|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />rbe undersigned UDderstands that tills penit IIY be subject to 'deed restrictions' wbieb IIY be .re restrictive tbaD City
<br />regulatiODl. lhe undersign!!d asSUles responsibility for COIpliance witll anJ applicable deed restricti0D8.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tile OIOIer has IIlred a CODtractor or contractors to undertake work, they IIr be required to be licensed iD accordance with
<br />state and local regulations. If tile contractor is not liCeDBed as rl!C)llired bJ law, botll tile 0IIDer and contractor ., be
<br />cited for a lisdeleanor violation under state law. If tile owner or intended contractor are uncertain as to lhat liceuing
<br />reguir_ts IIJ applJ for the intended worll, tiler are advised to contact the City of Zeplllrllll1s Building Departlent, (813)
<br />788-6611. .' .. "\.
<br />
<br />Furtberlore, if tile OIfDer bas bired a contractor or contractors, be is advised to bave the contractor(s) . sign portioos of tile
<br />'Contractor SectiODl' of Ws'applicaUm for wbieb they will be responsible. If IOU, as the 0IfDel' sign as the contractor,
<br />rou are indicating that JOu, rather tban the contractor, are responsible for the wort. If tile contractor wishes JOU to sign
<br />as contractor that IIJ be an inc1ication that be is not properly liceued and is not entiUed to penitUng privi1eg~ in tile
<br />Citr 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 certifJ that I, the applicant, have been provided witll a COPlof 'Plorida's COnstruction Lien Law - ~'s Protection
<br />Guide' prepared by the Plorida DepartJent of Igriculture and COD8U1er Iffairs. If the applicant is ..... other tbaD the
<br />'01fIlerl, I certifJ that I have obtained a copy of tile above described c10cUIent and proma in good faitla to 4ellver it to the
<br />'01fIlerl prior to co.enC8l8Dt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infOrlation in tIlis application is accurate and that all wort li11 be clone in co.pliance with all
<br />appUcable law. regulating construction, IDDing, and land developleDt. I
<br />
<br />Application is hereby Jade to obtain a penit to do wort and insWlation as indicated. I certify that DO wort or
<br />installation has -=-need prior to issuance of a perlit and that all IOrt li11 be perfonec1 to _t .tandarda of all lad
<br />regulating construction, City codes" 10ning regulations, and land deve1opll!Dt regulations in the jurisdicUCIl. I also
<br />certify that I understand that the regulations of other goverJll8Dtal agencies .y apply to the lDten4ed wor1, and that it is
<br />IY responsibility to identify lbat actions I lust tue to be in COIpliance. Sueb agencies include but are DOt 11lltecl to:
<br />I Departlent of InviIOlllelltal Regulation ~ Cypress Baybeads, Ifetland Areas and InvirOD8lWly Sensitive Lands,
<br />Ifater/lfastewater rreatlent
<br />I Southwest Plorida Ifater Jlanagl!ll8Dt District - ileUs, Cypress Baybeads, lIetland Areas, I1tering Watercourses
<br />t ArlY Corps of Engineers - SeawaUs, DocIla, Navigable lIaterways
<br />t Departlent of Health' Rebabilitative Services, BnvirOllleDW Healtll Unit - lIells, lIastewater rreatlent, SepUc lanb
<br />I US BnvirODleDtal Protection Igency - Asbestos abat_t
<br />I also certify that, if filll1terial is to be used in Plood lone III or 'A,ete. I, it is understood that a drainage plan
<br />addressing a lCOIp8D8ating voJ_I lill be sublitted .bieb is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance. .
<br />
<br />A perlit issued shall be construed to be a license to proceed lith the IIOrt and not as authoritl to violate, cancel alter, or
<br />Bet aside anI provisions of the technical codes, nor shall issuance of a peIlit prevent the. Building Official fa thereafter
<br />requiring a correctiCll of errors in plans, construction, or violations of any code. Ivery perait i88ued sball bec:me invalid
<br />unless the wort autboriJed by sueb perlit is ~ceclllithin slllOlltbs of issuance, or if work authoriJed bl the pmit is
<br />suspended or abandoned for a period of lillODtbs after the tile the IOrk il ~cecl. One 90 day atensiOll of tile, ., be
<br />allOled for the penit lith fee cbarge of $15.00. rbe IItension sllll1 be requested in lriting to the Building Official. An
<br />approved inspectiCll lUSt be Jogged during eaeb 8il ath period, or the project lill be considered abandoned.
<br />IfARIIIIG ro 0IfB1R: YOUR FAlLURI 10 RlCOIIp A ROrICl 0' aIIIBIcmt lilY RlSULf II YOUR PIYlIG nICI FOR D1P11JVDD18 ro YOUR
<br />PROPIRTY. I' YOU IDIID ro OBflIJl 'FIiIIIICIIG, (DSULt lUlU tOOl LIIIDIR OR II ArroRIIY BIFORI RICOIDIIG YOUR JOIlCl 0'
<br />CCJIMIICIIIBJf. JOBS OIDD $2,500 II VILUB DO 101 1110 ro RECORD AID POSf I 'IIOIlCl OF aJIIIDCIIIIIIl. '
<br />
<br />
<br />~
<br />// / -
<br />/.----- ..;;.;:;-- ~..- .--
<br />
<br />;
<br />
<br />--/' .'
<br />~.,d7~~
<br />81 TUJII: con .
<br />
<br />srATI OP PLORIDA
<br />coom OF
<br />The foregoing instrument was ac~owledged
<br />before me this , 19.__ by, .
<br />
<br />srArl OP FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19 by
<br />
<br />"
<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 _ or who has
<br />produced \A .
<br />as identification and who did/did not
<br />take an oQ.th.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Haas Typed, Printed or Sta.ped)
<br />HOTARY PUBLIC
<br />
<br />(Hillle Typed, Printed or Stamped)
<br />HOTARY PUBLIC
<br />
|