|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />tbe undersigned understands tbat this peIllit lay be subject to Ideed restrictions I wbich lay be lOre restrictive than' City
<br />regulations. fbe undersigned assUles responsibility for COIpliance 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 wort, 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, tay be
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licenSing
<br />requireaents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />Furthel1lOre, if the owner has hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />IContractor Sections I 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 peraitting 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, bave been provided with a copy of IFlorida's Construction Lien Law - HDIeOIIDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is sDleOne other than the
<br />lowner", 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 cOlllenceaent.
<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, zoning, and land developaent.
<br />
<br />Application is hereby lade to obtain a pertit to do wort and installation as indicated. I certify that no wort or
<br />installation has cOllenced prior to issuance of a peIllit and that all wort will be perforted to teet 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 governJeDtal agencies laY apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lUSt tate to be in coapliance. Such agencies include but are not litited to:
<br />* DepartJent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater treatJent
<br />t Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t AIlIY Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />t Departtent of Health & Rebabilitative Services, EnvirDDleDtal Health Unit - Wells, Wastewater freatJent, Septic fanks
<br />t US EnvirODlental Protection Agency - Asbestos abateaent .
<br />I also certify that, if fill laterial is to be used in Flood Zone IAI or IA,etc.", it is understood that a drainage plan
<br />addressing a IIcOlpeDsating volute" will be subtitted 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 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 peIlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pet'lit issued shall beCOle invalid
<br />unless the wort authorized by such perlit is COIIeIlced within sillOntbs of issuance, or if wort authorized by the peIllit is
<br />suspended or abandoned for a period ofsilaontbs after the tite the wort is COIIeJlced. One 90 day extension of tite, tay be
<br />allowed for the peIllit with fee charge of $15.00. fhe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each six aonth period, or the project will be considered abandoned.
<br />WARHIMG fO MER: YOUR FAILURE fO RECORD A HorlCE OF COHMDCEHBHr HAY RESULf 1M YOUR PAYING nICE FOR IHPROVBIIBIt'S fO YOUR
<br />PROPHRrY. IF YOU IUEND fO OBfAIlf FIHAMCIlfG, COlfSULf WUH YOUR LlJlDHR OR AM AftORREY BEFORE RECORDIlfG YOUR HorlCE OF
<br />COHMHNCEHENT. JOBS UNDER $2,500 IN VALUE 00 Hor NEED fO RECORD AND POSf A "NOflCE OF COHHENCBHEBrIl.
<br />
<br />SIGlfA'fURE: OIOIER OR AGEHT
<br />
<br />SIGlfArtJRE: COJI'fRACfOR
<br />
<br />SfAfE OF FLORIDA
<br />COUlffY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SfAfE OF FLORIDA
<br />CGUm 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 didldid 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 />
<br />...
<br />
|