|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit JaY be subject to Ideed restrictions" which tay be lOre restrictive than City
<br />regulations. fbe undersigned assUJes responsibility for coapliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has bired a contractor or contractors to undertake work, they JaY 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 olDer or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departaent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />IContractor Sections" of this application for wbich 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 wisbes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to pertitting 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 - HOteOlIJler's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is SOteOne 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 />lowner" prior to cOllBDcelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<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 bas ~ced prior to issuance of a perli t and that all work will be perforaed to teet 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 governJental agencies JaY apply to the intended wort, and that it is
<br />IY responsib,ility to identify .bat actions I lUst take to be in cOJpliance. Such agencies include but are not litited to:
<br />* DepartJent of Environaental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater 'I'reatJent
<br />* Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* Arty Corps of Engineers - Seawalls, Docks, Kavigable Waterways
<br />* DepartJent of Health & ~ebabilitative Services; Environaental Health Unit - Wells, Wastewater freattent, Septic !ants
<br />* US EnvirODlental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone HAil or HA,etc.", it is understood that a drainage plan
<br />addressing a ICOlpensating volute" will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit. 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 per.it 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 perlit is cOllenced within sillOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of silaontbs after the tite the wort is c.enced. One 90 day extension of Ute, tay be
<br />allowed for the perll.t 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 each sillOnth period, or the project will be considered abandoned.
<br />WARKING TO OWKER: YOUR FAILURE TO RECORD A KO'I'ICE OF COMMDCBHEKT HAY RESULT IN YOUR PAYING !VICB FOR IMPROVEMmS !O YOUR
<br />PROPER'l'Y. IF YOU IKTEKD TO OB'I'AIN FINAHCIKG, cOKSUL! WI!H YOUR LBHDER OR AK AnORIIY BBFORE RECORDING YOUR DICE OF
<br />cOMMDcEHBN'l'. JOBS ORDER $2,500 IK VALUE DO KO'I' HEED TO RECORD AND POST A "NOTICE OF c(JUfEHCBHEKTI.
<br />
<br />SIGKA'l'URE: OWKER OR AGEKT
<br />
<br />SIGKATURE: COKTRACIOR
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19 by
<br />--
<br />
<br />STATE 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 />
|