|
<br />. CONDITIONS OF PERMIT AFFIDAVIT
<br />A.' NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The 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 lay be
<br />cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents 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, ratller 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 (ClffiPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOJeowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agricultur~ and ConsUler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
<br />"owner" prior to couencl!lent.
<br />
<br />E. CONTRACTOR'S/OWNER'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 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 perfofled to .eet 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 governJental agencies lay apply to the intended work, and that it is
<br />IY responsiyility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* DepartJent of Environmental Regulation - Cypress Bayheads, Wetland Areas and EnvironJentally Sensitive Lands,
<br />Nater/Nastewater TreatJent
<br />* Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Netland Areas, Altering Natercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways
<br />* DepartJent of Health & Rehabilitative Services, BnvironJental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />* US EnvironJental Protection Agency - Asbestos abatelent
<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 "colpensating volUle" will be submitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit 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 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 such perlit is cOllenced within six IOnths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOIIenced. One 90 day extension of tile, laY be
<br />allowed for the per.it 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 six IOnth period, or the project will be considered abandoned.
<br />WARNING TO ONNER: YOUR FAILURE TO RECORD A NOTICE OF COHHRNCHHBNT MAY RESULT IN YOUR PAYING rwlCB FOR IHPROVBHBNTS TO YOUR
<br />PROPERTY. IF YOU INTBND TO IN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNBY B RB RBCORDING YOUR 1IO'fICB OF
<br />COHHENCEHENT. JOBS UNO ,500 IN VALUE DO NOT NBBD TO RBCORD AND POST A "NOTICE NCBHEHT".
<br />
<br />
<br />
<br />..
<br />
<br />
<br />STATE OF FLORIDA If- '- v
<br />COUNTY OF fC 5
<br />The foregoing instrument, was acknowledged
<br />before me tbie 1~5'~J, 191~ by
<br />J I~n.,~
<br />
<br />who is personally 0 me r who has
<br />pro uce
<br />as identification
<br />take an 0'"
<br />
<br />
<br />STATR OF FLORIDA ~
<br />COUNTY OF /~.r~o
<br />The foregoing inst~~nt was acknowledged
<br />before me ~b~s I/' S~' 19 ~ by
<br />~,I!~ /I ,~
<br />
<br />~ho is personally known to m~r who has
<br />produced
<br />as identification
<br />take an a h.
<br />
<br />
<br />(Name Typed, Printedo,~ St~ped) I
<br />NOTARY PU~ OF. ';,',' 'E ',:';>~'}.i?iit0EAL I
<br />I i\rO'n " Tn! y~v ;.~-::-': .."-~ <:::'f\ TT,' (iF FL()RID_J\~
<br />I j: ,:,~?::':[~,:~:~:?:;'J> '~i:~i':~~>;::'i";~'~ 9~
<br />~~!. "';~~t.:iJt'l:.'~~l~:~~~;~ .
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBL
<br />
<br />
<br />OF~T~_>
<br />NOTA JiLL' ""'EAL
<br />RY C""
<br />~O!\F?YfL'{:J':)!:~,;~: I' .,rL(~RIDA
<br />My LOA/MV<," ., . < ""', ..("
<br /><'~Xl:',S;'PI"
<br />~2::,]m
<br />
<br />
|