|
<br />-- --'--~--'~'--"'--'" r--- -.. '--"--.j--- - --.,--------",.....~ _...'t__.~_..-'____._.~'!"._ --.:......
<br />r~lations. the undersigned assU18S responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OImer has hired a contractor or contractors to undertake work, they IIY be required to be liC8D88d in accordance with
<br />state and local regulab'ons. If the contractor is not licensed as required by 10, both the 0IIDer and contractor laY be
<br />cited for a Iisdl!l8aDOr vio)ation under state law. If the owner or intended contractor are uncertain as to wbat liC8D8ing
<br />requir8leDts laY apply for the intended work, they are advised to contact the City of ZepJlyrhl1l8 BuildiDg DepartMnt, (813)
<br />788-6611~ '
<br />
<br />FurtherlOre, if the OImer bas hired a contractor or contractors, he is advised to bave the cootractor(s) sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. If JOU, as the 0IIDer sign as the contractor,
<br />you are indicating that JOu, rather than the contractor, are responsible for the work. If the cootractor wi8bes fOIl to sign
<br />as contractor that IIY be an indication that he is not properly liC8D8ed and is not entitled to perlittiDg 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, ASAHBNDED)
<br />I certify that I, the applicant, bave been provided with a copy of 'Plorida's COnstruction Lien Law ~ JIoIeoIiaJer's Protection
<br />Guide' prepared by the Florida DepartJent of Agriculture and ConsUl8l' Affairs. If the applicant is BCEJDe other than the
<br />'OImer', I certify that I have obtained a copy of the above described c10cUIent and proUse in good faith to deliver it to the
<br />'OImer' prior to COII8IlC8l8Dt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infomaUon in this application is accurate and that all work will be done in COIPliance with all
<br />applicable laws regulating construction, loning, and land developl8llt.
<br />
<br />Application is bereby JaCle to obtain a perlit to do work and installation as indicated. I certify that DO work or
<br />installation baa cmleDced prior to issuance of a penit and that all work will be perfOIJed to _t standards of all laws
<br />regulating construction, City codes, loning regulations, and land clavelO{lll8llt regulations in the jurisc1ietioo. I also
<br />certify that I understand that the regulations of other goveruental agencies lilY apply to the intencled 1fOI1, and that it is
<br />If responsibility to identify what actions I lust take to be in cmpliance. Such agencies include but are not liJited to:
<br />I Departlent of BnviIOlll8lltal Regulation - Cypress Baybeads, Wetland Areas and Bnvil'ODl8lltally SensiU.. LaDda,
<br />Water/llastewater !reatlent
<br />I Southwest Florida lIater Manag8leDt District - lIells, Cypress Baybea4s, lIetland Areas, Altering Watercourses
<br />t AllY Corps of lnQineers - Seawalls, Docks, lavigable Waterways
<br />t Departlent of Health i Rehabilitative Smices, BnvirODll8lltal Health Unit - Wells, Ilast8later !reatlent, Septic !anks
<br />I US BnviIODll!lltal Protection Agency - Asbestos abateJellt
<br />I also certify that, if flll_terial is to be used in Flood Zooe 'I' or 'I,ete.', it is understood that a drainage plan
<br />addressing a 'cmpensaUng vol_' lill be suhlitted which is prepared by a professional engineer registered iD the State of
<br />Florida prior to perlit issuance. '
<br />
<br />A pmit issued shall be construed to he a license to proceed with the IOrk 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 fa thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery pemit issued shall becDe invalid
<br />unless the IOIk autbarbed,by such peIlit is ~ced within SDlODtbs of issuance, or,if~1fOI1 autllorulllbf.the perlit is
<br />suspended or abandoned for a period of sil IODths after the tile the IfOIk is coaenced. ODe 90 daJ atension of u., lilY be
<br />allowed for the penit with fee charge of $15.00. !be atension shall be requested in writing to,tbe,Builc1ing ~f~lcial. AD
<br />approved inspection lUSt be logged during each sil IODth period, or the project will be c;cmsic1eredabanl1oned.
<br />IIAlUfIIG TO OBIR: YOOR FAILlJRI TO RICORD A ROIICK OF CCIIIIIICIIIBIt lilY RlSULI II YOUR PIYIiG' !IIICK 'g- DlPlmBllBl!S TO YOUR
<br />PROPIRfY. IF YOU IftIIO) !O OBIIII FIWCIIG, COIISULI WID YOOR LIIIDIR OB IllnoR11Y BIPORIRBaliJIIG YOOIDICE OF
<br />COOIIICIMBII. JOBS DIDO '2,500 II VALUE DO 101 IBID ro RICOBD AID POSI I .'JOIICK OF aJIIDCIIIIIIl.
<br />
<br />
<br />~J.~ 1~o/f'.j~ ~:~ 3 -~"-- 'IS
<br />
<br />SlAB OF FLORIDA
<br />coomOF ~~'
<br />The foregoin ~r a'1t'5"'ledged
<br />before lie this -. ' 19 '., by
<br />~C\rrV ;t ~
<br />who 1s personally known to _ or who has
<br />produced
<br />as identification and who did/did not
<br />t~e (lB_ OiJth. " , (2J
<br />~ ~~~ ~0-er '\
<br />, (Signature) ...' \,.J
<br />(RiU18 TypedW!P~ e18u.ped) ,
<br />ROTARY PUBIi!tCPublicf ~tat. of Florida
<br />\ycomm. expo Apr. 21, 1997
<br />, '1'1::-, CC 282m
<br />
<br />SlifE OF FLORIJ)IJ
<br />coumOF ~~
<br />The foregoing iDst~ent was ac~o.ledged
<br />before lie thiS;}')~1,~19~ by
<br />?l ~ n n ^J~ - ~ '\
<br />who is pers~~e or who, has
<br />produced
<br />as identification and who did/did Dot
<br />~~ ~~4-' (',---~ '".
<br />(Signature) ~
<br />
<br />(Rame Typed,iR~ti,r~)
<br />ROTARY PUBLIC'Y 1tU&tC;"State orFlOrfcfa-
<br />~. expo Apr. 21f 1997
<br />t.Jo. CC 282n7
<br />
|