|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pemit Jay be subject to "deed restrictions" which Jay be lOre restrictive than City
<br />regulations. fhe undersigned assUleS responsibility for COIpliance 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 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 owner and contractor lay be
<br />cited for a .isdueanor violation under state law~ If the owner or intended contractor are uncertain as to what licensing
<br />requirl!lents Jay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611. ,
<br />
<br />FurtbeI'lOre, 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 tIle 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 />City of Zephyrhills.
<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 Law _ BnIeotmer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is sOleOne other than the
<br />"owner., I certify that I have obtained a copy of the above described dOCUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to COllellCl!l8llt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developllent.
<br />
<br />Application is bereby Jade to obtain a pmit to do work and installation as indicated. I certify that no work or
<br />installation has c~ced prior to issuance of a perlit and that all work will be perfol'll!d to 18et standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other P811llental agencies JaY apply to the intended wort, and that it is
<br />If responsibility to identify what actions I lUSt take to be in colpliance. Such agencies include but are not liJited to:
<br />t Departtent of BnvirollleDtal Regulation - Cypress Bayheads, Wetland Areas and BnvirollleDtally Sensitive Lands,
<br />Water/Wastewater 'lreattent
<br />t Southwest Florida Water Managl!l8llt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Al'IJ Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater 'lreattent, Septic 'lants
<br />t US EnvirODJental Protection Agency - Asbestos abatl!lent
<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 "COIpeDSating volUJe" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pemit issuance. .
<br />
<br />A pemit issued shall be construed to be a .Jicense to proceed with the wort 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 flOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall beCOle invalid
<br />unless the work authorized by such pellit is COIIeDced Idthin six IOIlthS of issuance, or if wort authorized by the pemit is
<br />suspended or abandoned for a period of six IOIltbs after the tile the wort is co.enced. One 90 day l!Itension of tile, Jay be
<br />allowed for the perlit with fee charge of $15.00. The l!Itension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each sil IODth period, or the project will be considered abandoned.
<br />WARNING TO OWNBR: YOUR FAILURE \'0 RECO~ A. NOIICE OF C(lDlDCBIIINf MAY RESUL\' IN YOUR PAYING fWlCE FOR IIIPROVBIIDfS '10 YOUR
<br />PROPBRfY. IF YOU IIIDD 10 OBfAIH 'FUCIIfG, COISUL'l.WI'lH YOUR LBlfDBR OR IN AnoRDY BIFORE RECORDING YOUR IfO'lICE OF
<br />COMMBNCBMBlft' . JOBS UlWBR $2,500 III VALUE 00 NOI IfIBD '10 RECORD AND POS'l A 'NOIICI OF C(JIMDCBMmIl.
<br />
<br />
<br />~~.2~
<br />SIGXA'lURE: COli R
<br />
<br />. .
<br />
<br />SIGlAftJRI: OIflIBR OR AGBJI'l
<br />
<br />STA'lB OF FLORIDA
<br />coum 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 />S'lA'lB OF FLORID~
<br />coum OF ~)
<br />The foregoing i~rument was aCknOWledged
<br />before me this dO, 19~ by
<br />
<br />~.~
<br />
<br />who is personally know.q to me o~ who has
<br />produced F L ~..J t." c....)
<br />as identification and who did/did not
<br />
<br />take~ ~
<br />(Signature) (
<br />
<br />(Signature)
<br />
<br />(Name, Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />~""y 1'14t.
<br />~~~ NANCy LOAENZ
<br />*W MYCommisslollCC4f:u&2
<br />* EXpires Oct. 23, f ll98
<br />~ Bonded by ANe
<br />~{JfR.~" 800-852-5878
<br />
|