|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'he undersigned understands that this perait lily be subject to 'deed restrictions' Ibich lily be .re restrictive than City
<br />regulations. !be undersigned assU188 respousibility for COIpliance lith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance lith
<br />state and local regulations. If the contractor is not licensed as required by law, both the 0IIJler and contractor lilY be
<br />cited for a lisdl!lleallor violation under state lal. If the OIIl8r or intended contractor are uncertain as to what licensing
<br />requirl!leDts lilY apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611. '
<br />
<br />Furthenore, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for Ihich they li11 be responsible. If you, as the OIJler sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the IOrk. If the contractor ,isbes you to sign
<br />as contractor that lily be an indication that he is not properly licensed and is not entitled to peIlitting privileges in the
<br />City of Zepbyrhil1s.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILI'l'Y CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided lith a copy of 'Florida's construction Lien Law - BoIeoImer's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and COnsUler Affairs. If the applicant is SOl8OJ1e other than the
<br />'OIJler', I certify that I have obtained a copy of the above described docWHlDt and pro.ise in good faith to deliver it to the
<br />'owner' prior to co.enCeJellt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIlliltion in this application is accurate and that all work will be done in COJpliance ,ith all
<br />applicable lad regulating construction, loning, and land develoflll!llt.
<br />
<br />Application is hereby lade to obtain a perlit to do IOrk and installation as indicated. I certify that no IOrk or
<br />installation has CDIeI1ced prior to issuance of a P8DIit and that all work lill be perfoIlled to leet standarc1s of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other gov8I1llleDtal agencies lilY apply to the intended IOrt, and that it is
<br />IY responsibility to identify what actions I lUSt take to be in COIpliance. Such agencies include but are not lilited to:
<br />t Departlent of Bnvirolll8Dtal Regulation - Cypress Baybeads, Wetland Areas and InviroDlentally Sensitive Lands,
<br />Water/Wastelater !reatlent
<br />t Southwest Florida Water Hanagl!leDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AllY Corps of Bngineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rebabilitative Services, InvirOl1l8l1tal Health Unit - Wells, Wastewater !reatlent, Septic lanks
<br />t US InvirODl8Jltal Protection Agency - Asbestos abateJellt
<br />I also certify that, if fill aaterial is to be used in Flood ZOne 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'COIpeJ1Sating value' li11 be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A perait 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 peIlit prevent the,Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery peraJ.t i88ued shall bec:oIe invalid
<br />unless the wort authoriled by such perlit is co.encecl lithin sillODths of issuance, or if lork authoriled by the perlit is
<br />suspended or abandoned for a period of sillODtbs after the tile the work is co.enced. One 90 day atension of tile, lilY be
<br />allowed for the perlit lith fee charge of $15.00. 'l'be 81tension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillODth period, or the project lill be considered abandoned.
<br />"AlUfUG fO 0IfIfER: YOUR FAILORE fO RECORD A NO'l'lCH OF aJlMDCIIIIIf lilY RESULI IN YOUR PAYIIG DICH FOR IIIPROVIIIIIIS '1'0 YOUR
<br />PROPIR'lY. IF YOU IIlmD '1'0 OB!AIN FIlWIClIG, CONSUL! IUD YOOR LBIIDIR OR AI AnORDY BlFORI RBCORDIIG YOUR IOIICH OF
<br />COHMINCEHBM'I'. JOBS OXDER $2,500 IN VALUE 00 NOI RUD '1'0 RlCORD AND POS'I' A 'ROIICH OF CClllllJlCIIIIIf'.
<br />
<br />, ,..,
<br />
<br />SIGlAfURI: (IBIR OR AGBII'I'
<br />
<br />SIGUfURI: CONIRAC'I'OR
<br />
<br />S'I'A'I'I OF FLORIDA
<br />ccum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SfAfl OF FLORIDA
<br />ccum 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 who bas
<br />produced
<br />as identification and who did/did not
<br />take an o..th.
<br />
<br />(Signature)
<br />
<br />(.Name Typed, Printed or Stamped)
<br />.NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(.Name Typed, Printed or StaBped)
<br />.NOTARY PUBLIC
<br />
|