|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. llOTlCE OF DEED RESTRICTIONS
<br />'fbe uDdi!raignecJ UDderataDdathat this penit liy,be"aubject to 'deed restrictioaa' 'which lir be lOre restrictive tbaD City
<br />regulations. !he UDderIigDeCl aa&UIe& :respoaaibilitr. for C'.OIp1iaDce with aDY applicable c1eed reatriCtiODl.
<br />
<br />B. ' UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the iMUlI baa hired" COIltractor or contractora.to IUIdertake work,. theY.IiY be. required to ))e 11ceuae411l ac:coicJance with
<br />atate a11d local regulati~., U the cootractor la not licenaed is reQUired by law, both the' ~ aDd COIl~tor Eyba
<br />cited fllr a .iac1eleaDor ;1c)iat1oa uocler atate law. If the 0IRIer or intended contractor are- 'Unclrtain is to _t lic8118ing
<br />require/lents IiY apply for the inteDded work, they are advised to contact the City of ZepbyQilla Building Departlent, (813)
<br />788-6611. . .' '
<br />
<br />Furtbenore, if the owner baa bired a contractor or contractora, be ia advised to bave the contractor(8) sign portioaa of the '
<br />IContractor Sectioaal of tbi8 appUcatiOll for which 'they will be re&pcI1iible. If JOU, is the 0IIJIer 8ign is tile contractor,
<br />you are iDdicatiDg that, JQU, rather than till! contractor, are reaponaible for the lIIOl'k. If the contractor lliabeayou to' sign
<br />is cootcactor that Ii' be aD indication that be is not properly licenaed and is not entitled to perlittiDg privileges in the
<br />City of Zephyrhilla.. ' ,
<br />
<br />C. 1RANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. ~ONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, tile applicant, llive been provided with a copy of 'Florida'. CODatruction Lien Law - BoIeolIDer'aProtection
<br />Guide' prepared by tile Florida Departlent of Agriculture and CoDaUlU' Affairs. If the applicant i8 8OI8OIl8 other tbaIl the
<br />.mmer', 1 certify that I baveobtaiDed a copy of the above described docuIent andproliae in good faith to deliver it to the
<br />lownerl prior to COIIeDCeI8Dt. .
<br />
<br />E. !=ON'l'RACTOR' S/OWNER I SAFFIDAVIT
<br />I certify that all theinfOl'liltiOli ill tbia application is accurate and that allllOIk will be done.in CoipliiUlce with.all
<br />applicable 1_ regulating COII8UUCtiOO, 10000g, and land developl8Dt.
<br />
<br />. &.,
<br />
<br />Application is hereb, lade to obtain a. pmit to ,do IIOrk and iIlStallation iSiDdicated. Icwf, that DO lIIOl'k or
<br />installation baa co.eDcec1 pdor to iaa~ of a;peraU.and that all work "ill be perfOIJedto leet ataDdarda of all 1_
<br />regulating cooatructiOll, City codes, ICJIling 'r;egulatiOll8, and land developl8lltregulatiOll8 in the jurilldictiOll. I also
<br />certify that I UDderataDd that the regulatiOns ofotber gGV8IIlIeDtal agenciea IiY apply to the illteDded work, and that it is
<br />If responsibility to identify _t actiOns I lUSt take to be in c:oapliiUlce. Such agencies include but are not lilited to:
<br />I DepartleDt of BnvirODJelltal Regulation - Cypress kybeada,. MetlaDd Areas and BnvirODJelltally Sensitive Landa,
<br />, Mater/MiStewater treat:JeDt .
