|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to 'deed restrictions" whieb laY be lOre restrictive than City
<br />regulations. Ibe undersigned assUles responsibility for cOlpliance 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 O1IIler and contractor lilY be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />reguirelents lay 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 O1IIler has hired a contractor or contractors, he 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 wisbes you to sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entitled to perlitting 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 />I certify that I, the applicant, bave been provided with a copy of 'Florida's Construction Lien Law - HOIeOIDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOIeODe other than the
<br />lowner", I certify that I bave obtained a copy of the above described docUlellt and prOllise in good faith to deliver it to the
<br />"owner" prior to COlleRCeleDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in tbis application is accurate and that all work will be done in cOllpliance with all
<br />applicable laws 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 cOlleDced prior to issuance of a perlit and that all work will be perfoIled to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developl8Rt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDIeDtal agencies laY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in colpliance. Sucb agencies include but are not Iilited to:
<br />. Departlent of EnviroDle8tal Regulation - Cypress B8yheads, Wetland Areas and EnviroDJeDtally Sensitive Lands,
<br />Water/Wastewater Ireatlent
<br />. Southwest Florida Water Hanagel8Rt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />. ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />. Departlent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic lanks
<br />. US EnviroDlental Protection Agency - Asbestos abateleDt
<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 'cQlpeDsating volUle" will be subtitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit 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 perlit prevent the Building Official frOll thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery petlit issued shall beCOle invalid
<br />unless the work authoriled by such perlit is cOll8Dced within sil IOnths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of sll IOntha after the tile the work is cOBenced. One 90 day utension of tile, laY be
<br />allowed for the perlit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eaeb six IOnth period, or the project will be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHINCEMEIff MAY RESULT IN YOUR PAYING "'ICE FOR IHPROVIKIIft'S TO YOUR
<br />PROPERTY. IF YOU IIIIDD TO OBTAIN FINAIICING, COMSULT WITH YOUR LBItDIR OR All AnORIIY BEFORE RECORDING YOUR NOIICH OF
<br />COKMEMCIMRIff. JOBS UNDER $2,500 1M VALUE DO MOT MEED 'f0 RECORD AND POS'f A "NOTICE OF COIIMIHCIHEItI..
<br />
<br />SIGHA'fURI: COMTRACfOR
<br />
<br />SIGHA'fURI: OWIIIR OR AGE1ft'
<br />
<br />STATE OF FLORIDA
<br />COURTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />coum 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 o~tb.
<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 />
|