Laserfiche WebLink
<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 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 requlations. If the contractor is not licensed as required by law, both the owner and contractor laY be <br />cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing <br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) <br />788-6611. <br /> <br />FurtherlOre, if the owner has hired a contractor or contractors, be 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 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 DepartJent of Agriculture and ConsUIeI Affairs. If the applicant is sOleOne other than the <br />"ownerll, I certify that I have obtained a copy of the above described docUlellt and pro.ise in good faith to deliver it to the <br />"ownerll prior to cOllencelent. <br /> <br />E. CONTRACTOR'SjOWNER'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 bas cOllenced prior to issuance of a perlit and that all work will be perfoIJed to leet standards of all laws <br />regulating construction, City codes, zoning regulations, and land developlent requlations in th~ jurisdiction. I also <br />certify that I understand that the regulations of other goverDJental 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 />· Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnvironJentally Sensitive Lands, <br />Water/Wastewater Treatlent <br />· Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways <br />· DepartJent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks <br />· US EnvirODJental Protection Agency - Asbestos abatelent <br />I also certify that, if fill laterial is to be used in Flood Zone IIA" or IIA,etc.", it is understood that a drainage plan <br />addressing a "co.pensating VOlUleIl will be subJiUed 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 tbe technical codes, nor sball is~uance 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 cOlIBnced within six IOnths of issuance, or if work authorized by the perlit is <br />suspended or abandoned for a period of six IOntbs after the tile the work is cOIIenced. One 90 day I!Itension of tile, laY be <br />allowed for the perlit with fee charge of $15.00. The extension sball 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 COMMENCHMEIft' MAY RESULT IN YOUR PAYING 'NICE FOR IMPROVEMENt'S TO YOUR <br />PROPERTY. IF YOU INTEHD TO OBTAIM FINANCING, CONSULT WITH YOUR LEHDER OR All AnORHEY BEFORE RECORDING YOUR MO'IICE OF <br />COMMENCEMENT. JOBS UHDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCKMElft'". <br /> <br />SIGJlATURE: OWNER OR AGE1ft' <br /> <br />SIGNATURE: CONTRACTOR <br /> <br />STATE OF FLORIDA <br />COUlft'Y OF <br />The foregoing instrument <br />before me this <br /> <br />was acknowledged <br />, 19_ by <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 />