|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peDlit lay be subject to "deed restrictions I wbieb lilY be lOre restrictive than City
<br />regulations. The undersigned assOles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIner bas hired a contractor or contractors to undertake work, tbey lilY be required to be licensed in accordance witb
<br />state and local regulations. If the contractor is not licensed as required by law, both the OlDer and contractor IliY be
<br />cited for a lisdeleanor violation under state lal. If the owner or intended contractor are uncertain as to wbat licensing
<br />reguirelents lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611. \
<br />
<br />FurtherlOre, if the OlDer bas hired a contractor or contractors, he is advised to bave the cootractor(s) sign portions of the
<br />"Con tractor Sections" of this a~plication for whicb they will be responsible. If you, as the OlDer Sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign
<br />as contractor that lilY be an indication that he is not properly licensed and is not entitled to peraitting privileges in the
<br />City of Zepbyrhills. .
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />1 certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Lal - HOIeOIDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUJeI Affairs. If the applicant is 8OI8ODe other than the
<br />"owner", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"Olner" prior to COll8DCel8Dt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforliltion in this application is accurate and that all lork will be done in cQIPliance lith all
<br />applicable lals regulating construction, loning, and land developlent.
<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 COIIenced prior to issuance of a perlit and that all lork will be perfoIJed to leet ltandards of all 1B11
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of otber goveIDIental agencies laY apply to the intended work, and that it is
<br />IY responsibility to identify Ibat actions I lust take to be in colpliance. Sucb agencies include but are not Iilited to:
<br />t Departlent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroRlentally Sensitive Lands,
<br />water/Wastewater TreatleDt .
<br />t Southwest Florida Water Hanagel8Dt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable WateIlays
<br />t Departlent of Health , Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treallent, Septic Tanks
<br />t US Envirooaental Protection Agency - Asbestos abate;ent
<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 "cOlpensating VOlUle" lill be sublitted which 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 frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perllt issued shall beCOle invalid
<br />unless the work autboriled by sueb perlit is co.enced lithin sillOnths of issuance, or if work autboriled by the peDlit is
<br />suspended or abandoned for a period of sillOnths after the tile the work is cOMeDced. One 90 day ntension of tile, IliY be
<br />a1101ed for the perlit with fee cbarge of $15.QO. Tbe extension sball be requested in .riting to the Building Official. An
<br />approved inspection lUSt be logged during eaeb six IOntb period, or the project will be considered abandoned.
<br />WARNING TO OVNRR: YOUR FAILURE TO RECORD A' NOTiCE OF mamNCRMBNJ MAY RESULT IN YOUR PAYING DICK FOR IMPROVIIIBI1'S TO YOUR
<br />PROPERTY. IF YOU IIl1'DO '10 OBl'AIN FINANCING, CONSULI WITH YOUR LINDER OR III AnORIIY BEFORE RECORDING YOUR NOTICE OF
<br />COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED '10 RECORD AND POST A INOl' CE OF COHMBICKKINt'".
<br />
<br />tJ
<br />
<br />-d , /;1. ~~ ~,~ ','
<br />~- /,/ '.I i '""
<br />_ . "f/(/'.J: .... d
<br />SIGJlATURE: (MIER OR AGBIIt'
<br />
<br />
<br />
<br />,-,
<br />
<br />STATE OF FLORIDA \7\
<br />coum OF ' ~CP)
<br />The foregoing instrumi9 was ac~9lf.ledged
<br />before me this '/, 19~ by
<br />
<br />cp~"o.1l~ '~flDu)Y1
<br />who is personally known me or who has
<br />produced
<br />as identification and who did/did not
<br />t~e an oath. ,
<br />~....'.ro.r.'. ~ cK. f'rU::M~---'
<br />(Si~ature) ,
<br />~,\6.\.'-e L. ~O\'-'
<br />(Name Typed, Printed or Stampe
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ~~~(' h
<br />The foregoing instr~ent was ~:soWledged
<br />before me this L) / , 19 by'
<br />
<br />C\)el6l:) ~\() \\ Ji; KfX)( .Jf)
<br />who is personal known to me or who has
<br />produced
<br />as identification and who did/did not
<br />t(!e an oath. 'ct .
<br />~.1~ ~YI: ~ N\~ ..I
<br />(~gna~ur!) \ _
<br />:.nn~~h('" L... . \'f\.o ~ \'
<br />(Name ~yped, Printed or St ped)
<br />NOTARY PUBLIC
<br />
<br />f'FlC A '01' Y S
<br />CHR.!S!1E L MAJOR
<br />NorMY PUBUC STA'rn OF FLORIDA
<br />COMMISSION NO. CC316103
<br />MYCOMt.1!SSION EXP. SEI"f 15.1<:l9'1
<br />
<br />OFFICIA NOT. y S
<br />CHR!S11E L MA HAL
<br />NOTARY PUBLIC STATE ~RFLO
<br />MY ~ifAISSION NO. CC316U13
<br />MlS5ION EXP. sm 15 199'1
<br />
|