|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Yhe underSigned understands tbat this peIlit .ay be subject to "deed restrictions" whicb lay be lOre restrictive than City
<br />regulations. Yhe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas 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 is not licensed as required by law, both the owner and contractor IaJ be
<br />cited for a .isdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requiretents .ay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner has hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />DContractor Sections' of this application for whicb they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather tban tbe contractor, are responsible for tbe work. If the contractor wisbes you to sign 'r
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to pertitting privileges in the
<br />City of Zepbyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN iiAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of 'Florida's Construction Lien Law - HOIeOIDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone~ 6lber than the
<br />Rowner", I certify that I bave obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
<br />"owner" prior to cOllenCetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all the inforlation in tbis application is accurate and tbat all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is bereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation bas cOlJenced prior to issuance of a peIlit and that all work will be perforted 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 goveIDJental agencies tay apply to the intended work, and that it is
<br />If responsibility to identify wbat actions I .ust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />* Departlent of EnviroOlental Regulation - Cypress Baybeads, Wetland Areas and EnviroOlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Soutbwest Florida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Knqineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, Bnvirontental Health Unit - Wells, Wastewater Yreatlent, Septic Tanks
<br />* US BnviroDleDtal Protection Agency - Asbestos abatetent
<br />I also certify that, if fill .aterial is to be used in Flood ZOne "A" or "A, etc. ", it is understood that a drainage plan
<br />addressing a uCOlpensating volUle" will be subJitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it. issuance.
<br />
<br />. A pertit 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 per.it prevent the Building Official fIQI thereafter
<br />requiring a correction of errors in plans, construction, or VIolations of any code. Every peIlit issued shall becOJe invalid
<br />unless the work authorized by sucb perlit is cOllenced within six IOOthS of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is COIIeIIced. One 90 day extension of tile, lay be
<br />allowed for the peIlit with fee cbarge 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 />WARlHNG YO OWNER: YOUR FAILURE TO RECORD A NOfICE OF COMMBNCEIIEH'l MAY RESULT IN YOUR PAYING FOR IMPROVEIIEH'lS TO YOUR
<br />PROPERTY. IF YOU INTElfD TO OBY CING, COIISULT WITH YOUR LPDER OR All A . CORDIIIG YOUR IIOflCE OF
<br />COMMENCEMEN,'!''JBS UH?~.>D IN VALUE IIOT IIEED fO RECORD AIfD POST A ~J<<Jt CEIIEH'lu. j
<br />
<br />// /,/
<br />, ~ /' '
<br />
<br />
<br />F., FLORIDA
<br />CO F
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />
<br />SYATE FLORIDA
<br />COUNTY 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 />
|