|
<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 JaY be lOre restrictive than City
<br />regulations. The undersigned assOles 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 lilY be
<br />cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of the
<br />"Contractor Sections. of this application for which they will be responsible. If you, as the OlDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes 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 Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. ~ONSTRUCTION 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 - HOJeOWner's Protection
<br />Guide" prepared by the Florida Departllent of Agriculture and ConsUJer Affairs. If the applicant is sOleone otber than the
<br />"owner", I certify tbat I bave obtained a copy of the above described docOlent and prOlise in good faith to deliver it to the
<br />"owner" prior to cOlJeJ\ceJent.
<br />
<br />E. CONTRACTOR'S/OWNER'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, loning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cDIIeDced prior to issuance of a perlit and tbat all work will be perforted to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developJeDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governJeDtal agencies JaY apply to tbe intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />· Departllent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Trealient
<br />· Southwest Florida Water HanageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· DepartJent of Health , Rehabilitative Services, BnvirODlental Health Unit - Wells, Wastewater TreatJeot, Septic Tanks
<br />· US EnviroDlental Protection Agency - 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 volOle" will be subJitted which 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 witb tbe 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 peIlit issued shall beCOJe invalid
<br />unless the work authorized by such perlit is cOllenced within Sil IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sillOnths after the tile the work is c08t!llced. One 90 day extension of tile, lily be
<br />allowed for the perlit with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six IOntb period, or the project will be considered abandoned.
<br />WARNING TO OIINER: YOUR FAILURB TO RECORD A NOTICE OF CotIHBNCEllBU MAY RESULT IN YOUR PAYING !IIICE FOR IHPROVBIIBITS TO YOUR
<br />PROPERTY. IF YOU IUEHD TO OBTAIH FIHAlfCIHG, COHSULT WITH YOUR LBNDER OR AIf AftORDY BEFORE RECORDIHG YOUR HOTICE OF
<br />COMHENCEHBU. JOBS UNDBR $2,500 IN VALUR DO NOT NEED TO RBCORD AlfD POST A "NOTICE OF COHMEHCEllBU'.
<br />
<br />
<br />STATB OF FLORID4,
<br />COUNTY OF y/l Sc C
<br />The foregoing instrument was acknowledged
<br />before me this :).3<-.Jd'o" ~/(' 19~ by
<br />
<br />[WELL'), WY/fTT
<br />w~o is personally known to me or who has
<br />-PEOdUl;ed
<br />as identification and who ,Aid1did not
<br />take an oatJ~ ;r -J3~..,v
<br />
<br />(Signature) L" '" J I
<br />I'u It/) J) , O~f}N
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Hernamo
<br />The foregoing instrument was aCknowledged
<br />before me this April 17 ,19 96 by
<br />
<br />Samuel R. Pearson
<br />who is personally known to me or who has
<br />produced
<br />as identification and who~/did not
<br />t~~ an"oath'~l ~
<br />~~1 ~'~
<br />
<br />Helen M. Crosby
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />,...-:r.~l~.... LINDA D. SOAN
<br />f!"'X'7ltf:,. ~ COMMISSION' CC 209593 EXPIRES
<br />: ~~'1' June 15. 1996
<br />~~...~~.. BONDED THRU TROY FAIN INSlJIANCE, INC,
<br />'i)",Rf..,,,
<br />
<br />~y P(J OFFICIAL NOTARY SEAL
<br />o"'~ <9~ HELEN" CROUY
<br />~ W ~ CO""'''ION NUIII...
<br />; < CC3.1212
<br />"'1t- ~ IIY CO........ON IX'.
<br />OJ:f~O , 1
<br />
|