|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fbe undersigned understands that tbis perlit JaY be subject to 'deed restrictions" wbich Jay be lOre restrictive than City
<br />regulations. !be undersigned asSUles responsibility for COIpliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner bas bired a contractor or contractors to undertake work, tbey JaY be required to be licensed in accordance witb
<br />state and local regulations. If tbe contractor is not licensed as required by law, botb tbe owner and contractor .y be
<br />cited for a lisd_anor violation under state law. If tbe owner or intended contractor are uncertain as to what licensing
<br />requirl!lents laY apply for tbe intended work, tbey are advised to contact tbe City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if tbe owner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of tbe
<br />IContractor Sections I of tbis application for wbich tbey will be responsible. If you, as tbe owner sign as tbe contractor,
<br />you are indicating that you, ratber tban tbe contractor, are responsible for tbe work. If tbe contractor wisbes you to sign
<br />as contractor tbat JaY be an indication tbat be is not properly licensed and is not entitled to perlitting privileges in tbe
<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 tbat I, tbe applicant, bave been provided witb a copy of IFlorida's Construction Lien Law - HfIIeOIIIler's Protection
<br />Guide" prepared by tbe Florida Departlent of Agriculture and ConsUlleI' Affairs. If tbe applicant is SOII!OD8 otber than the
<br />lownerl, I certify tbat I have obtained a copy of tbe above described dOCUlent and pfOlise in good faitb to deliver it to tbe
<br />"owner" prior to cOlleDceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tbe inforaation in tbis application is accurate and tbat all work will be done in cOJpliance witb all
<br />applicable laws regulating construction, zoning, and land developent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify tbat no work or
<br />installation bas ~ced prior to issuance of a perlit and that all work will be perfol'led to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develoPleJlt regulations in tbe jurisdiction. lalso
<br />certify that I understand tbat tbe regulations of otber goveruental agencies laY apply to the intended IOrk, and that it is
<br />If responsibility to identify wbat actions I lUst take to be in COIpliance. Such agencies include but are not lillited to:
<br />* Deparuent of EnvirOlllelltal Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water IWastewater !reatlent
<br />* Southwest Florida lIater Hanaguent District - lIells, Cypress Baybeads, IIetland Areas, Altering lIatercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Mavigable lIaterways
<br />* DepartJent of Healtb & Rehabilitative Services, EnvirOllleDtal Healtb Unit - IIells, IIastewater !reatlent, Septic !ants
<br />* US Envil'ODlel1tal Protection Agency - Asbestos abatuent
<br />I also certify that, if fill laterial is to be used in Flood ZOne "AI or "A, etc. ", it is understood tbat a drainage plan
<br />addressing a .cOlpeJlSating volllle' will be sw.itted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed witb tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a perlit prevent tbe Building Official ffOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball becoIe invalid
<br />unless tbe work authorized by such perlit is COIIeIlced .itbin six IOntbs of issuance, or if work autborized by the perlit is
<br />suspended or abandoned for a period of sillODtbs after tbe tile tbe work is ~ced. One 90 day eltension of tile, Jay be
<br />allowed for tbe perlit .itb fee charge of $15.00. 'fbe eltension shall be requested in writing to the Building Official. An
<br />approved inspection .lUSt be logged during each sillODtb period, or tbe project will be considered abandoned.
<br />IImllfG 'f0 OIIHER: YOUR FAILURE 'f0 RECORD A lO'flCE OF aJlMDCEIfBIf'f MAY RESUL'f 1M YOUR PAYIMG NICE FOR DIPROVIIID!S !O YOUR
<br />PROPER'fY. IF YOU IJI!EIiD 'fO OMAIM FIW'CIHG, COMSUL'f WI'fH YOOR LEliDER OR 111 A'f'fORm' BEFORE RBCORDIMG YOUR MorICE OF
<br />COIIIJICIIIJlII. JOBS IlIDIII $2,500 II VALUE 00 IIOT mil '10 IlIIllIIID lID POST I 'IIOTI OF C i T"
<br />
<br />
<br />f~,?v~~M .1\11\
<br />SIGJfAtURE: OR AGm
<br />
<br />
<br />SIAIE OF FLORIDA
<br />COUH'fY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SIAIE OF FLORIDA
<br />COUHTY 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 />
|