|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this pellit lay be subject to 'deed restrictions" wbich lay be lOre restrictive than City
<br />regulations. tbe undersigned assUles 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 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 laY be
<br />cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />IContractor 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 laY be an indication that be is not properly licensed and is not entitled to perJitting 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 - HOJeOWner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If the applicant is sOloone other than the
<br />"owner", I certify that I bave obtained a copy of the above described doclllellt and prOlise in good faith to deliver it to the
<br />"owner" prior to couencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOJpliance with all
<br />applicable laws regulating construction, zoning, 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 perlit and that all work will be perforJed to Ieet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developJeDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governJental agencies laY apply to the intended work, and that it is
<br />If responsibility to identify wbat actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t DepartJent of BnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and BnviroDJeDtally Sensitive Lands,
<br />Water/Wastewater treatJent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AllY Corps of Bngineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health i Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic tanks
<br />t US BnvirODJental Protection Agency - Asbestos abateJent
<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 .cQlpensating volUJe" will be sublitted wbich 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 frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall becOle invalid
<br />unless the work authorized by such perlit is cOlleDced within six IODthS of issuance, or if work authorized by the pellit is
<br />suspended or abandoned for a period of six IOntbs after the tile the worl is coaenced. One 90 day extension of tile, lilY be
<br />allowed for the perJit 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 each six IODth period, or the project will be considered abandoned.
<br />WARHIHG TO OIlIER: YOUR FAILURB to RECORD A NO'IICE OF COHHBICEIIEn' HAY RESULt IN YOUR PAYING twICB FOR IHPROVBIID!'S to YOUR
<br />PROPBRIY. IF YOU IITEND to OBIAIN FIIWfCING, CONSULT WIIH YOOR LEllDBR OR All AnORIIBY BBFORE RECORDING YOUR NO'IICE OF
<br />COMHENCBHEN'l. JOBS UHDBR $2,500 IN VALUE 00 NO'I NEED 10 RECORD AND POSt A "NO'IICE OF COIIMBNCBIIBN'lN.
<br />
<br />SIGNArURE: OWNER OR AGENt
<br />
<br />SIGNATURE: COImlACTOR
<br />
<br />srATB OF FLORIDA
<br />COUlm' OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />StATB OF FLORIDA
<br />COUNTY 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 />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
|