|
<br />. CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF"~D RESTRICTIONS
<br />Tbe undersigned understarids that this peClit lay be subject to Ideed restrictions" wbich lilY 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 bas 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 JaY be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirl!lents JaY apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtheClOre, if the owner bas bired a contractor or contractors, be is advised to bave 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 wishes you to sign
<br />as contractor that JaY be an indication that be is not properly licensed and is not entitled to peraitting 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 'Plorida's Construction Lien Law - HOIeOWDer's Protection
<br />Guide" prepared by the Florida Depart:lent of Agriculture and ConsUJer Affairs. If the applicant is 8OIN!One other than the
<br />.owner", I certify that I bave obtained a copy of the above described dOCUJellt and prOJise in good faith to deliver it to the
<br />"owner" prior to COIlenCl!lent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developllent.
<br />
<br />Application is hereby tade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas cOlleDced prior to issuance of a peClit and that all work will be perfoIJed to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveI11lental agencies JaY apply to the intended wort, and that it is
<br />If responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not liJited to:
<br />Ii Depart:lent of EnvirollleDtal Regulation - Cypress Bayheads, Wetland Areas and EnvirollJelltally Sensitive Lands,
<br />lIater/Wastewater Treatlent
<br />t Southwest Florida lIater Hanagetent District - lIells, Cypress Baybeads, Wetland Areas, Altering lIatercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, lavigable lIatenays
<br />Ii DepartJent of Health & Rehabilitative Services, EnvirODJental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />t US EnvirODlental Protection Agency - Asbestos abatetent -
<br />I also certify that, if fill laterial is to be used in Flood ZOne IAI or HA,etc.", it is understood that a drainage plan
<br />addressing a "co.peDsating volUle. will be subJitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to peClit issuance.
<br />
<br />A peClit 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 peClitprevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pmit issued shall becoIe invalid
<br />unless tbe work authorized by such perlit is cOllenced within Sil IOnths of issuance, or if wort authorized by the perlit is
<br />suspended or abandoned for a period of sillODths after the tile the work is c~ced. One 90 day extension of tile, JaY be
<br />allowed for the peClit with fee cbarge of $15.00. rbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each SillODth period, or the project will be considered abandoned.
<br />IIARHIIG TO OVHER: YOUR FAILURE TO RECORD A IOfICH OF COHHDCHJIBn' MAY RESULT II YOUR PAYIIG filCH FOR IHPROVBIIBJ'fS TO YOUR
<br />PROPERfY. IF YOU IH'fElfD TO OBfAII FIWClIfG, COISULT WIfH YOUR LElfDER OR AI A'f'fOBDY BEFORE RECORDIIG YOUR IfOflCE OF
<br />COMHEICEHElff. JOBS UHDER $2,500 II VALUE DO IOf lfEED TO RECORD AID POST A "IOfICE OF COHHDCHJIBn'".
<br />
<br />
<br />-~;- G.. ~ '~L
<br />SIGHATURE: COH'fRAC'fOR
<br />
<br />srATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STArE OF FLORIDA
<br />coum 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 />
|