
<br />I
<br />
<br />vIas aCkl~vJ1edged
<br />, 194 bv
<br />. .
<br />
<br />who is pe-d~~y ~~~~Q.: or ..111_' Ild~
<br />
<br />pludLlcea
<br />as identification and who did/did not
<br />t~,. an oath.
<br />l/lIt
<br />( i gna tLll-e)
<br />
<br />
<br />~
<br />
<br />who is pe.so-,a Eo. IIh8 hiiUii
<br />lH"t\d\..l<-~J
<br />as identification and who did/did not
<br />
<br />tak~ LM- ~
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~...~
<br />.... ..
<br />~ ~
<br />I
<br />
<br />SUSAN M. ALMY
<br />Notary Public, State of Florida
<br />My Comm, Exp, Mar. 28. 1998
<br />No. 359632
<br />
<br />~' ..~
<br />.... .,.
<br />: 1.
<br />
<br />SUSAN M. ALMY
<br />Notory Pub!lc, State of Florida
<br />MV Comm. Exp, Mar, 28.1998
<br />No. 359632
<br />
|