|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'I'be undersigned understands that tbis penit JaY be subject to ldeed restrictions" "bich lilY be lOre restrictive than City
<br />regulations. '!'be undersigned aasUIeB responsibility for cmpliance "ith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIIIler bas bired a contractor or contractors to undertake work, tbey JaY be required to be licensed in accordance with
<br />state and local regu1atiOD,B. If the contractor is not licensed as required by lil1f, botb the 0IIIlBr and contractor lilY be
<br />cited for a lisdelleaDor violation under state lil1f. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lilY apply for the intended work, they are advised to CQJltact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheDlOre, if the 0IIJleI has hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />IContractor Sectionsl of tbis application for "hich they will be responsible. If you, as tbe OImer sign as the contractor,
<br />you are indicating that you, ratber than the contractor, are responsible for the work. If the contractor "ishes you to sign
<br />as contractor that lilY be an indication that be is not properly licensed and is not entitled to pertitting pdvileges 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 />I certify that I, the applicant, have been provided "ith a copy of IPlorida's construction Lien LaI - lIcIIeoImer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUIeI Affairs. If the applicant is SOEOIla otber than the
<br />lOImerl, I certify that I bave obtained a copy of the above described docUIent and prcmse in good faith to deliver it to the
<br />"OIlIer" prior to co.enCl!lll!llt.
<br />
<br />E. CONTRACTOR' SlOWER'S AFFIDAVIT
<br />I certify that all tbe inforlation in tbis application is accurate and that all work "ill be done in CCJlpliance "itb all
<br />applicable 1_ regulating construction, loning, and land develo~t.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas ~ced prior to issuance of a penit and that all work "ill be perforJed to .et standards of all 1_
<br />regulating construction, City codes, loning regulations, and land develOpll!llt regulations in tbe jurisdiction. I also
<br />certify that I understand that the regulations of other gOYerDlleDtal agencies lilY apply to the intended 10ft, and that it is
<br />ay responsibility to identify "hat actions I lUSt take to be in COIPliance. Such agencies include but are not lilited to:
<br />t Depart:lent of EnviIOlllBlltal Regulation - Cypress Baybeads, Wetland Areas and InvirolllH!Dtally Sensitive LaDds,
<br />Water/Vastelater 'I'reat:lent
<br />I Soutbwest Florida Water Manaql!lll!llt District - Wells, Cypress Baybea4s, Wetland Areas, Altering Watercourses
<br />t ArIJ Corps of lnqineeIS - Sea"alls, Docks, lIavigable Waterways
<br />I Depart:lent of Healtb , Rehabilitative Services, InvirODl8lltal Healtb Unit - Wells, Wastelater 'I'reatlent, Septic 'I_
<br />I US Envirouental Protection Aqency - Asbestos abatell!Jlt
<br />I also certify that, if fill aaterial is to be used in Flood ZOne "A" or "A,etc.l, it is understood that a drainage plan ~
<br />addressing a ICQlP8DSating vol_I "ill be sublitted "bich is prepared by a professional engineer registered in the State of
<br />Florida prior to penit issuance.
<br />
<br />A ~it issued shall be construed to be a license to proceed "itb tbe 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 fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall becme iDvalid
<br />unless the IOrk authorized by such penit is COIIBIlced "itbin sillODtbs of issuance, or if IOrk authorized by the perait is
<br />suspended or abandoned for a period of sil IODtbs after the u.e tbe IOfk is COIIBIlced. One 90 day utension of tile, lilY be .
<br />allowed for tbe penit "itb fee charge of $15.00. '!'he utension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sil IOIltb period, or the project "ill be considered abandoned.
<br />WIIIIIG '1'0 (MIlt: YOOR FAILURE ro RECORD A 1I0000ICE OF CCJIM8IICIIIBJf MAY RlSUL'I' III YOOR PAYDIG NICE FOR DIPROVIIIIIIS '1'0 YOUR
<br />PROPD'I'Y. IF YOU IIIIIID ro OB'I'W PIlWICIIG, COISUL'I' WI'I'H YOOR DEI OR 111 A!'I'OIIDY BlPORI RICOJIDIIIG YOUR JO'I'ICE OP
<br />COMMEIfCBMBR!. JOBS UlDIR '2,500 III VALUI DO 110'1' IIEED '1'0 RICORD 1110 POS'I' A "IIO'1'ICB OF COMMEIfCllllll'l'I.
<br />
<br />SIGIIA'I'URI: COM'I'IIAC'I'OR
<br />
<br />SIGlIA!U1lI: OOER OR Am!
<br />
<br />S'I'I'I'I OF FLORIDA
<br />COUII'I'Y OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_ by
<br />
<br />8'1'A'I'1 OF FLORIDA
<br />coom OP
<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 has
<br />produced
<br />as identification and who did/did Dot
<br />take an o~th.
<br />
<br />(Signature)
<br />(liame Typed, Printed or St~)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
|