|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />. 'A. NOTICE OF DEED RESTRICTIOlfS
<br />fhe undtnlgnecJ UlllJentllldl tltat Uti, pertn la, be ,abJect to 'deed restrictions- .hich la' be lOre restrictive than City
<br />regulaUOIII. tIte andtr.Jgned as~ reepm.lbUlt, for COIpIlIllCl ,It II an, applicable dl!ed rutrlcUOIII. .
<br />
<br />B. UNLICBHSBD CONTRACTORS AND. CONTRACTOR RESPONSIBILITIES
<br />If tile OIlIer ... lIr" I contractor or contractor. to unc1trtllle wod, tiler ., be required to be IIctmMl In accora-e wUb
<br />state 11II1 Jocal rl9ll.tfOlll. If tile contrlctor II not IlCl!llled .. required b, Jaw, boUt tile OIIIIer .... aJIItnctor III be
<br />citf!d for a .I.....r dolaUon Iftdtr .tate law. If the OIIIIr or Intended contractor are uncertain .1 to ,lilt IIceulng
<br />requlrl!leDtl .., appJr for the Intended worl, the, are ad,ised to contact tbe City of Zephrrbilll Building OepartIgat, (813)
<br />788-6611 .
<br />
<br />FurtherlOre, If tbe owner has bired a contractor or contractorl, he Is advlled to ha'l! the contractor(l) sJgn portJOIII of the
<br />-Contractor IecU..- of Util appUcatJon for whlelt the, .ill he responllble. If Jou, as tbe OIIIIl!r Ilgn u the aJIItractor,
<br />'ou Ire indicating tMt roo, rltller thin tlte CODtractor, are re.ponelble for the worl. If tile contractor 'I ,lie, roo to Ilgn
<br />as contractor tIlat iii, be an Indication tJlat he Is not properly licensed and iB not entitled to perlUUng pddll!gllln the
<br />City of Zeph,r.III..
<br />
<br />c. TRANSPORTATION IMPACT FEES AND UTILITY CONNBCTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certif, that I, th! applicant, ha'e been provided with a cop, of -Plorlda'l Construction Lien La. _ HoIeowner', Protection
<br />Guidl!- prepared by the Plorlda IJeparllent of Agriculture and ConsUftr Affairs. If the applicant is 8011!01'1e other than tJIe
<br />-ownl!r-, I certlf, tltat I ba,e obtained a copy of the abo'e 4escrlbed docuIent and prOllse In good faith to dell,er It to the
<br />-owner- prior to COIIencelent.
<br />
<br />E. fONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certif, that all the inforaatlon in this application II accurate and that all worl will be donI! In coapllancl! with all
<br />applicable laws regulating construction, lonlng, and land de'eloplent.
<br />
<br />Application il hereby lade to obtain a perllt to do worl and in8tallatlon al Indicated. I certilf that no worl or
<br />in8tallation bas ~J~ prior to llIDInct of a perllt and that all worl will be perfOrled to teet Itandards of all I...
<br />rl!qlllatlng construction, Cit, co4eI, lonlng regulations, and land deYeloplent regulations In the jurisdiction. I 1110
<br />certlf, that I under.tand that lite regulations of other go'ernlental egencle. II, .pplf to the Intended wort, and that It i.
<br />Iy relponslbllltf to Identlff .ltat actions I IUlt tale to be In COIpllance. Such agenclel Include but are not lillted to:
<br />· ~larllent of 1n,lrORlefttal Regulation - C,prels Ba,heads, Wetland Area8 and Inviroftll!ntallJ Sensitive Lands,
<br />later/Vastewater 'reallent
<br />· ~QU.~est 'Iorida Water Nantg~t Diltrlct - leI Is, Cypress Ba,heads, letland Areal, Altering latercourses
<br />· !!I' CO!PI of IDQlneerl - Sl!awalll, Doell, lavlgable laterways
<br />· ~rlleat of BelltIt , RIbabIIJtatJ,. Serrlcee, In'i~OOIental Health unit -. lells, laste.ater 'reallent, Septic lanls
<br />· ~JnvlJCJII!l!IItal Protection ~ - As,,"tOl abateltmt
<br />I alRO eerUfr that, If fUllilterial Is to be used In Flood Zone -A- or -A,etc. -, it Is understood that a drainage plan
<br />addressing a -COIpenI.tlng YOIUll!- ,III be lublltted wbich 18 prepared bJ a profelslonal engineer registered in the Stat. of
<br />Florida prior to per.lt Il8UInct.
