|
<br />. CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to IIdeed restrictions" whieb lay be lOre restrictive than City
<br />regulations. The 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 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 lay be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirl!lents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (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 whieb 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 perlitting 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 IIFlorida's Construction Lien Law - HOIeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUIeI Affairs. If the applicant is sOIeone other than the
<br />"owner", I certify that I have obtained a copy of the above described docUlll!l1t and prOlise in good faith to deliver it to the
<br />"owner" prior to cOllencl!lent.
<br />
<br />E. CONTRACTOR'SjOWNER'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 bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOlleDced prior to issuance of a perlit and that all work will be perfoIled to leet 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 goverDllental agencies laY apply to the intended work, and that it is
<br />If responsibility to identify what actions I lUst take to be in coapliance. Such agencies include but are not lilited to:
<br />* DepartEnt of EnviroIlleJltal Regulation - Cypress Bayheads, Wetland Areas and EnvirollleDtally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water Managl!leI1t District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* AIIY Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />* Departlent of Health & Rebabilitative Services, EnvirODlental Health Unit - VeIls, Wastewater Treatlent, Septic Tanks
<br />* US EnviIODlental Protection Agency - Asbestos abatl!lent
<br />I also certify that, if fill laterial is to be used in Flood ZOne "All or "A,etc.lI, it is understood that a drainage plan
<br />addressing a UcQlPeDsating volUle" will be sublitted whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />~nJ,A IJl1%~
<br />SI TU : OWlIIR OR AGElfT
<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 perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle invalid
<br />unless the work authorized by sueb perlit is cOllellced within sillOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sil IOnths after the tile the work is c~ced. One 90 day extension of tile, laY be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sillODth period, or the project will be considered abandoned.
<br />WARKING TO OIlIER: YOUR FAILURE TO RECORD A IOrICE OF C(JlMDCEJIDf MAY RESULT IN YOUR PAYIIG TWICE FOR IMPROVEMBn'S TO YOUR
<br />PROPERTY. IF YOU IH'fEHD TO OBTAII FIIWfCING, CONSULT WITH YOUR LBHDIII OR AI AftOIIDY BEFORE RECORDIIG YOUR NOTICE OF
<br />COMMEICEMEH'f. JOBS OIDBR $2,500 IN VALUE 00 NOT HEED TO RECORD AID POST A uIOTlCE OF C(llMBNCEJIDf".
<br />
<br />~
<br />
<br />SIGlJr . tlIIrRI<WHI
<br />t'~
<br />
<br />STATB OF FLORID~
<br />coum OF {!!SCo
<br />The foregoing instrument was acknowledged
<br />before me this IS' /~~S+ 19~ by
<br />
<br />rJ UL looo-J/cj-?3-- ~~- 0
<br />who is personally known to me or who has
<br />produced P(" 0-(.--.1 L. e<tv!...(
<br />~~ did/did not
<br />
<br />
<br />(Si~at et '
<br />~ l/rn Ih</ j) PE;.J bELL
<br />(Name TyPed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIgJ
<br />coum OF 1'i1S eo
<br />The foregoing instrument was acknowledged
<br />before me this /J-- 0+ ~,LiT, 19~ by
<br />
<br />who is per!pnally known to me or who bas
<br />produced ,c/ be. 53</- g"rF - td- -cx'ctl-()
<br />as i ication and who did/did not
<br />ta~e< an .t.
<br />
<br />
<br />J(
<br />
<br />.. -OFFICIAl. SEAL.
<br />FH: Timothy O. ~"
<br />I "My Comm\MIOn __111411'
<br />~ . Commission tee
<br />"", , II' 0 PIrSOIlI\Iy Know~Type
<br />
<br />:A'~:~, Bobble 8. Swetland
<br />'. . J.r;., d MY COMMISSION # CC534927 EXPIRES
<br />~.~; February 22. 2000
<br />': ;f.."~<t-., BONDED THRU TROY FAIN INSURANCe, INC.
<br />
<br />J)c
<br />
|