|
<br />'""'
<br />
<br />CONDITIONS OF PERMIT AFFIDAVJT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit 'lay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules 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 say be required to be licensed in accordance with
<br />state and local regulations. If the to~ractor is n~t licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended cont~actor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<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 lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />Ci ty of Zephyrhi lIs. .
<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, have been provided with a copy of "Florida's Construction lien laN - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent.of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />"owner', I certify that I have obtained a ~opY of the above described doculent and pro.ise in good faith to deliver it to the
<br />'owner' prior to cOllencelent.
<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 />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit 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 perforaed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other governaental agencies aay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lieited to:
<br />f Departaent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
<br />Water/Wastewater Treataent
<br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treattent, Septic Tanks
<br />f US Environaental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "coapensating volute" will be subtitted which is prepared by a professional engineer registered in the 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 perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becote invalid
<br />unless the work authorized by such perlit is co.tenced within six lonths of issuance, or if work authorized by the perlit is
<br />susp~nded or abandoned for a period of six tonths after the tile the work is cO.lenced., One 90 day extension of tile, lay be
<br />allowed for the per.it with fee charge of $15.00. The extension shall be requested ~n writing to the Building Official, An
<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 COKKENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IHPROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND. TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />'~ND~UE DO MDT NEED Tn REenRD AND POST ~~
<br />
<br />
<br />
<br />a1GNA URE: OWNER OR AGENT SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FlORIDA~
<br />COUNTY OF 'A SC-D
<br />The foregoing instrument was acknowledged
<br />before me this #~iJiL<:;';; 194'1 hy
<br />
<br />
<br />known to me ~I wi,L' IJC\~
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF -f1/.s e-o
<br />The foregoing instrument was acknowledged
<br />hE'fol-e me this lJJ/atAc:? ~, 19~ by
<br />
<br />AIEl-- So AJ !C,r H A IJ
<br />who is personally known to me -o.r uhl> "',,-r
<br />p.+-- f3. EI m: E: d
<br />alii ichmtific:diiorr and who ~/did not
<br />
<br />take a~~ Ii ~~
<br />(SignatLll-e) . J _
<br />/(JlJ7..IL~ J~ J3~rJ
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />~...~
<br />
|