|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this peIlit JaY be subject to -deed restrictions" wbich laY be lOre restrictive than City
<br />regulations. Tbe undersigned assUlles responsibility for co.pliance with any applicableudeed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired 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 lall, both the owner and contractor laY be
<br />cited for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirl!lents tay apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtbeIlOre, if the owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />IIContractor 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 wishes you to sign
<br />as contractor that. lay be an indication that be is not properly licensed and is not entitled to pertitting privileges in the
<br />City of Zepbyrbills.
<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 DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOJleone otber than the
<br />-owner", I certify that I bave obtained a copy of the above described docUIIeDt and protise in good faith to deliver it to the
<br />"owner" prior to cOllencl!lent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the infortation in tbis application is accurate and that all work will be done in co.pliance with all
<br />applicable laws regulating construction, zoning, and land developtent.
<br />
<br />Application is bereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation bas cOlleDced prior to issuance of a pertit and that all work will be perforted to teet standards of all lalls
<br />regulating construction, City codes, zoning regulations, and land developteDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies laY apply to the intended work, and that it is
<br />If responsibility to identify what actions I lUst take to be in COipliance. Such agencies include but are not litited to:
<br />t Departlent of HnviroDleIltal Regulation - Cypress Bayheads, Wetland Areas and HnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AllY Corps of Hngineers - Seawalls, Docks, Havigable Waterways
<br />t Departlent of Health & Rebabilitative Services, HnvirODlBDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US HnvirODlental Protection Agency - Asbestos abatetent
<br />I also certify that, if fill laterial is to be used in Flood ZOne -All or IIA,etc.lI, it is understood that a drainage plan
<br />addressing a -cotpensating volutell will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
<br />
<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 perJit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued sball becOle invalid
<br />unless the work autborized by such perJit is cOlleDced within six IOnths of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of six IOntha after the tite the wrk is co.enced. One 90 day extension of tite, tay be
<br />allowed for tbe peIlit 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 />WARXING TO OWXER: YOUR FAILURB TO RECORD A HOflCE OF COMMDCEJIUT MAY RESULT IN YOUR PAYIHG TWICE FOR IMPIIOVEIIBJITS TO YOUR
<br />PROPERTY. IF YOU INTElfD TO OBTAIH FIIIAIICIHG, COHSULT WITH YOUR LlJlDER OR 1JI AftORMIY BEFORE RECORDIHG YOUR NOfleR OF
<br />COMMEHCEMBtn' . JOBS OMOER $2,500 IH VALUE 00 HOf HEED TO RECORD lJID POST A "HOfleR OF COIOIEIICEMDT".
<br />
<br />/ _",d
<br />- ~- ,/f/ <:
<br />
<br />
<br />STATE OF FLORIDA
<br />coum OF ~,~~o
<br />The foregoing inst~~t was acknowledged
<br />before me this '- \~ , 19~ by
<br />
<br />H1GH J, CLASS
<br />NOTARY PuGUC, SH\lT OF FLORIDA
<br />My commissloCl e~p,r25 Iv1.:!,: 21, 1",,~/
<br />Commission No. C C 2 7 0 3 8 1.
<br />
<br />
<br />LliROYENEWKIaK
<br />NOrARY PUBLIC STATE OF FLORID
<br />COMMISSION NO. CC336449
<br />MY COMMISSION EXP. . 19!18
<br />/Q HiRSONAlLY KNOWN BY ME
<br />C fROOUCBO 1.0
<br />
<br />~\.D.'" ~ \\-~
<br />who is personally known to me Qr who has
<br />produced l\..\..'<)~ c.~ ~
<br />as identification and who did/did not
<br />take~ \ ~b
<br />
<br />(Signa~ure)
<br />'----€-~ ~ "" ~ C,\~ ~~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
|