95-5223 - Laserfiche WebLink

Browse Search

~ ., CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that tbis perlit lilY be subject to 'deed restrictions' which lay be lOre restrictive tban City regulations. the undersigned assUJeS responsibility for COIpliance witb any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe mmer bas bired a contractor or contractors to undertake workr tbey lay be required to be licensed in accordance witb state and local regulations. If tbe contractor is not licensed as required by law, botb tbe mmer and contractor lilY be cited for a lisdeteanor violation under state law. If tbe mmer or intended contractor are uncertain as to wbat licensing reguiretents lilY apply for tbe intended work, they are advised to contact tbe City of Zephyrhills Building DepartJent, (813) . 788-6611. Furtbe11lOrer if the OIOler has hired a contractor or contractors, be is advised to have tbe contractor(s) sign portions of tbe .Contractor Sections' of tbis application for which tbey will be responsible. If you, as tbe OIOler sign as tbe contractor, you are indicating that JOur ratber than tbe contractorr are responsible for tbe IIOrk. If tbe contractor wisbes you to sign as contractor tbat lilY be an indication that be is not properly licensed and is not entitled to perlitting privileges in tbe City of Zepbyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify tbat I, tbe applicantr have been provided witb a copy of "10rida's Construction Lien Law - HoIeoImer's Protection Guide' prepared by tbe Florida Departlent of Agriculture and ConsUJer Affairs. If tbe applicant is sOll8One otber than tbe 'mmer', I certify tbat I have obtained a copy of tbe above described dOCUJent and protise in good faitb to deliver it to tbe ummer' prior to COIIeDCeJellt. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all tbe inforaation in tbis application is accurate and tbat all work will be done in cOlpliance witb all applicable laws regulating constructionr loning, and land developlent. Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify tbat no IIOrk or installation has C08enced prior to issuance of a perlit and that all work will be perfoI'led to Jeet standards of all laws regulating construction, City codesr loning regulationsr and land developleDt regulations in tbe jurisdiction. I also certify that I understand tbat tbe regulations of otber gOYeIllleDtal agencies lilY apply to tbe intended workr and tbat it is If responsibility to identify what actions I lUst take to be in colpliance. Such agencies include but are not lilited to: t DepartJent of Envirolllelltal Regulation - Cypress Baybeadsr Wetland Areas and EnviroDlentally Sensitive Landsr Water /Wastewater !reatlent t Southwest Florida Water Managetent District - Wellsr Cypress Bayheads, Wetland Areasr Altering Watercourses t ArtY Corps of Engineers - Seawallsr Docksr lavigable Waterways t DepartJent of Healtb , Rebabilitative Services, Environtental Healtb Unit - Wellsr Wastewater TreatJentr Septic tanks t US Envirouental Protection Agency - Asbestos abatl!ll!Dt I also certify that, if fill IIterial is to be used in Flood Zone "A' or "A,etc.'r it is understood tbat a drainage plan addressing a 'COJpeDSating vol.' will be sub8itted wbich is prepared by a professional engineer registered in tbe State of Florida prior to perlit issuance. A pemit issued shall be construed to be a license to proceed witb tbe work and not as authority to violater cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOl tbereafter reguiring a correction of errors in planar construction, or violations of any code. Every pmit issued sball beCOle invalid unless tbe work authoriled by such perlit is COIIenced witbin sillODtbs of issuancer or if work authorized by the perlit is suspended or abandoned for a period of sil IODtbs after tbe tile tbe work is c~ced. One 90 day eltension of tiler lay be allowed for tbe perlit with fee charge of $15.00. The eltension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sil IODtb period, or tbe project "ill be considered abandoned. wmING ro OIlIER: YOUR FAILURI ro RECORD A lorICE OF aJIIEICBIIIl! MAY RESULr II YOUR PAYlIG !VICE FOR IMPROVEMEI!S ro YOUR PROPIRTY. IF YOU II!BIfD '10 OB'I'III FIWCllGr COISUL! WI'lH YOUR LllDIR OR All Ana HE RECORDIIG YOUR DICE OF COMMEIfCEMEl!. J ,500 II VALUE DO 10'1 liED ro RECORD AID posr A' ICE CEMEI!.. srATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by srArE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC