|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fbe undersigned understands that this perlit lilY be subject to "deed restrictions" wbich lilY be lOre restrictive than City
<br />regulations. !be undersigned assUIeB responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES .
<br />If tbe owner bas bired a contractor or contractors to undertake work, tbey lily be required to be licensed in accordance witb
<br />state and local regulations. If tbe contractor is not licensed as required by law, both tbe owner and contractor lilY be
<br />cited for a .isdeaeanar violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing
<br />requireaents lilY apply for tbe intended work, they are advised to contact tbe City of Zepbyrhills Building Depart:lent, (813)
<br />788-6611.
<br />
<br />FurtberllOre, if tbe owner bas bired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of tbe
<br />"Contractor Sections I of tbis application for which tbey will be responsible. If you, as tbe owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for tbe work. If tbe contractor wishes you to sign
<br />as contractor that lilY be an indication that he is not properly licensed and is not entitled to perlitting privileges in tbe
<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 with a copy of "Florida's construction Lien Law - lkIIeoImer's Protection
<br />Guide" prepared by tbe Florida Departlent of Agriculture and COnsUIeI Affairs. If tbe applicant is 8OIM!ODe other than tbe
<br />"ownern, I certify tbat I have obtained a copy of tbe above described dOCUJellt and prr.ise in good faitb to deliver it to tbe
<br />"owner" prior to cOllenceaent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all tbe infoIJation in this application is accurate and that all wort will be done in COIpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do IOrk and installation as indicated. I certify tbat no work or
<br />installation bas CDleDcecl prior to issuance of a perlit and that all IOrk will be perfoIJed to _t standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlellt regulations in the jurisdiction. I also
<br />certify tbat I understand that tbe regulations of other gDVerJlIIental agenCies lily apply to the intended work, and that it is
<br />If responsibility to identify what actions I lUSt take to be in COIpliance. Such agencies include but are not lilited to:
<br />t Departlent of BnvirODllel1tal Regulation - Cypress Baybeads, Wetland Areas and BnvirolllM!lltally Sensitive Lands,
<br />Water/Wastewater Ireatlent
<br />t Southwest Florida Water Hanageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t Ally Corps of Engineers - Seawalls, Docks, Kavigable Waterways
<br />t Departlent of Health i Rebabilitative Services, EnvirODll!lltal Healtb Unit - Wells, Wastewater Ireatlent, Septic !ants
<br />t US EnvirODlental Protection Agency - Asbestos abateaent
<br />I also certify that, if filllilterial is to be used in Flood Zone "A" or "A, etc. ., it is understood tbat a drainage plan
<br />addressing a "COIpeDSating vol_" will be saitted wbich is prepared by a professional engineer registered in tbe State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit 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 tbe 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 tbe work authoriled by such perlit is COII8Ilced witbin sillODtbs of issuance, or if IOrt authorized by the perlit is
<br />suspended or abandoned for a period of sillODtbs after the tile tbe work is co.enced. One 90 day utension of tile, lily be
<br />allowed for the pel1Iit witb fee charge of $15.00. !be utension shall be requested in writing to the Building Official. An
<br />approved inspection II1st be logged during each sil IODtb period, or tbe profect will be considered abandonec1.
<br />wmUG 'fO C*IER: YOUR FAILURE !O RICORD A KOIICE OF CCIUIDCBIIIlIft HAY RlSUL! IK YOUR PIYIKG !VICE FOR DIPROVIHII!S 'fO YOUR
<br />PROPBR!Y. IF YOU 101M]) 'fO OB!IIH FIUlCIKG, COKSUL! WID YOUR LBJfDU OR D AnoRIBY BI10RB IIBCORDIKG lOOK DICE OF
<br />C(JfHDCEMIII'l. JOBS URDU '2,500 IK VALUI 00 IIO! KEEn 'fO IIBCORD AKD POS! A 'KOIICE OF C(JIIDCIIIIII!..
<br />
<br />
<br />SI~II1f4MW; ~ ~
<br />
<br />SIlrl OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SIAII 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 oct-tb.
<br />
<br />(Signature)
<br />
<br />(Nalle Typed, Printed or Stilllped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
|