|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />tbe undersigned understands that tbis penlt lilY be subject to "deed restrictions" wbieb lilY be lOre restrictive than City
<br />regulations. !be undersigned assUIeB responsibility for COIpliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe OImer bas hired a contractor or contractors to undertake wrt, tbey lilY be required to be licensed in accordance witb
<br />state and local regulations. If tbe contractor is not licensed as required by lu, botb tbe mmer and contractor lily be
<br />cited for a aisdeaeanor violation under state law. If tbe 0IfI18I or intended contractor are uncertain as to wbat licensing
<br />requireaents lilY apply for tbe intended IIOrt, tbey are advised to contact tbe City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furthel'lOre, if the OImer bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of tbe
<br />"Contractor SectiODSi of tbis application for wbieb tbey will be responsible. If you, as tbe OlDer sign as the contractor,
<br />you are indicating that you, ratber than the contractor, are responsible for the work. If tbe contractor wisbes IOU to sign
<br />as contractor that lily be an indication that be is not properly licensed and is not entitled to peraitting 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 tbat I, the applicant, bave been provided witb a copy of "Florida's Construction Lien Law - lIoIeoImer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If tbe applicant is 80180I18 otber than the
<br />"mmerlt, I certify tbat I have obtained a copy of the above described docuIent and proaise in good faitb to deliver it to tbe
<br />IImmer" prior to ~ceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tbe inforaation in tbis application is-accurate and tbat all tIOrk will be done in COIPliance witb all
<br />applicable law. regulating construction, loning, and land develo.-ent.
<br />
<br />Application is berebyaade to obtain a peIlit to do IIOrk and installation as indicated. I certify tbat no tIOrt or
<br />installation bas CDlenced prior to issuance of a penit and tbat all wrt will be perfOIJed to l8et .tandards of all Ins
<br />regulating construction, City codes, loning regulations, and land developaent regulations in the jurisdictiCll. I also
<br />certify tbat I understand that the regulations of other govl!11ll8lltal agencies lilY apply to the intended IIOIk, and that it is
<br />ay responsibility to identify trhat actions I lUSt tate to be in coapliance. Sueb agencies include but are not liaited to:
<br />t Departlent of EnviIOlll8lltal Regulation- Cypress Bayheads, VetlandAreas and Envirolll8lltally Sensitive Lands,
<br />Vater /Vast81fater !reatlent
<br />t Southwest Florida Vater Manageaent District - VeIls, Cypress Baybea4s, Vetland Areas, Altering Watercourses
<br />t AllY Corps of Engineers - Seawalls, Docks, lavigable Vatenays
<br />t Departlent of Health i Rehabilitative Services, Environaental Health Unit - Vells, Vast81fater 'l'reatlent, Septic 'l'anks
<br />t US Invironaental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill aaterial is to be used ill Flood Zone II." or ".,etc.", it is understood that a drainage plan
<br />addressing a "COI(Ien88ting voluae" will be sublitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance. . .
<br />
<br />A perait issued sball 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 perllt prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery peIlit issued shall beCOle invalid
<br />unless the IIOrt authoriled by sueb penit is COII8Ilced within sillODtbs of issuance, or if work author lied by the perlit is
<br />suspended or abandoned for a period of sil IODtbs after. the tile the IIOIk is ~ced. One 90 day atension of tile, lilY be
<br />allowed for the penit with fee ebarge of $15.00. 'l'be atension shall be requested in writing to the Building Official. In
<br />approved inspection lUSt be logged during eaeb sillODth PeriOd, or the project will be considered abandoned.
<br />WARRING 'fO (MIl: YOUR FAILURE 'fO RlCURD a. 10'l'lCE OF COIIIBtfClllBllf MAY RlSUL! IN YOUR PAYING nICE FOR IMPROVIIIII'l'S 'fO YOUR
<br />PROPIR!Y. IF YOU III!IIID 'fO OB'IllJI ilullCIKGiCOlSUL'l' VIR _ LIIIDIR OR IIlftOR11Y BIPOIII RICORDIHG YOUR DICE OF
<br />C(JlllIIClHBtI!. . JOBS UllDIR '2,500 111 VALUE 00 IIO! RIID ro RICORD IIID POS! I 'IIO!ICE OF CCJE(CIMIII!I.
<br />
<br />_;;.:0-
<br />
<br />SIGIfA'IURI: comAC'fOR
<br />
<br />SIGJIA'IUIII: (JIJBR OR IGIlII
<br />
<br />SUTE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by.
<br />
<br />SU!I OF FLORID.
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_____ by
<br />
<br />wbo is personally known to me or wbo bas
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />wbo is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oQth.
<br />
<br />(Signature)
<br />
<br />(Na.e Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
|