|
<br />. CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this perlit lay be subject to Ddeed restrictions" wbicb lilY be lOre restrictive than City
<br />regulations. !be undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake work, tbey 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 lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJents JaY apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner has bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />DContractor Sections" of this application for wbicb they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, ratber than the contractor, are responsible for the work. If tbe 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 Zepbyrbills.
<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 RFlorida's Construction Lien Law - HOIe01Oler's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sQleone otber than the
<br />Rowner", I certify that I bave obtained a copy of the above described docUleDt and premise in good faith to deliver it to the
<br />"owner" prior to cOlleDceJent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and tbat all work will be done in cQlpliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOJJenced prior to issuance of a perlit and that all work will be perfoIJed to aeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental 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. Such agencies include but are not lilited to:
<br />t DepartJent of Environlental Regulation - Cypress Baybeads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water HanageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rebabilitative Services, EnvirODJental Health Unit - Wells, Wastewater freatJent, Septic fanks
<br />t 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 .cempensating VOlUleR will be sublitted whicb 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 perlit prevent the Building Official frQl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery perJit issued shall beoDle invalid
<br />unless the work authorized by such perlit is cOlleDced within six IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is cOlleDced. One 90 day extension of tile, lilY be
<br />allowed for the perJit with fee charge of $15.00. fbe extension sball 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 />WARMING '1'0 OWNER: YOUR FAILURE fO RECORD A NOTICE OF COHMDCBHEN'l HAY RESULf IN YOUR PAYING NICE FOR IHPROVEHmS fO YOUR
<br />PROPERTY. IF YOU IN'J'BND fO OBfAIN FINANCING, CONSULT IlIfH YOUR LBNDER OR AN AffORRBY BBFORE RECORDING YOUR MorICE OF
<br />~ . JOBS~, 12., ~ VlLIlI 00 lOr REID YO REClIID lID l'OS'/ A 'lOrlCE OF ClIlIIEIICIIIIHII!'.
<br />
<br />./ ~?( G-~. /? -4.~
<br />
<br />GIIAruRB: OWIfHR OR AGEIfT 'SIGNAfURE: CON'J'RACTOR
<br />~
<br />
<br />
<br />SfAfE OF F~,
<br />coum OF . ' C:JA..LO
<br />The foregoing instrument was acknowledged
<br />before me this '7 - 2 ~-~ , 19~ by
<br />
<br />~L
<br />'0 is person ly known to me Qr who has
<br />produced
<br />as identifi
<br />take oat.
<br />
<br />Sf ATE OF FLORIDA ()
<br />coum OF t-" ~
<br />The foregoing instrument was acknowledged
<br />before me this'1.... r2..~ , 19 % by
<br />
<br />~,~
<br />
<br />wVo is personally known to me or who has
<br />produced ' ' ._--::--v
<br />as identifica and who di~t
<br />take oath
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC 1-' .,--'
<br />, 1".
<br />I 1....-';,
<br />t:'"-:::-..)
<br />I,..,{',' .'
<br />
<br />1'- -..' .;y;t~.;
<br />
<br />)>_.~-_.,---~--~~.< .--','-'
<br />
<br />
<br />V~~,\ :'<:: --"'""<'V:<: I
<br />.,\ ",_.4 " . ....."',~. ",.'""... '..,
<br />::~:.:f(,;:' (.~ F'~>:;.;~.\.,~
<br />.l;~~!','. ,:-::~J. .:L:':'i.: )
<br />
<br />, :j,-r;l'hlt I
<br />
<br />~_"..,.__.._.~._~.. ___i
<br />
<br />, .'~i!~-:~:~~\1';~~- ',: ";'-:;"isl
<br />t,(, ,,-:h' ,f ":.~:" I
<br />,.:)' C:f~.;:., ::2 ' 1:,3 I de,; i
<br />'J,,;,'. \jj~"irl~'"
<br />i
<br />.. '-, -, -,. .,.. --,,j
<br />
|