|
<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 Jay be
<br />cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents JaY apply for the intended work, they are advised to contact th~ 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 owne.r: 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 "Florida's Construction Lien Law - HOIeOWDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsDler Affairs, If the applicant is sOleQne 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 co.-enceJent,
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all wOlk will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and l~d developllent,' .
<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 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 goveIlllental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDJentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water ManageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<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 "cOlpensating volDle" will be subJitted which 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 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 tbe work authorized by such perlit is cOlIBnced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOlleDced. One 90 day extension of tile, lilY 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 each six IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMmS TO YOUR
<br />PROPERTY, IF YOU INTKKD TO OBTAIN FINANCING, CONSULT WITH YOUR LKKDER OR AX ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />~ '2'k~ 10 RECIIIID AID POST A '10lICE OF llIIIiIICIlIIm'.
<br />
<br />
<br />
<br />SIGNATURE: R OR AGENT SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORID~
<br />coum OF VaStD
<br />The foregOIng instrument was acknowledged
<br />before me this DfJ+ ~ I , 19:11tL by
<br />.s h ~d a K, J-tofJu
<br />who is ~ersoni!lJ-y known to me. or who has
<br />produced ~
<br />as identification and who did~~~
<br />ta~ath, ~
<br />CUi:rJLLJ .1Ji A!r
<br />(Signat e)
<br />A./\ fly ..J-j1(A. AA fA ~l I
<br />(Name Typed, Printed or7Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATK 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 />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~~"~#"'''
<br />~ ~ ~.M~
<br />*W* My Comminlon 00584808
<br />'" ... expires Sep. 15. 2000
<br />~J' ~~
<br />e Or rcO:-
<br />
<br />-
<br />
<br />.-....
<br />
<br />-
<br />
<br />l :o>~ .-'Jr.
<br />
|