|
<br />CONDITIONS OF ~ERMIT 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 alSUII5 responsibility fOT co.pliance Nith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ONner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance with
<br />state and local regulations. If the contractor i~notlicensed as required by laN, both the ONner and contractor lay be
<br />ci ted for a lisdeleanoT violation under state laM'. If the OMneT or intended contractor are uncertain as to Ilhat licensing
<br />requirelents lay apply for the intended work, tbe~ are advised to contact the City of 2ephyrhills Building Departle~t, (813)
<br />788-6611. ' "
<br />
<br />Furtherlore, if the OMner 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 Nhich they Mill 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 Nishes 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 />, 7
<br />
<br />D~ CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I tertify that I, the applicant, have been provided Nith a copy of 'Florida's Construction Lien LaN - HOleoNner's Protection
<br />G~\de' prepared by the Florida Departlent Df Agriculture and Consuler Affairs.' If the applicant is sOleone other than the
<br />'oNner', I certify that I have obtained a copy of the above described docu.ent and protise in good faith to deliver it to the
<br />'oMner' prior to CO.lencelent.
<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 Ian regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby lade tQ obtain a perlit to do work and installation as indicated. I certify that no Mork or
<br />installation has'collenced prior to issuance of a perlit and that all work Mill be perforled to leet standards of all laMS
<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 governlental agencies aay apply to the intended Mork, and that it is
<br />IY responsibility to identify Nhat actions I lUst take to be in coapliance. Such agencies include but are not lilited to:
<br />f Departlent of Environtental Requlation - Cypress Bayheads, Wetland Areas and Environ_entally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f SouthNest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, ,Altering Watercourses
<br />f ArlY CorDS of Enqineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Services. 'Environlental Health Unit - Wells, Wastewater Treat_ent, Septic Tanks
<br />f US Environlental Protection AGency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A' or 'A,ete.", it is understood that a drainage plan
<br />addressing a 'colpensating volule' Nill be sublit~ed which is prepared by a professional engineer registered in the State of
<br />FIDrida prior to perli t issuance. "
<br />
<br />A perlit issued shall be construed to be a license to proceed Nith the work and not,~s 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 per_it issued shall becole invalid
<br />unless the Nork authDrized by such per.it is cOllenced within six lonths of issuance, Dr if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cotlenced. One 90 day extension of tile, lay be
<br />alloNed for the perlit with fee charge of $15.00. The extension shall be requested ~n writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project Mill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO CE"EHT. JOBS UNDER $2,5 VA DO NOT NEED TO RECORD D POST A "NOTICE OF COHKENC T".
<br />
<br />
<br />
<br />was acknowledged
<br />, 19l1(.e, by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF . P A-.s c.D
<br />The foregc.ing instrument
<br />befclre me th i ~~ DcJ-' Lj
<br />
<br />STATE OF flORIDA ~
<br />COUNTY OF A :> GD
<br />The foregoing instrument
<br />before me this D(~\4
<br />
<br />was acknowledged
<br />, 19 ~ by
<br />
<br />Je<k> ~
<br />who is personally
<br />----F" uduced
<br />a~ ;~gRtificatio
<br />take an oath.
<br />
<br />~. PA1UL E:.e.
<br />known to me or wAf:> 1''''::0
<br />
<br />J~ w. p~
<br />who is personal'.v known to me or wn6 A3a
<br />pre E1l::1ced
<br />
<br />~:~d:~t:~~~~ti~~~t
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />NATALIE SWAN
<br />Notary Public, Stete ot FlorlcJe
<br />My Comm', Exp. Oct. 12, 1999
<br />Comm. No. CC 501333
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />NATALIE SWAN
<br />Notary Public, State of Florida
<br />My Comm. Exp. Oct. 12. 1999
<br />Comm. No. CC 501333
<br />
|