|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this petlit JaY be subject to -deed restrictions" which Jay 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 has hired a contractor or contractors to undertake work, they JaY 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 lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents JaY apply for the intended work, they are advised to contact the City of Zephyrhills 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 />RContractor 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. lay be an indication that he is not properly licensed and is not entitled to perlitting 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, bave been provided with a copy of -Florida's Construction Lien Law - HoIeowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SOJeODe other than the
<br />"owner", I certify that I have obtained a copy of the above described dOCUJent and prOlise in good faith to deliver it to the
<br />"owner" prior to COlll!l1CeJellt.
<br />
<br />E. CONTRACTOR'S/OWER'S AFFIDAVIT
<br />I certify that all the inforJation in this application is accurate and that all wort will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developJent.
<br />
<br />Application is hereby lade to obtain a petlit to do work and installation as indicated. I certify that no wort or
<br />installation has CDIIeDced prior to issuance of a petlit and that all work will be perforJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developJent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governJental agencies JaY apply to the intended worl, and that it is
<br />If responsibility to identify what actions I lust take to be in COIpliance. Sueb agencies include but are not lilited to:
<br />t DepartJent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArJY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health' Rebabilitative Services, EnvirODJental Health Unit - Wells, Wastewater TreatJent, Septic tanks
<br />t US EnvirODlental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill Jaterial is to be used in Flood Zone RA" or "A,etc.R, it is understood that a drainage plan
<br />addressing a uco.pensating vol_" will be subJitted whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A pmit 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 shall issuance of a petlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. !very perlit issued shall beCOle invalid
<br />unless tbe work authorized by such pmit is cOllBDced within six IOnths of issuance, or if work authorized by the petlit is
<br />suspended or abandoned for a period of six IOnths after the tile the wort is cOllenCed. One 90 day extension of tile, lay be
<br />allowed for the petlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eaeb six IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NO'I'ICE OF aJlMENCEIlEN'f MAY RESULT IN YOUR PAYING TWICE FOR IHPROVIIIEI'lS TO YOUR
<br />PROPERTY. IF YOU INTBNJ) TO OBTAIII FIIIAIICIIIG, COIISULT WITH YOUR LlllDER OR All AftOmY BEFORE RECORDIIIG YOUR NO'I'ICE OF
<br />COMHENCEHEln'. JOBS UNDER $2,500 IN VALUE 00 NO'I' NUD TO RECORD AND POST A "NO'I'ICE OF COMMDCBMBIITR.
<br />
<br />~~C;;;a//
<br />SIGKATURE: OWNER OR AGEln'
<br />
<br />_____---c::.-
<br />SIGNATURE: COln'RACTOR
<br />
<br />60//
<br />
<br />STATE OF FLORIDA
<br />CO11m' OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STAIB 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 />
|