|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peraitaay be subject to "deed restrictions" which lay be aore restrictive than City
<br />regulations. The undersigned assuaes 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, bot~ the owne~ and co~tractor lay be
<br />cited for a aisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents aay apply for the intended work, they are advised to contact the City of 2ephyrhllls Building Departlent, (BI3)
<br />7BB -bb 11.
<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 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 FEE9.,
<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 />Guide" prepared by the Florida Departaent 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 promise in good faith to deliver it to the
<br />"owner" prior to cOlaencelent.
<br />
<br />}
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all worK will be done in cOlpliance with all
<br />a~plicable laws regulating construction, zoning, and land developlent.
<br />
<br />I
<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 regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I 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 coapliance. Such agencies include but are not liaited to:
<br />I Departlent of EnvironlentaI ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treataent
<br />I Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I De artlent of Health L Rehabilitative Services Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I Environlental Protection AQency - Asbestos abate.ent
<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 "colpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A periit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alte" 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 violatiDns of any code.. Every perlit issued shall becole invalid
<br />unless the work authDrized by such perait is cOllenced within six lonths of issuance, Dr if work authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOltenced. One 90 day extension of tile, ~dY be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. ~n
<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 COMMENCEMENT Y RESULT U PAYING TWICE FOR IHPROVEKENTS TO ':OUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LEN OR AN ATTORNE BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD A ST A OTlCE 0 COMMENCEMENT".
<br />
<br />
<br />-~ ~ 6-
<br />SIGNATURE: NER OR AGEN't
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PrlRr.O
<br />The foregoing instrument was acknowledged
<br />before me th i s ~l1gJ1Rt- ?q , 19 --9.4 by
<br />
<br />STATE ilf FLORIDA ~
<br />COUNTY OF Ta..s..~'D
<br />The foregoing ins rument
<br />before me this
<br />
<br />
<br />was a:1(~f'wledged
<br />, 19~ by
<br />
<br />Janet Gillis
<br />who is personally known to me or ~
<br />~
<br />as identificatio~a d who did/did not
<br />ta~ oath.
<br />~~~ /l.-tC-~.-/
<br />(SiIjp3MYM~llc, State of Florida at Large
<br />My Commission Expires Nov. 30. 1995
<br />! Na~nqto/Pth!~ ~f'lltfilt~BlaE~-Bgi'a~~d)
<br />NOTARY PUBLIC
<br />
<br />who i~~n~~\o me i:.r \jf;-,( h,:t':~
<br />
<br />13' c.du\-ed
<br />as identification and who did/did not
<br />take a oath.
<br />
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY P IC
<br />
<br />~',."
<br />.,:~ .
<br />: 1i
<br />
<br />SU:,AN M ALMY
<br />NolaN f'u:,nc. Stote of Florida
<br />My Co,,,rn EA;). Mar, 28. 1998
<br />:'"" :\59632
<br />
|