|
<br />CONDITIONS OF PERMIT AFFIDAVIT ' ,
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fDe undersigned understands that this perJit lay be subject to "deed restrictions" wbieb lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed 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 law, both the owner and contractor JaY be
<br />cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner has hired a contractor or contractors, he is advised to hav~ 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 wisbes you to sign
<br />"as'eontractor that Jay be an indication that be is not properly licensed and is not entitled to perJitting 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, have been provided with a copy of "Florida's Construction Lien Law - Haaeowner's Protection
<br />Guide" p~epared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sD.leone other than the
<br />'owner", I certify that I bave obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
<br />"ownerR prior to CODenceJent, '
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforJation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<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 cOllenced prior to issuance of a perJit and that all work will be perforJed to aeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction, I also
<br />certify that I understand that the regulations of other governaental agencies laY apply to the intended work, and that it is
<br />.y responsibility to identify what actions I lUst take to be in cOlpliance, Such agencies include but are not lilited to:
<br />t OepartJent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Vastewater Treatlent
<br />t Southwest Florida Water HanageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t OepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater freatJent, Septic Tanks
<br />t US EnviroDlental 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 'cOJpenSating volUJe" will be subJitted whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perJit issuance,
<br />
<br />A perJit 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 the technical codes, nor sball issuance of a per.it 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 perJit is cODenced within six IOnths of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOIIenced. One 90 day extension of tile, Jay be
<br />allowed for the perJit with fee ebarge of $15.00. The extension sball be requested in writing to the Building Official, An
<br />approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCHHHN1' MAY RESULT IN YOUR PAYING !VICE FOR IHPROVHHENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTUll FlNA1lCING, CONSULT WITH YOUR LENDER OR AN AnORNBY BEFORE RECORDING YOUR NOTICE OF
<br />COKMENCKHBH1'. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHENCKMRN1'R,
<br />
<br />-~ =~-:; ~
<br />--;~~-- ~ cOxmaoo -
<br />
<br />STATE OF FLORIDA P /l
<br />COl1N7Y OF .s C 0
<br />The foregoing instrument was acknowledged
<br />before me this , 19~. by
<br />
<br />
<br />STATE OF FLORIDA P
<br />COUNTY OF Il.s Co
<br />The foregoing instrument was acknowledged
<br />before me this ~ ;L" , 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~~.~_
<br />
<br />(Signature)
<br />
<br />(Namp Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />;"" ~
<br />d OONNAM SINCLAIR
<br />* ~ * Myeonw...lon-CC38261!.1
<br />~ . &p.... Jun. 14.1998
<br />...~^" J>.'t-
<br />'.OF f\.0"""
<br />
<br />w 0 is personally known.~m or who has
<br />pro uce
<br />as identification and who did/did not
<br />take~~_
<br />
<br />(Signature) "
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~ '" DONNAM SINCLAIR
<br />* W * My Commi8elon CC38261S
<br />Expires Jun. 14, 1998
<br />"'ott ~
<br />~Off\.fIII'
<br />
<br />~ ~.
<br />
<br />"'!':.~~ ~
<br />
<br />Fl ...........-
<br />
<br />-~
<br />
<br />--,"-
<br />
<br />.tJa.....
<br />
|