|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this pecait Jay be subject to .deed restric~ioos. wbich laY be mre restrictive tbaD City
<br />regulations. lhe undersigned assUles responsibility for co.pliance with any applicable deed restrictioos.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ~er bas' bired a contractor or contractors to undertake work, they .y be reguirecl to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as"reguired by law, both the 0IIDer and 1:OI1tractor laY be
<br />cited for a .isdueanor violation under state law. If the owner or intended contractor are uncertain as -to Ifbat llcensing
<br />requirel8Dts ., apply for the intended work, thel are advised. to contact the Citl of Zepbyrbills Building Departlent, (813)
<br />788-6611. ' . ,
<br />
<br />FurtberlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portioos of tbe
<br />wContractor Sectioos. of this application for wbicb they will be r!!8~ible. If you, as the owner sign as the contractor,
<br />you are indicating that JOu, rather than the contractor, are respollsible for the work. If the contractor wislles you to sign
<br />as contractor that lal be an indication that be is not properly licensed and is not entitled to per.itting privil. in the
<br />City of Zepbyrbllls. '
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />I
<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 .Plorida's COnstruction Lien Law - 8aIeowner's Protection
<br />Guide. prepared by the Florida DepartJent of Agriculture and Consl1ll81' Affairs. If the applicant is ~ other tbaD the
<br />W01IIlerw, I certify that I have obtained a copy of the above described dOCUlent and prOllse in good faIth to-deliver it to the
<br />wowner. prior to COllBDC8IeDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT, . . " ..' ,I,
<br />I certify that all the inforlatlon in this application is accu(ate'and that all IOrk will be. done in COIpliance with all
<br />applicable laws regulating construction, loning, and land developaent.
<br />
<br />
<br />Application is hereby Jade to obtain a perlit to do work and installation as indicated. I certify that DO wor1 or
<br />installation bas ~cec1 prior to issuance of a peIlit and that alllOr1 will be perfoIJed to ..t standards of all laws
<br />regulating construction, City codes, loning regulations, and land develO(ll8llt regulatioos in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDlentel agencies JaY apply to the intended work, and that it is
<br />'Y responsibility to identify wbat actions I .ust take to be in co.pliance. Such agencies include but are not lilited to:
<br />· DepartJent of InvirollleDtal Regulation. - Cypress Bayheads, lIetland Areas and BnvirollleDtally Sensitive Lands,
<br />lIater/llastewater Treallent
<br />· Soutbwest Florida lIater Hanagelent District - lIells, Cypress Baybeads, lIetland Areas, Altering Matercourses
<br />t Ar.y Corps of Bngineers - Seawalls, Docks, lavigable lIaterways
<br />t Departlent of Health' Rebabilitative Services, InvirOJllental Health Unit - ileUs, lIastewater Irea_t, Septic Iws
<br />t US InviroiJlental Protection Agency - Asbestos abateI8Dt
<br />I also certify that, if fill IIterial is to be used in Flood Zone .A. or .A,etc.., it is understood that a drainage plan
<br />addressing a .COIpeD8ating volUle. will be subtitted wbich 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 frot,thereafter
<br />requiring a correction of errors in plans, construction, or violations of an, coele. Ivery' pmJt. Jssued shall becDe iDvalid
<br />unless the worl' authoriled by such per.it is ~ced wiWn sil IOI1tbs of issuance, or if work authoriJecJ bl the per.it is
<br />suspended or abandoned for a period of sil IODtbs after the tile the IOrk is co.enced. . One 90 da, atensioo of tile, la' be
<br />allowed for the perlit with fee charge of $15.00. Tbe 81tension 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 abandoDed.
<br />IIARHIIfG TO OIOR: YOUR' FAILURI, 'f0 RICaRD A 10rICK OF aJIIDCBlllfII MAl RlSUL'f II 1008 PAIIIfG 'flICK FOR DIPROVIIIIIIS TO lOUR
<br />PROPlm. IF IOU. II'fIIfD TO OBTIIII PlIIAIICIIG,' COIISULr '1I1fH lOUR LBIDIR OR II ADORIII BlFORI RICORDIIG lOUR MICK OF
<br />aHlBICBHBlI1'. JOBS UlDBR ,$2,500 III VALUI DO lor IIID 'fa RlCORD AID POSt A .1I001CI OF CCHIBlICBIIIlIf'.
<br />
<br />AJ/~~
<br />SIGI~
<br />
<br />STATI OF FLORIDA
<br />COUll' OF
<br />The foregoing instcu.ent was acknowledged
<br />before me this , 19_ by , .
<br />
<br />STArl 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 />who is personally known to me or wbo bas
<br />produced
<br />as identification and wbo did/did not
<br />take an oif,tb.
<br />
<br />(Signature)
<br />
<br />(Na.e Typed, Printed or Ste.ped)
<br />ROTARY PUBLIC
<br />
<br />(Signature)
<br />(Name Typed, Printed or Stamped)
<br />ROTARy'PUBLIC
<br />
|