|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to 'deed restrictions. wbich laY be lOre restrictive than City
<br />regulations. fbe undersigned assllles 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 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to "bat licensing
<br />reguirelents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (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 II of this application for wbicb 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 wishes you to sign
<br />as contractor that,laY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zepbyrhills.
<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 - HOIeOKDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consl1ller Affairs. If the applicant is sOJl8One other than the
<br />"owner", I certify that I bave obtained a copy of the above described dOCUllellt and pro.ise in good faith to deliver it to the
<br />"owner" prior to cOllenceJent.
<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 develoPEDt.
<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 cOlleDced prior to issuance of a perlit and that all work will be perfoIl8d 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 goveIDIeDtal agencies aay apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lUst take to be in colpliance. Such agencies include but are not lilited to:
<br />t DepartJent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater freatlent
<br />t Southwest Florida Water HanageJeDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AIlY Corps of Engineers - Seawalls, Docks, Ifavigable Waterways
<br />t Departlent of Health & Rebabilitative Services, EnvirDDleDtal Health Unit - Wells, Wastewater freatlent, Septic fanks
<br />t US EnvirDDleDtal Protection Agency - Asbestos abateJeDt
<br />I also certify that, if fill aaterial is to be used in Flood Zone 'A' or 'A,etc.", it is understood that a drainage plan
<br />addressing a uco.pensating volUle" will be sublitted wbich 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 frOJ thereafter
<br />reguiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall bea.e invalid
<br />unless the work authorized by such perlit is cOlleDced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntha after the tile the work is cOlleDced. One 90 day extension of tile, laY be
<br />allowed for the perlit with fee charge of $15.00. fbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IODth period, or the project will be considered abandoned.
<br />WARlfING TO 0WlfEIl: YOUR FAILURE TO RECORD A 1f0000ICE OF COMHEIfCEIIEIft' HAY RESULf IIf YOUR PAYllfG DICE FOR IMPROVEIIDfS fO YOUR
<br />PROPERTY. IF YOU IIft'EIfD TO OB'l'Allf FIIIBCING, COIfSULf WItH YOUR LINDER OR AIf AftORDy BEFORE RECORDllfG YOUR 1f0000ICE OF
<br />COHMEIfCBHEN'r. JOBS UNDER $2,500 IIf VALUE DO If 0'1' NEED fO RECORD AIfD POSf A 'IfO'1'ICE OF COHMBIfCBHBlft'II.
<br />
<br />SIGlfATURE: OWNER OR AGEIfT
<br />
<br />SIGIfAfURE: COIft'RACfOR
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STAfE OF FLORIDA
<br />COUIft'Y 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 />
|