<br />I Soutbweat Florida lIater __t District - lIe1l8, Cypress Bayhea4a, MetlaDd Areas, Altering Matercouraea
<br />I lray Corps of Engineers - Seawalls, Docks, lavigable Watervaya
<br />I DePilIt:JeDt of Health , leIlabilitative Senicea, InvirODJeDtal Health Unit - Mella, MiStellater Irea_t, Septic I_
<br />I US InvirODJental Protection Agency - Asbestos abat8lleDt . . '
<br />I also certify that, Utillliterial ia to be used in Flood loDe IAI or IA,ete.l, it is underatood that a draiDage plan
<br />addreaaing a lCOIpeII8ating vo1uae' will be aubJitted which la prepared by a professional engineer registered in the. State of
<br />Floridil: prior to penit iaauance. '
<br />
<br />A ~it isaued aball be COIIItrued to be a license to proceed with the IIOrk aDd DOt as authority to violate, cancel alter, or
<br />6et aside aDY proviaioaa of the tecbD1cal codes, nor aball iasuance of a perait prevent the Building Official frOl thereafter
<br />requiring a c:oaectiOll of errora in plana, COIl8tructiOll, or ,iolatiODl of aDY cocle. Ivery perait iaaued tball ~ invalid
<br />unless the IIOrk authoril.abr such perlit i8 cow,"*, witbiD au IOIltbs of iuuance, or ifak authorued by the perait' i8
<br />suspended or abandoDed for a perioc1 of aillOIltbs after the tile the lIIOl'k Is ~neecl. One gO day utenaion of tile, IiY be
<br />allOlfeCl for the penit ldth fee charge of $15.00. !be eltenaion &ball be requested in "riting to the Building Official. An
<br />approvlld iDapeCtiOD I118t be logged. during each. ail _tit perioc1, or the project will ,be cooaidered abaPdoPed.
<br />IWUUX(i 10 OWl: YOUI FlILURB 10 BBCORD A IIOfICI 0' aJIHBIICIIIDf MlY RBSULI II YOUR PAYING IIUCI POll IHPROVIMiIIIS 10 YOUR
<br />PROPIB'I1. 11 YOU 111110 10 OBIW PWKCIJIG, COISULI'fllH YOUll LBNDIR OR AN lllORllKY BIFOHB RICORDIIG YOOI JIOfICI OF
<br />O>>lHIJf(:JOIIIII. JOBS UIDIR.. $2,500 U VlLUIllO lor IIID 10 JIBCOIU) AXD POST A 'IOIICI OF aJlHBJlCIlIIDI'.
<br />
<br />
<br />~
<br />SIGNA : COII1lACIOIl .
<br />
<br />-~y;
<br />
<br />SIGlUI7UB1: 0EIl OR AGBft
<br />
<br />SIAIK OF FLORIDA P
<br />coum OF :4-5 [' 0
<br />Tbe foregoing instI'Wlellt was acknowledged
<br />befoI'B me this SJ. J) , 19~by
<br />
<br />-'dJ-t) e- R-r . S I H f1S
<br />who j,s personally known to lie or wile has
<br />prodtll...dd"
<br />
<br />~~~o:~~ do ~d~DOt
<br />(S1gm'lture) L ..:7.... .. ;:
<br />(Name~ Typed, P~inted or Stamped)
<br />~rt PUBLIC' '
<br />
<br />,SIAII OF FLOiIDA
<br />coum OFse.-a
<br />Tbe foregoing ins rument was acknowledged
<br />before me this . '-. , 19$. by
<br />
<br />ALI3~r .s /HN-S
<br />who is personally known to me 91' wAQ"has
<br />, proauced""
<br />as id8Rtifi"CftioA and wbo -dH1did not
<br />tat. e an oct.. th. f!~1 /1., fJ A
<br />~.<:. 'JI'-' ". (J-zJ>.-
<br />(Signature)
<br />I(fiTl-lLfEXJ J BR /JWr./
<br />(Name Typed, Pr~nted or Stamped)
<br />NOTARY PUBLIC
<br />
<br />:\""v PI/e
<br />.'1> b. ({.
<br />~II~
<br />"" ~
<br />, Of f\.l)~
<br />
<br />KATHLEEN J BROWN
<br />My CommlssiCln CC449029
<br />expires Apr, 02. 1999
<br />Bonded by NFNU
<br />80(1,224-6368
<br />
<br />..toy PI/
<br />",,<o:\,nb({. KATHLEENJBROWN
<br />II My ComrniIMlon CC449029
<br />* * eXptfes Apr. 02. 1999
<br />~ ~.. Bonded by NFNU
<br />,., Df f\.O~ 800.224.8368
<br />
|