|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this perlit lay be subject to .deed restrictions" wbich laY be lOre restrictive than City
<br />regulations. !be undersigned assUleS responsibility for COIpliance 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 laY be
<br />cited for a lisd_anor violation under state lall. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents laY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furthel'lOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portiona of the
<br />.Contractor 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 wiabes fOIl to sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entitled to peraitting 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, bave been provided with a copy of .Florida's Construction Lien Law - JIoIeoImer's Protection
<br />Guidell prepared by the Florida DepartJent of Agriculture and ConsUller Affairs. If the applicant is SOIIl!OIle other than the
<br />.owner., I certify that I bave obtained a copy of the above described docuIent and proUse in good faith to deliver it to the
<br />lIowner. prior to cOllBDceaent.
<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 COIpliance lith all
<br />applicable laws regulating construction, zoning, and land developlll!Jlt.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas c-.mced prior to issuance of a perlit and that all work will be perfoIJed to Jeet 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 goverDlleDtal agencies laY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in co.pliance. Such agencies include but are not lutted to:
<br />t Departlent of Envirolllelltal Regulation - Cypress Baybeads, Wetland Areas and Envirolllelltally Sensitive Lands,
<br />Water/Wastewater 'freatJent
<br />t Southwest Florida Water Hanageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArIJ Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Smites, bvir_ental Health Unit - Wells, Wastewater 'Ireat:lent, Septic !ants
<br />t US bvirODleDtal Protection Agency - Asbestos abateleDt
<br />I also certify that, if fill laterial is to be used in Flood Zone "Aa or "A, etc. II , it is understood that a drainage plan
<br />addressing a .cOlpellsating VOlUleIl will be subaitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A petlit issued shall be construed to be a license to proceed with the IIork 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 the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pmit issued shall becoIe invalid
<br />unless the work authorized by such perlit is COIEIlced within sil IOnths of issuance, or if work authorized by the perlit is '
<br />suspended or abandoned for a period of sillODtbs after the tDe the work is coaenced. One 90 day atension of tile, lay be
<br />allowed for the pmit with fee charge of $15.00. Tbe atension shall 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 abanc1oned.
<br />NARlHNG TO omR: YOUR FAILURI TO RECORD A NOTICE OF COHMDCBIIBH! MAY RESULT IN YOUR PAYING filCE FOR IMPROVIIID!S TO YOOB
<br />PROPmY. IF YOU IIIDMD fO OBt'AIN FIWCING, CONSULf WI'lB YOOR LBMDBR OR AM AnomY BEFORE RBCORDIIG YOUR DICE OF
<br />COHHBMCEHBMI. JOBS UNDER'2, 500 IN VALUE DO NOT NEED fO RECORD AND POS! A 'NOTICE OF COIIIDCBIIBH!'.
<br />
<br />
<br />XI~1mf~~4
<br />
<br />SIGJlA!URI: COIl!RACTOR
<br />
<br />SfA!E OF FLORIDA ~ ^ A"""
<br />COumOF r~
<br />The foregoing instrument was acknowledged
<br />before me this .~~ , 19~ by
<br />
<br />O/IJ~ ~RkhAJ€r::t
<br />who 1S p son ly known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />ta9i1~) /;) ffl!l!uL(~
<br />(S1gnature)
<br />
<br />S'fA!E OF FLORIDA
<br />coum OF
<br />The foregoing instrument was atknowledged
<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 />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC NS
<br />SHARON D. IllCUUI
<br />Notary Publtc - State of Florida
<br />Mycomm. ~xplres Jun 1, ,t..,.'. :1
<br />CommiSSIon No. CC 29U"
<br />
<br />
<br />ed)
<br />
|