|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. 'NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pemit lay be subject to Ideed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable ~eed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake wort, 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 lisd_anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJIents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />Furtbel'lOre, if the owner has hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wbich they will be responsible. If you, as the mmer 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 be is not properly licensed and is not entitled to peIlitting privileges in the
<br />City of Zepbyrbills.
<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, bave been provided with a copy of IFlorida's Construction Lien Law - HOIeOImer's Protection
<br />Guidel prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I bave obtained a copy of the above described dOCUll!llt and prOlise in good faith to deliver it to the
<br />"owner" prior to cOllenceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developient.
<br />
<br />Application is bereby lade to obtain a pemit to do work and installation as indicated. I certify that no wort or
<br />installation has c~ced prior to issuance of a pemit and that all wort will be perforted to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govl!I'lllental agencies laY apply to the intended wort, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not Iilited to:
<br />· Deparuent of Envirol1lll!J\tal Regulation - Cypress Bayheads, Wetland Areas and EnviroI1lelJtally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />· Southwest Florida Water Manageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />· Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Departlent of Health & Rehabilitative Services, EnvirOJllental Health Unit - Wells, Wastewater Treatlent, Septic Tants
<br />· US EnvirOJllental Protection Agency - Asbestos abateaent -
<br />I also certify that, if fill laterial is to be used in Flood ZOne IAI or IA,etc.", it is understood that a drainage plan
<br />addressing a .cOlpensating volUleu will be subtitted wbich 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 sball issuance of a pemit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall beCOle invalid
<br />unless the IOrt authoriled by such perlit is COIIenced within sil IOnths of issuance, or if worl authoriled by the pemit is
<br />suspended or abandoned for a period of sillOntbs after the tile the work is co.enced. One 90 day I!Itension of tile, llay be
<br />allowed for the pemit with fee charge of $15.00. Tbe I!Itension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each Sil IODth period, or the project will be considered abandoned.
<br />WARRING TO OWNER: YOUR FAILURE TO RECORD A NorICE OF CCllMDCEIIII! MAY RESULT IN YOUR PAYING rwICE FOR IMPROVEIIBIft'S TO YOUR
<br />PROPERlY. IF YOU IJiTDD TO OBtAIN FIIWlCING, CONSULT WIm YOUR LODER OR AN IftORDY BlFORE RICORI)IMG YOUR DICE OF
<br />ClMICEIIBI!. JOIIS IIIIDIR 12,500 II YIWIl 00 lOr /11II) YO IIICOIID lID 1'llS! A 'JOI Of ~"
<br />
<br />
<br />Slw~~~t SIW_: ro'M R -
<br />
<br />
<br />
<br />STATE OF FLORIDA STATE OF FLORIDA
<br />coum OF coum OF
<br />The foregOing instrument was acknowledged The foregoing instrument was cknowledged
<br />before me this ., 19____ by before me this , 19_____ by
<br />
<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 />
|