|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'he undersigned understands that this pel'lit tay be subject to 'deed restrictions" which lilY be lOre restrictive than City
<br />regulations. !he undersigned asS\IHS responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake wort, they .ay 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 lay be
<br />cited for a .isdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents tay apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartElt, (813)
<br />788-6611.
<br />
<br />Furthel'lOre, if the owner has bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for wbich 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 wisbes you to sign
<br />as contractor that lilY be an indication that be is not properly licensed and Is not entitled to peraitting 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, have been provided with a copy of 'Florida's Construction Lien Law - Hoteowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Consuaer Affairs. If the applicant is SOJeOne other than the
<br />'owner', I certify that I bave obtained a copy of the above described dOCUleDt and prOllise in good faith to deliver it to the
<br />"owner' prior to COIIeDceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developleDt.
<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 COIIeDCed prior to issuance of a perait and that all work will be perfoIJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agenCies lilY apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* DepartJent of Environaental Regulation - Cypress Baybeads, Netland Areas and EnviroDleDtally Sensitive Lands,
<br />Nater/Wastewater 'l'reatlent
<br />* Southwest Florida lIater Hanageaent District - lIells, Cypress Baybeads, Wetland Areas, Altering lIatercourses
<br />* AIIY Corps of Engineers - Seawalls, Docks, Havigable lIatenays
<br />* DepartJent of Health' Rebabilitative Services, Environaental Health Unit - Wells, Wastewater 'l'reatJent, Septic 'l'anks
<br />t US Environaental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill Iilterial is to be used in Flood Zone 'A' or 'A,etc.", it is understood that a drainage plan
<br />addressing a 'c0tpeD8ating voluteR will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to pel'lit issuance. .
<br />
<br />A perait issued sball 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 pel'lit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becoae invalid
<br />unless the wort authorized by such pel'lit is COIIeIlced within six IOnths of issuance, or if work authorized by the pel'lit is
<br />suspended or abandoned for a period of sil IOnths after the tile the wort is co.enced. One 90 day extension of tile, lilY be
<br />allowed for the pel'lit with fee charge of $15.00. 'fbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillODth period, or the project will be considered abandoned.
<br />NARIIIHG '1'0 omR: YOUR FAILURE '1'0 RECORD A HorlCE OF COIHDCBIIBIft' HAY RESUL'I' lH YOUR PAYlHG twICE FOR IHPROVEHEIft'S '1'0 YOUR
<br />PROPER'I'Y. IF YOU IIft'BHD '1'0 OB'l'IIH FIIWICIHG, COHSUL'I' WItH YOUR LllDER OR D A'I"I'OHDY BEFORE RBCORDIHG YOUR HO'I'ICB OF
<br />COMMEHCBHRIft' . JOBS OlDER $2, SOD IH VALUE 00 Hor HEED '1'0 RECORD AND POS'I' A lIHorlCE OF COHHDCEHEM'I".
<br />
<br />SIGHAfURI: 0IfIIBR OR AGBIft'
<br />
<br />SIGlfA'I'URE: COIft'RAC'l'OR
<br />
<br />STA'I'E OF FLORIDA
<br />COllH'l'Y OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STA'I'E OF FLORIDA
<br />COlJIf'I'Y 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 has
<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 Stamped)
<br />NOTARY PUBLIC
<br />
|