|
<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 assuaes responsibility for coapliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES 9
<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 lay be
<br />cited for a lisdeaeanor violation under state law. 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 Zephyrhills Building Deparblent, (813)
<br />788-6611.
<br />
<br />Furtheraore, 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 work. 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 pertitting 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 - Hoaeowner's Protection
<br />Guide" prepared by the Florida Departaent of Agriculture and Consuaer Affairs. If the applicant is soaeone other than the
<br />.owner", I certify that I have obtained a copy of the above described docUIIeDt and prOllise in good faith to deliver it to the
<br />"owner" prior to coaenceaent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a pertit and that all work will be perfofled to aeet 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 governaental agencies aay apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to:
<br />* Departaent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater !reablent, Septic Tanks
<br />* US Bnvironaental Protection Agency - Asbestos abateaent
<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 .cOllpeDsating voluae" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<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 petlit prevent the Building Official frOll thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery petlit issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOllenced within six aonths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of six aonths after the tile the work is c08l!1lced. One 90 day extension of tile, aay be
<br />allowed for the pe~it 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 0NlfBR: YOUR FAILURE TO RBCORD A NOTICE OF COMMBNCBMBNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEIIBN1'S TO YOUR
<br />PROPBRTY. IF YOU IIft'BIID TO OB'l'AIN FINANCING, COlfSULT WITH YOUR LBNDIR OR AN AnoRlfBY BBFORE RBCORDING YOUR NOfICE OF
<br />COMMElfCBMB . OBS NDBR $3j500 IN VALUB DO NOT NEBD TO RECORD AND POST A bNOTICB OF COMMBlfCBMBNT".
<br />
<br />~ SIGl4f~ G'~
<br />
<br />
<br />STATB OF FLORIDA n
<br />coum OF V tiSc:O
<br />The foregoing instrument was aCknowledged
<br />before me this ~~} M~ ' 19 lie... by
<br />
<br />~
<br />rsonally kD~to me Qr who has
<br />prod
<br />as identification and who did~
<br />take ~ oat h.-
<br />~~tUA, a. 19~
<br />(Signo-ure) A /G
<br />~ lcJofldr1 . ..,~
<br />(Name Typed, Printed or ped)
<br />NOTARY PUBLIC
<br />
<br />STATB OF FLORIDA n
<br />COUNTY OF VASe 0
<br />The foregoing instrument was aCknowledged
<br />before me this ~ Mj. ' 19~ by
<br />
<br />fA
<br />who personally
<br />pro
<br />as identification and who did~a ~
<br />take ~htiu. a. r2
<br />
<br />(Si!Jlli!1:ureJ r/::O-
<br />LJ~ rtL 11 . \::?~
<br />(Name Typed, Printed or St ed)
<br />NOTARY PUBLIC
<br />
<br />
<br />
<br />,"'. 'wit, DE9DfWfAMY
<br />.~ ~ My cvo.... I . 4'__ .
<br />* * Expn...........
<br />.,. ~... Bonded b1 HAl I
<br />'I~( Of f\<1>~" 800-422-1556 i
<br />
<br />SS!H-Z~ \l'~ 10
<br />IWH Aq.....,._ ~M~ ~'"
<br />--. . . -~-...", ... '"
<br />vvuJ R unr -.adlr3 .w
<br />ea!u~~4'v '? .
<br />^WCWH\11K>e30 ~.-\ ~ fI>+
<br />-'''d All"\:
<br />
|