|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait lay be subject to Rdeed restrictionsR which lay be lOre restrictive than City
<br />regulations. fhe undersigned assUles 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 JaY be
<br />cited for a lisd8leanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requir8lents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (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- 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, have been provided with a copy of -Florida's Construction Lien Law - HOI8owner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOJleone other than the
<br />.owner", I certify that I have obtained a copy of the above described docuaent and prOJlise in good faith to deliver it to the
<br />"ownerR prior to couenc8lent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in tbis application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, 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 cOllenced prior to issuance of a perlit and that all work will be perforJed to Jeet 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 governJeDtal agencies JaY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lUst take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />I DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnvironJentally Sensitive Lands,
<br />Water/Wastewater freatJent
<br />I Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Aray Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />I DepartJent of Health & Rehabilitative Services, BnvirODJeDtal Health Unit - Wells, Wastewater freatJent, Septic fanks
<br />I US Bnvironaental Protection Agency - Asbestos abat8lent
<br />I also certify that, if fill Jaterial is to be used in Flood Zone BAR or "A, etc. " , it is understood that a drainage plan
<br />addressing a uCOJlpensating volUleH will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perait, 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 perait prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall beCOle invalid
<br />unless the work authorized by such perait is cODenced within sillOnths of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllellced. One 90 day extension of tile, JaY be
<br />allowed for the perait with fee charge of $15.00. fhe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IODtb period, or the project will be considered abandoned.
<br />WARHING fO OIINER: YOUR FAILURE fO RBCORD A IOTICH OF COMMBtICEMBIff MAY RESUL!' II YOUR PAYIIG flflCH FOR IMPROVEMBIlt'S !'O YOUR
<br />PROPBRfY. IF YOU IIffEIfD !'O OBUII FIIfAlfCIIG, CONSUL!' WI'lH YOUR LBIfDD OR All A!'tOmY BEFORE RECORDIIG YOUR 1f000ICE OF
<br />COMMEIfCEMBIfT. JOBS UHDER $2,500 IN VALUE DO NO!' NEED !'O RECORD AND POS!' A "NOTICE OF COMMENCEMBIff".
<br />
<br />SIGJlA'fURB: OWIIER OR AGEIlt'
<br />
<br />SIGJlAfURE: COIffRACfOR
<br />
<br />SfATB OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19~ by
<br />
<br />Sf ArE OF FLORIDA
<br />coum 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 />
|