|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pel1lit aay be subject to Ddeed restrictions" wbicb aay be lOre restrictive than City
<br />regulations. tbe undersigned assOles responsibility for coapliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the orner 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 orner and contractor aay be
<br />cited for a aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furthenore, if the orner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />DContractor Sections. of this application for which they will be responsible. If you, as the orner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that aay be an indication that he is not properly licensed and is not entitled to pel1Iitting priVileges in the
<br />City of Zephyrhills.
<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 - HOIIl!owner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsOler Affairs. If the applicant is SOftOne other than the
<br />"owner", I certify that I have obtained a copy of the above described docuaent and proaise in good faith to deliver it to the
<br />"owner" prior to coaenceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIJation in this application is accurate and that all work will be done in cOllpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby aade to obtain a pel1lit to do work and installation as indicated. I certify that no work or
<br />installation bas cOllenced prior to issuance of a pel1lit and that all work will be perfoIJed to aeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agencies aay apply to the intended work, and that it is
<br />If responsibility to identify what actions I aust take to be in coapliance. Such agencies include but are not liaited to:
<br />* Departlent of Environaental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater treatlent
<br />* Southwest Florida Water Manageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* Al1If Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater treatlent, Septic tanks
<br />* US Environaental Protection Agency - Asbestos abat8leDt
<br />I also certify that, if fill aaterial is to be used in Flood Zone "AI or "A,etc.D, it is understood that a drainage plan
<br />addressing a .cQlpeDsating volllleD will be subaitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A perait issued shall 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 tbe technical codes, nor shall issuance of a pel1lit prevent the Building Official ffOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued sball beCOle invalid
<br />unless the work authorized by such perait is cOlleDced within six IOnths of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of six IOntha after the tille the work is co.enced. One 90 day extension of tiae, laY be
<br />allowed for the pel1lit with fee charge of $15.00. tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection aust be logged during each sil aonth period, or the project will be considered abandoned.
<br />WARNING TO OIflflR: YOUR FAILURE TO RECORD A NOrICE OF aJlMEHCEMlNI MAY RESULt IN YOUR PAYING "'ICE FOR IMPROVIIIENIS TO YOUR
<br />PROPERTY. IF YOU IlffEND TO OBTAIN FINANCING, CONSULT IIITH YOUR LENDIR OR AN AnomY BEFORE RECORDING YOUR NOflCE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE 00 NOf NEBD 1'0 RECORD AND POST A .NOfICE OF COMMEHCEMEIff".
<br />
<br />SIGNAtURE: OWNIR OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY 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 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 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 />
|