|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents JaY apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which 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 wort. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
<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 - HOJeowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
<br />"owner" prior to cOllencl!.lent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do wort and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all wort will be perforted to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDIental agencies JaY apply to the intended work, and that it is
<br />my responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />* Southwest Florida W~ter HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rebabilitative Services, EnviroDlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />* QLEnvirODlentaLPr.Qtecti.Q!!,Jgency - Asbestos abateJent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A, etc. ", it is understood that a drainage plan
<br />addressing a "cOlpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />.:.,,~ '.
<br />i ~ l
<br />
<br />A perlit 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 shall issuance of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becOJe invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work .autborized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is couenced. One 90 day extension of tile, JaY be
<br />allowed for the pertit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCmmNT MAY RESULT 1M YOUR PAYING !VICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LODER OR AJI ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />ClIlIIEIICEIlIlJiT. ~500 II VALlIE 00 IIOIIlIED 10 llICOIlIl AIID 1'0.'11 A 'IIOIICK OF CllIlIIIC "".
<br />
<br />
<br />~w ,~
<br />
<br />STATE OF FLORIDA
<br />COUlflY OF \7QSc..{)
<br />The foregoing instrument was acknowledged
<br />befor e this IIJ~ If, 191fL by
<br />
<br />( -I-- ~tl. if 'v
<br />o i personally known to me r who has
<br />produced
<br />as id tification
<br />take n oath.
<br />
<br />
<br />
<br />
<br />........... OFFICIAL SEAL
<br />.'~I'l.t!tt'..
<br />I ~" SUSAN A. McCOLLUM
<br />E. :.MY Commission Expires
<br />\ ; A;:>ril 16. 1997
<br />'.~,... ~~..Comm. No. CC 268679
<br />..f:Oft~;.
<br />...,...~-
<br />
<br />
<br />e.._
<br />
<br />STATE OF FLORID)Y)
<br />COUNTY OF l:::Ol.c.;> cO
<br />The foregoing instrument was acknowledged
<br />before me this fth,<!..h l~ , 19~ by
<br />
<br />ff\ Ie ha~J .\=1' KfJ
<br />who is ersonally known to me or who has
<br />produced
<br />as identifica ion and who did/did not
<br />
<br />ta~:JfJ;~~~~~
<br />(Ji'gnature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />'"''~'f.''''''' SHARON L. BARBER
<br />!~.~,~ MY COMMISSION /I CC443613 EXPIRES
<br />~..~:,u March I, 1999
<br />"'~i'p."r.'~~' BONDEDlllRU TROY FAIN INSIJRAIiCf, INC.
<br />I" u'"
<br />
|