|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'be undersigned understands that this perlit lilY be subject to .deed restrictions. wbieb lilY be lOre restrictive than City
<br />regulations. !be undersigned assUJeS responsibility for co.pliance 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 lilY 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 ani contractor lilY be
<br />cited for a lisdl!lleanor violation under state law. If the OlDer or intended contractor are uncertain-as to wbat licensing
<br />requirelents lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Builcling DepartleDt, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the OIner bas hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />.Contractor Sections" of this application for wbieb they will be responsible. If you, as the OIIDer 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 lilY be an indication that be is not properly licensed and is not entitled to perlitting 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, have been provided with a copy of .Florida's Construction Lien Law - BoIeoIner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is SOJeODe other than the
<br />"owner", I certify that I bave obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the
<br />"owner" prior to COIIeDceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforliltion in this application is accurate and that all wort will be done in COIPliance with all
<br />applicable laws regulating construction, loning, and land developleDt.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that DO work or
<br />installation bas COJJeDced prior to issuance of a perlit and that all work will be perfoIJed to Jeet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDJeDtal agencies JaY apply to the intended wort, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Sueb agencies include but are not liJited to:
<br />t Departlent of Ilnvirolllelltal Regulation - Cypress Baybeads, Wetland Areas and BnviroDleDtally Sensitive Lands,
<br />Water/Wastewater 'l'reatJent
<br />t Southwest Florida Water Manageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering jatercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health , Rebabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater rreatJent, Septic rants
<br />t US EnvirODlental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill Jaterial is to be used in Flood ZOne "A. or "A,etc.", it is understood that a drainage plan
<br />addressing a "c~pensating volute" will be sublitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued sball 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 perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery per.lit issued sball becoIe invalid
<br />unless tbe work autborized by sueb perlit is COIIeDCed within sil IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sil IOnths after the tile the wort is co.enced. One 90 day eztension of tile, lilY be
<br />allowed for the perlit with fee cbarge of $15.00. 'l'be extension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during eaeb sil IOnth period, or the project will be considered abandoned.
<br />WARNING '1'0 OWNER: YOUR FAILURE TO RECORD A NOIICE OF COHMBMCBMm' MAY RESULT IN YOUR PAYING !VICE FOR IMPROVEMBIIS TO YOUR
<br />PROPER'I'Y. IF YOU INTEND '1'0 OB'I'AIH FIJIAIICING, CONSULT WIIB YOUR LBIIDBR OR All AftOIUIEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMEHC JO UJIDER $2,500 IN VALUE DO MOl HiID 'f0 RECORD AKD POST A MNOTICE ~COIIIDCKIIKJII..
<br />~
<br />
<br />
<br />
<br />S'I'A'I'B OF FLORIDA ~
<br />COUMlY OF ~
<br />The foregoing ins~ent was acknowledged
<br />before me this :2> 2.e , 19~ by
<br />I -
<br />
<br />STATB OF FLORIDA ~ '
<br />COlJII'I'Y OF ~~
<br />The foregoing inst~t was acknowledged
<br />before me this ~ ~ , 19 ~ by
<br />
<br />who is p.!'rsonally known to me or who bas
<br />produced
<br />as identifi and who did/did not
<br />take an <
<br />
<br />
<br />who is ~ersonall v kno~ to me or who has
<br />produced
<br />as identifi ation
<br />take an h
<br />
<br />
<br />(Name Typed, Printed or Sta.ped)
<br />NOTARY PUBLIC
<br />
<br />t~~
<br />'.D1Ui
<br />
<br />KATHY C. MOMlETH
<br />Nota'( Public, State of FIortc:Io
<br />~ Comm. Exp. Jan. 3. 1999
<br />No. CC 431231
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~"'f .."
<br />If ..
<br />. 'il
<br />
<br />KATHY C. MONTIETH
<br />Notay Public. State of FIorlda
<br />My Comm. Exp. Jan. 3. 1999
<br />No. CC431231
<br />
|