|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'fbe undersigned understands that this pemit JaY be subject to 'deed restrictions' wbieb JaY be lOre restrictive than City
<br />regulations. 'fbe undersigned assUleS responsibility for CDpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake work, they laY 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 liar be
<br />cited for a lisdl!lH!allOr violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requir8l8Jlts IlaY apply for the intended work, they are advised to contact the City of Zepbyrbills BuilcUng Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for wbieb 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 IlaY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
<br />City 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 certify that I, the applicant, bave been provided with a copy of 'Florida's construction Lien Law - lkIIemmer's Protection
<br />Guidell prepared by the Florida Departlent of Agriculture and COnsUler Affairs. If the applicant is SOEHle other than the
<br />'owner', I certify that I have obtained a copy of the above described dOCUlellt and prcaise in good faith to deliver it to the
<br />'owner" prior to COII8DCl!lH!Jlt.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in COIpliance with all
<br />applicable laws regulating construction, loning, and land developaent.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas CDlenced prior to issuance of a perlit and that all IOrk will be perf OIled to I18et standards of all laws
<br />regulating construction, City codes, loning regulations, and land developl8llt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies IIilJ apply to the intended wort, and that it is
<br />If responsibility to identify wbat actions I lUSt take to be in COIpliance. Sueb agencies include but are not laited to:
<br />t Departlent of BnviIOlllelltal Regulation - Cypress Baybeads, Wetland Areas and Bnvirolll8lltally Sensitive Lands,
<br />Water/Vastewater 'freatlent
<br />t Southwest Florida Water Managelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />t Departlent of Health & Rehabilitative Services, BnvirODl8lltal Health Unit - Wells, Wastewater treatJent, Septic tws
<br />t US BnviIOJllelltal Protection Agency - Asbestos abat8l8Jlt
<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 'COIpeD8ating VOlUie' will be sublitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to pemit issuance.
<br />
<br />A penlit 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 sball issuance of a petlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becme invalid
<br />unless the work authoriled by sueb pemit is COII8Dced within sil IOIlthS of issuance, or if work authoriled by tile perlit is
<br />suspended or abandoned for a period of sil IOIltbs after the tile the work is co.enced. One 90 day 81tension of tile, IlaY be
<br />all.owed for the perlit with fee charge of $15.00. the 81tension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sillODth period, or the project will be considered abandoned.
<br />WARRING to omR: YOUR FAILURlIO RECORD A KOlICH OF CCJIIIBICIIIm MAY RESULt II YOUR PAYING !IIICH FOR DIPROVIIIII!S 'f0 YOUR
<br />PROPIRtY. IF YOU IJlDlDtO OBIAllf FlIfAICIIG, COISULt wlm YOUR LBIIDD OR A11lnORDY BEFORE RECORDllfG YOUR If OtIC! OF
<br />COMMIICIHBIfI. JOBS UNDER '2,500 II VALUI 00 lOt IIBD to RECORD AND POSt A "IOtlCE OF C(JIIIIfCBMBIII'.
<br />
<br />SIGlAtuRI: amR OR AGm'
<br />
<br />SIGlIA'fURB: COIftIllC'fOR
<br />
<br />StAD OF FLORIDA
<br />COUNtY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />S'fAD OF FLORIDA
<br />COOllY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_____ by
<br />
<br />who is personally known to 118 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 has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
|