|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands tIIat this perait .ay be subject to -deed restrictions" which lay be lOre restrictive than City
<br />regulations. rhe undersigned assutes responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tile owner has hired a contractor or contractors to undertale 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 owner and contractor lilY be
<br />cited for a .isdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />reguiretents laY apply for the intended worl, they are advised to contact the City of Zephyrhills Building Departtent, (813)
<br />. 788-6611.
<br />
<br />FurtherlOre, if tile owner bas hired a contractor or contractors, be is advised to have tbe contractor(s) sign portions of the
<br />-Contractor Sections- of this application for which they "ill 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 wort. If the contractor wisbes you to sign
<br />as contractor that lilY be an indication tIIat be is not properly licensed and is not entitled to per.iUing privileges in the
<br />City of Zephyrbills.
<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 _ HOERmer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is SOIeone otber than the
<br />"owner", I certify that I have obtained a copy of the above described docuteDt and prOlise in good faith to deliver it to the
<br />"owner" prior to COlleDCetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT,
<br />I certify that all the inforaation in this application is accurate and that all worl will be done in co.pliance with all
<br />appliCable laws regulating construction, loning, and land developteDt.
<br />
<br />Application is bereby .ade to obtain a per.it to do wort and installation as indicated. I certify that no worl or
<br />installation has cOlleDced prior to issuance of a perai t and that all lorl will be pedoCled to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand tIIat the regulations of other goverDleDtal agencies laY apply to the intended work, and that it is
<br />.y responSibility to identify what actions I lUSt tate to be in cOlpliance. Sucb agencies include but are not Ii.ited to:
<br />I Depar_t of Envirollllelltal Regulation - Cypress Bayheads, Netland Areas and Envirollllelltally Sensitive Lands,
<br />Nater/lfastewater rreattent
<br />f Soutbwest Florida Nater HanageleDt District - NeIls, Cypress Baybeads, Netland Areas, Altering Natercourses
<br />f Ar., Corps of Engineers - Seawalls, Docks, lIavigable Naterways
<br />I Departlent of Health , Rebabilitative Services, EnvirODlental Health Unit - NeIls, Nastewater rreattent, Septic rants
<br />I US EnvirODleDtal Protection Agency - Asbestos abatetent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A- or "A,etc.-, it is understood tIIat a drainage plan
<br />addressing a -cOlpeDSating volute- will be subtitted wbicb is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A perait issued shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a perait prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery perait issued shall becoIe invalid
<br />unless tbe IIOrk authorized by such perait is couenced .ithin sillODtbs of issuance, or if work authoriled by the per.it is
<br />suspended or abandoned for a period of sillOJltbs after the tile the work is c-.meed. One 90 day !!Itenaion of tile, laY be
<br />allowed for the perait with fee charge of $15.00. 'l'be !!Itension shall be requested in writing to the Buil' ffic'. An
<br />approved inspection 8IIst be logged during each sillOntb period, or the project will be considered ed
<br />WARlfIIlG TO OIfIfKR: YOUR FAILURB TO RECORD A BOlICH OF allfDCBNIlfl MY RESULT III YOUR PAYIIIG fill
<br />PROPERTY. IF YOU IIfJIIID TO OirAIII FlIfAlCIIIG, COIlSULT WIrH YOUR LEER OR BEFORE
<br />COHHBIIClMBIfT. JOBS UlfDER $2,500 IN VALUE 00 liar IIEED TO RECORD AIfD post CH OF C
<br />
<br />STA'l'E OF FroR A
<br />coum OF
<br />The foregOing in~trumen was acknowledged
<br />before me this :2/3 , 19 95' by
<br />I
<br />
<br />
<br />wh~i:9:~~nal~ kn~htl~~r who has
<br />
<br />produced
<br />as identification and who did/did not
<br />take an o,~h. ~
<br />~ ~ A.rJA.../ t&t~ A .A..
<br />(Signature)
<br />
<br />
<br />~~ ~-~
<br />SIGI lMIII-- - A - ~
<br />
<br />STATE OF ~DA
<br />COUlfTY OF XO\.~(.D
<br />The foregOing instrument was acknowledged
<br />before me this 3~ , 1~ by
<br />
<br />O~~V\ ~ . ~\\~~~\'("\,
<br />~i's "personally known to me or who has
<br />produced "f\- \:)\......~ \~ -~3'l-t:)9 -o~....'C
<br />as identification and who di Id not
<br />~an oath. _ . _ ~'
<br />~~.~
<br />(Si ature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />Notary Public, State of FlorIda
<br />JUNE M. HERNDON
<br />My commbsion Exp. Feb. I, 1991
<br />Comm. No. 252632
<br />
<br />
|