<br />
<br />A perllt Issued shall be construed to be a license to proceed wltlt the worl and not as authorltr to ,Iollte, cancel alter, or
<br />set aside an, protl.IOftI of tbe tecbnlcal codes, nor 8hall issuance of a perlit pre,ent the lulldlng Official frot thereafter
<br />requiring a correction of error. In pllnl, CORItflctlon, or ,lolltlODl of anJ code. I,er, perttt llsued shall becoIe tfttllJd
<br />unlHs the wod autlJorbed b, _II ptnft Is ~ced within sll IOIItItt of Issuance, or If worl autllorlled bf the penlt II
<br />8U8~ or aballdoned for a period of .11 IOIIUII after the tile tile wod Is~. One 90 da, I!ItensJon of tt., iii, be
<br />allowed for th penit .Ith fet! charge of tI5.00. ne I!Iten81on shaH be requl!8ted In writing to the Building Official. An
<br />appro,ed llIIpeCtJon lUst be loned during I!adlsh _tit period, or the project ,IH be conlldered abandoned.
<br />WIIRIIIIG YO Mn: JOOR nlLURI YO RICORO A MICI or l1RIICIIIIlr IIA' RlSULr III lOOR PAJlIIG "'lei FOR IIIPROVIRurS YO JOUR
<br />PROP1!m. IF 100 InDO IV Cln'AIII 'IIIAICIK, CDSULr IIIR fOUR LIIIIIIR 011 All ATrOIIDf BI RIl'ORDIIG lOUIIfOrlCl OP
<br />~. US - tz,5GO II :- III 2 IlIID 10 _ lID lOST I '1UI1C11lF '.
<br />
<br />
<br />__ (1., '~4LL IL'
<br />~~Oi1G1lI1J -~R:
<br />v -
<br />
<br />
<br />STATE UP FLORIDA n
<br />coonf OF Y aLlto
<br />The foregoing instru.ent was ,~knowledged
<br />before .e this S... ).~ , 1~ by
<br />
<br />SUfI OP FLORIDA P f
<br />room OF c-{/.)C 0
<br />The foregOing instrUllent was acJmowledged
<br />before IDe this fr.){J , 19Q(,;, by
<br />
<br />who i'--~~c:..-~~~;-~ to me or who has
<br />produced------ '
<br />as identification end who did/did not
<br />talte->>h. /f d
<br />lJAMv v\' ,7 ~
<br />(Signature). i.\ I' ~
<br />_ \ )r\Jo (A hi" \.:7 \..-~
<br />(Name Typed, Printed or 811ped)
<br />~_O!^~Y PUB~lC
<br />
<br />----.--------.- ~
<br />
<br />;~~~~~~~1!~~ to me or who has
<br />
<br />as identification and who did/did not
<br />tate an oat"'-l:\ . 11,
<br />~1tUG t,{. /;)IVry-
<br />~ture) A I~ / (.
<br />,~J 0 (lJ- b I'. \.::71~
<br />(Na.e Typed, Printed or amped)
<br />NOTARY PUBLIC
<br />
<br />.."'~'" '''#, nr90nAH A nAY
<br />~ .:t:'~ '"
<br />"WI'. ' My Co.......!,... r..c477279
<br />* .. * f.."... Jun "'.19QO
<br />.... ~ . .... Rondood by ~,
<br />"'" Do l\ 1\'" l'IOO 4".155';
<br />
<br />.6.....~~1J#,'" OEBORJ\H A QAY
<br />~:L.__c:. My CommIeslon CC477279
<br />* . * F.>lpir_ "'"' ::>fl. 1,,"
<br />..,. .... Ronded by HAl
<br />"", no l\ II'" l'IOO "".1550;
<br />
|