|
<br />.~ . CONDITIONS OF PERMIT AFFIDAVIT
<br />.. A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peIlit lay be subject to 'deed restrictions" which lay be lOre restrictive th~ City
<br />regulations. fhe 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 wbat licensing
<br />requiretents lay apply for the intended work, they are advised to contact the City of Zephyrbills 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 which 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 peIlitting 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 _ HDleOlDer's Protection
<br />Guide" pfepared by the Florida DepartJent of Agriculture 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 couenCetent.
<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 perf oIled to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental 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 />~ DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />~ Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departtent of Health & Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treatlent, Septic ranks
<br />* US EnviroDlental Protection Agency - Asbestos abatetent
<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 subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A per.it 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 peIJit issued shall becOIe invalid
<br />unless the work authorized by such perlit is couenced within six IOnths of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is cOlleDced. One 90 day extension of tile, lay be
<br />allowed for the peIlit 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 IHPROVEHENfS TO YOUR
<br />PROPERTY. IF YOU IH'l'END TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ArrORREY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHENCEHEH'l'".
<br />
<br />
<br />~ ~~.....~
<br />
<br />. 8IGIIAtURE: OIIIIER SIGII;;; c~-
<br />
<br />----....".,
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF ,- ~
<br />The foregoing instrpment was acknowledged
<br />before me this I LLL c..{ , 19 74> by
<br />
<br />&V('V\. ~M.~
<br />who is personally known to me or W~g ~aH
<br />pr.oQyeed.
<br />as identification and who 811Ydid not
<br />take an oath.
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF ~
<br />The foregoing instrument was aCknowledged
<br />before me this II J J '-I , 19 ~ by
<br />
<br />r(<e- U I' V\. f./t'~ ~
<br />who is personally MOwn to me or w~o h~R
<br />pr..educed
<br />as identification and who tliYdid not
<br />take an o~tb.
<br />
<br />(Si
<br />
<br />
<br />(Signa
<br />
<br />
<br />(Nam~ Typed, Printe or Stamped)
<br />NOTARY PUBLIC ~~~
<br />~ ~ BOBBIE J BURKE
<br />* ~ * My Com......ion CC543871
<br />~ ~. ~ Expires Mar. 31, 2000
<br />..,~ -$
<br />t OF fl.\)~
<br />
<br />(Name Typed, Printed
<br />NOTARY PUBLIC , p
<br />:\.... 118(
<br />..... fi ~
<br />
<br />~.:
<br />
<br />"I'~ OF fl.\)~
<br />
<br />BOBBIE J BURKE
<br />My Commission CC543811
<br />Expires Mar. 31, 2000
<br />
|