|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat tbis penit lilY be subject to 'deed restrictions' wbich lilY be lOre restrictive than City
<br />regulatiODB. !he undersigned asSUle& responsibility for COIpliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner bas bired a contractor or contractors to undertake IOrt, they lilY be required to be licensed in accordance witb
<br />state and local regulations. If tbe contractor is not licensed as required by law, botb tbe 0IIIler and contractor .y be
<br />cited for a aisdel8allor violation under state law. If tbe mmer or intended contractor are uncertain as to wbat licensing
<br />requir8lenu lilY apply for tbe intended IOrt, tbey are advised to contact tbe City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtbenore, if tbe owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of tbe
<br />'Contractor Sections~ of tbis application for wbich tbey will be responsible. If you, as tbe OIfJ1er sign as the contractor,
<br />you are indicating that you, rather than tbe contractor, are responsible for tbe IOrt. If the contractor wisbes you to sign
<br />as contractor tbat .y be an indication that be is not properly licensed and is not entitled to perait,ting privileges in the
<br />City of lepbyrbills.-
<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 tbat I, the applicant, bave been provided with a copy of 'Plorida's Construction Lien Law - lkIIeoImer's Protection
<br />Guide' prepared by tbe Plorida Departlent of Agriculture and ConsUl8l' Affairs. If the applicant i8 8OI8ODI other than the
<br />'OIfI1er', I certify tbat I bave obtained a copy of the above described docuJent and pICllise in good faith to deliver it to the
<br />lowner" prior to co.enC8lent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoflation in this application is accurate and that all IOrk will be done in cOlpliance with all
<br />applicable la.. regulating construction, zoning, and land deve1oplellt.
<br />
<br />Application is hereby Ede to obtain a perait to do IOrt and installation as indicated. I certify that 110 IOrt or
<br />installation bas C81enced prior to issuance of a penit and that all work will be perfoned to _t standards of all laws
<br />regulating construction, City codes, loning regulations, and land de,eloplll!Jlt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of otber govemaental agencies lily apply to the intended wort, and that it is
<br />.y responsibility to identify wbat actions I lUst tate to be in COIpliance. Such agencies include but are not liaited to:
<br />t Departlent of Invirol1llelltal Regulation - Cypress Baybeads, lIetland Areas and InviroDJentally Sensitive Lands,
<br />lIater/Vast8llater Treablent
<br />I Soutbwest Plorida lIater Manag8lel1t District - lIells, Cypress Bayheads, lIetland Areas, Altering lIatercourses
<br />I Ar.y Corps of Engineers - Seawalls, Docks, Xavigable lIatenals
<br />t Deparblent of Health i Rehabilitative Benices, EnvirODl8Dtal Health Unit - lIells, lIastewater !reatlent, Septic !ws
<br />t US EnvirODlental Protection Agency - Asbestos abatuent
<br />I also certify that, if fllllilterial is to be used in Flood Zone 'A' or "A,etc.", it is understood that a drainage plan
<br />addressing a 'cOlpeDSating '01.' will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the IOrk 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 fICII thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued shall becOIe invalid
<br />unless the IOrk authoriled by such penit is ~ced within sillOlltbs of issuance, or if IOrk authorized by the perlit is
<br />suspended or abandoned for a period of sillOlltbs after the tiJIe the work is cc.enced. One 90 day 81tension of tiae, Iil' be
<br />allowed for the penit with fee charge of $15.00. fbe 81tension shall be requested in writing to the Building Official. An
<br />approved inspection at be logged during each sil IOI1th period, or the project will be considered abandoned.
<br />1fARHIIIG ro OIflIER: YOUR FAILURE fO RECORD A IIOTICE OF aJIMIXCIIIIft MAY RESUL! III YOUR PAIIXG nICE FOR IMPROVBIIIIl'S fO YOUR
<br />PROPERTY. IF YOU mIlD TO OBTADI FIIIIXCIXG, COXSULT IIITH YOUR LIXDER OR IX AnORDY BlFORE RECORDDlG lOUR JOrICI OF
<br />aJIIIDCEMEIfT. JOBS OlDER $2,500 IX VILUB DO IIOT MElD TO RECORD AID POSf I 'DlCE OF CfIfIlDCEMEIfT'.
<br />
<br />SIGIA!URI: CMIIR OR IGIIf1'
<br />
<br />SIGII!URI: COJWCfOR
<br />
<br />srATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY 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 oQ.th.
<br />
<br />(Signature)
<br />
<br />(Naae Typed, Printed or Sta.ped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />(NUt!. Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
|