|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'he undersigned understands that this peralt laY be subject to -deed restrictions- whieb laY be lOre restrictive than City
<br />regulations. !be undersigned assUJes 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 ower and contractor MY be
<br />cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />reguireJents laY apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813)
<br />, 788-6611.
<br />
<br />FurtherJOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for whieb 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 MY be an indication that he is not properly licensed and is not entitled to peraltting 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 -Plorida's Construction Lien Law - lIcIIeoImer's Protection
<br />Guide- prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SOIeOJle other than the
<br />"owner", I certify that I bave obtained a copy of the above described dOCUJent and prOlise in good faith to deliver it to the
<br />uowner" prior to COIIIeIlCl!lH!llt.
<br />
<br />E. CONTRACTOR' S/OWER' S AFFIDAVIT
<br />I certify that all the inforJation in this application is accurate and that all work will be done in COIIpliance with all
<br />applicable laws regulating construction, loning, and land developamt.
<br />
<br />Application is hereby Jade to obtain a perJit to do work and installation as indicated. I certify that no work or
<br />installation has COIIIeIlced prior to issuance of a perlit and that all work will be perf OIled to Jeet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlellt regulations in the jurisdiction. Ialso
<br />certify that I understand that the regulations of other goverDJental 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. Sueb agencies include but are not liJited to:
<br />t DepartJent of EnvirOllleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDJelltally Sensitive Lands,
<br />Water jIIastewater TreatJent
<br />t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t A[If Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, BnviIODl8Jltal Health Unit - Wells, Wastewater TreatJent, Septic'l'anb
<br />t US Envil'Ollll!lltal Protection Agency - Asbestos abateJent
<br />I also certify that, if fill Jaterial is to be used in Flood ZOne "A- or "A,etc.", it is understood that a drainage plan
<br />addressing a uCOJpenSating vol.- will be subJitted whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A perJit issued shall be construed to be a license to proceed with the work and not as autbority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOlthereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery pemit issued shall bec;oIe invillid
<br />unless the work autboriled by sueb petlit is co.enced within six JOntbs of issuance, or if work authoriled by the petlit is
<br />suspended or abandoned for a period of six JOntbs after the tHe the work is coaenced. One 90 day extension of tille, MY be
<br />allowed for the perlit with fee charge of $15.00. 'l'be extension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb six IODth period, or the project will be considered abandoned.
<br />IWUlIlfG TO 0IUfER: YOUR FAILURE TO RECORD A NotICE OP allllBlCEIIBI'I' lilY RESUL'I' IN YOUR PAYING fIIICE FOR DIPROVBIIBI!S TO YOUR
<br />PROPERtY. IF YOU IJI'I'BID TO OBtAIN PIJlAMCING, COISUL'I' WI'I'H YOUR LlllDBR OJ II AnoRDY BEFORE RECORDIIG YOUR DICE OP
<br />altHElfCEMEN'l'. JOBS UKDER $2,500 IN VALUE 00 Not MEED '1'0 RECORD lID POS'I' A "NotiCE OF aJIHEXCEIIEIII".
<br />
<br />SIGJIA'fURI: OIIHER OR AGENT
<br />
<br />SIGJIA'fURI: comIAC'I'OB
<br />
<br />SUTE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STAR OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_ by
<br />
<br />wbo is personally known to me or wbo bas
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />wbo is personally known to me or who has
<br />produced
<br />as identification and who didldid 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 />
|