|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this perlit JaY be subject to 'deed restrictions' wbich Jaf be lOre restricUve than City
<br />regulations. 'he undersigned asSUles responsibility for COIpliance with any applicable deed restrictioos.
<br />
<br />B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake IIOrt, they JaY 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 OIIIler and contractor JaY be
<br />cited for a liscleJleanor violation under state law. If the ower or intended contractor are uncertain as to wbat licensing
<br />requiruenta JaY apply for the intendedllOrt, they are advised to contact the City of ZepbyrbUls BuilcUng Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />'Contractor Sections~ of this application for which they will be responsible. If you, as the OIIJler sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wrt. If the contractor wishes you to sign
<br />as contractor that Jaf be an indication that be is not properly licensed and is not entiUed to perait.ting privUeges 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, bave been provided with a copy of 'Florida's COnstruction Lien Law - &.emmer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Cons~ Affairs. If the applicant is SOlH!Ol1e other than the
<br />'01fI1er", I certify that I bave obtained a COpf of the above described dOCUleDt and prOlise in good faith to deliver it to the
<br />.owner' prior to COIIeDCel8Dt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforJation in this application is accurate and that all wrt will be done in COIpliance with all
<br />applicable laws regulating construction, loning, and land developunt.
<br />
<br />Application is herebf Jade to obtain a perlit to do wort and installation as indicated. I certify that DO IIOrt or
<br />installation bas CDlenced prior to issuance of a perlit and that all IIOrt will be perfOIJed to _t standards of all laws
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understancl that the regulations of other goveruental agencies laY apply to the intenc1ed IIOrt, and that it is
<br />.Y responsibility to identify what actions I lust tate to be in COIpliance. Such agencies include but are not lilited to:
<br />I Deparuent of EnvirolllleDtal Regulation - Cypress Baybeads, Vetland Areas and EnviroDlentally Sensitive Lands,
<br />Vater/Vastewater IreatleDt
<br />I Soutbwest Florida Vater Managuent District - lIells, Cypress Baybeads, Vetland Areas, Altering Watercourses
<br />I Arlf Corps of Engineers - Seawalls, Docb, lavigable Vaterways
<br />I Departlent of Health i Rehabilitative Services, InvirODlental Health Unit - Vells, Vastewater Ireatlent, Septic ,_
<br />I US EnviIODleDtal Protection Agency - Asbestos abatl!leDt
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A' or 'I,etc.', it is understood that a drainage plan
<br />addressing a 'COIpeDSating volUle' will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued &ball be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />Bet aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frell thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall becme invalid
<br />unless the wrt authoriled by such perlit is COIIeDced within sillOntbs of issuance, or if wrt autboriled by the perlit is
<br />suspended or abandoned for a period of sil IODtbs after the tile the wort is co.enced. One 90 daf atensioo of tile, laY be
<br />allowed for the perlit with fee charge of '15.00. fbe atension shall be requested in writing to the BuilcUng Official. An
<br />approved inspection lUSt be logged during each sillODth period, or the project will be considered abanc1ooed.
<br />IIWING YO 0WlfIR: YOUR FAILURB fO RlCORD A 10fICH OF aJIIIDCIIIDf lilY RlSULf IN YOUR PlYING filCH FOR DIPROVIIIIIIS fO YOUR
<br />PROPERfY. IF YOU IIIIll'D YO OBlIII FIIWICING, CONSULf vim YOUR LDDIR OR II IftORIIY BIFORB RICORDIIG YOUR JOIIC! OF
<br />COMMElCEIIBft. JOBS (00)0 '2,500 IN VILUE DO Nar IUD YO RICORD lID POSf I 'NarIC! OF ClJOIDCIIIDf'.
<br />
<br />SIGNA!UIII: (MIIR OR AGm
<br />
<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 />~ ..... M. WEEKS.. .
<br />-. NIo. .... cI FIarIdI
<br />.., OUIII million e..-.
<br />! ..... 18. ,.
<br />SIAIE OF FLO ~ \! e,m' '; 'CC-"~
<br />coum OF ~ ~~td;V- .. --
<br />The foregoing instrument was ~C~~ledged
<br />before me this (() }r), 19..:L.f- by
<br />
<br />Q~);;~/'f 1J1~
<br />who is personan~ kn to me or who has
<br />produced fJ L-
<br />as identification and who did/did not
<br />
<br />take an ltll7/ I ~
<br />(Signatur ) L Jt -jJj.
<br />.....( "" 1- P1 U3€~ '\
<br />(Na.e Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />l-
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />(Signature)
<br />
<br />(Nut!. Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
|