|
<br />CONDITIONS OF PERM!'!' AFFIDAVIT
<br />l~O'l~LCE_ U ", DEED RES1'RI CT IONS
<br />I!,,'~,dersigned undi:::tands that this peuit lay be subject to "deed restrictions" which lay be lore ( l ictive than City
<br />leyui3Llons. The Ul!lwrsigned assllles responsibility for cOlpliance with any applicable deed restricti
<br />
<br />v. uNLICENe~D CONTRACTORS AND CONTRACTOR RESllONSIBILITIES
<br />1 [ tile owner has hir-ed a contractor or contractors to undertake work, they lay be' required to be llcenE. ! in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner .and ::tractor may be
<br />.. ~;.leJ for a lIisdeJleddJr violation under state law. If the owner-or intended contractor are uncertain, . .U what licensing
<br />'d;~uirellents lay ap!, for the intended work, they are advised to contact the City of Zephyrhills Buill ,j Ueparl1lellt, (813)
<br />
<br />j 1.
<br />
<br />N.
<br />
<br />i'ullflemore,' if the uwner has hired a contractor or contractors, he is advised to have the contractor( 0
<br />n~J;I'. [Jctor Sections Jf this application for which they will be responsible. If you, as the owner sj~
<br />... " ., . ~ , ..' . ~
<br />" indicating l: . you, rather than the contractor, are responsible for the work. If the conttacL
<br />':'.13ctor that.. lie an indication that he is not properly licensed and is not entitled to penit!
<br />. i,eph,lIJi li ,:
<br />
<br />;ign portions of th
<br />Js.the contractor,
<br />-: liishes you to sign
<br />privileges in the
<br />
<br />"J{ANSPOh';'.~TION IMPACT FEES AND UTILITY CONNEC1'ION FEES
<br />
<br />JNSTHUC, l.ON LIEN LAW (CHAPTER 713, FLORIDA S'l'A'I'U'l'ES, A.'
<br />;, th~l~'T~'ljJ~' ~pp1Tcant, have been provided with a copy of "Florida I s Construction Lien Law - H,
<br />: ~pa! ed OJ LI~: norida Departllent of Agriculture and Consu.er Affairs. If the applicant is SOIl<
<br />. celli! i U.c. 1 have obtained a copy of the above described docUlent and prolise in good fai tL
<br />~rior to COWl~!Cellent.
<br />
<br />l\MENDED )
<br />"."'mer i s Protectioi
<br />Jtlle, ~niln the
<br />o deliver it to till
<br />
<br />" c, , ; l: ~
<br />
<br />c:. ~ONTRAC'J'9H 'S/OWNER'S AFFIDAVI'r
<br />'L,n.ity that all the infofllation in this application is accurate and that all work will be done in co~ .wce with all
<br />JlJ!iLcaiJle laws regula Ling construction, zoning, and land developlent.
<br />
<br />rlppl ication is hereby .,ade to obtain a perllit to do work and installation as indicated. I certify thal,iJ!1\ \Jl
<br />installalion has cou~:.ced prior to issuance of a perlit and that all work will be perforaed to Jleet st". lrds uf all laws
<br />"~Idulating constructi';I, City codes, zoning regulations, and land developllent regulations in th.e jurisdicdon. 1 also
<br />el Li 1y tllat I understand that the regulations of other goveIMental agencies lay apply to the intended t.ork, and that it is
<br />..y responsibility to identify what actions I lUSt take to be in cOlpliance. Such agencies include but a: not lillited to:
<br />,)epilnJl~nt of !!.~vi~ui::'ental Regulation - Cypress Bayheads, Wetland Areas and Envirolllentally SensitiVe :nds,
<br />Water/Wastewater Treatllent
<br />,,,,~;)t Flllria" rl. .tHanage.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watereo, ;r!s
<br />'.l:~i2E._~f.l.~~jL,; S - Seawalls, Docks, Navigable Waterways
<br />.,:2. LiIl,ef!.L.9LJ~~g;, , Hebabilitative Services, Envirolllental Health Unit - Wells, Wastewater Treatlll",eptic 'ranks
<br />. ,... HQllII~I0-~~~Yh. cC.!lQ.!l.~ - Asbestos abatellent
<br />,,' .~itify that, fill llaterial is to be used in Flood Zone "A" or "A,etc.", it is understood thal Jrainage plan
<br />..c"~'''j a "coapensu .IJY volUlle" will be subllitted which is prepared by a professional engineer registl 'J in the State of
<br />ior Lo per~j' issuance.
<br />
<br />" ,,",. issued shall .' construed to be a license to proceed with the work and not as authority to violac
<br />,;~L u,,"lJe any provisions of the technical codes, nor shall is~uance of a perlit prevent the Building Offi
<br />:ecJuiriiltJ a correction of errors in plans, construction, or violations of any code. Every perJit issued
<br />JlJll'S" LlIe work authorited by such perlit is couenced within six lIonths of issuance, or if work authoriz
<br />SUspelllJeu or abandoned ior a period of six IOnths after the tile the work is couenced. One 90 day exteL
<br />aJlo_eo tor the perwit "ith fee charge of $15.00. The extension shall be requested in writing to the Bui
<br />approved inspection IIW;' be logged during each six lonth period, or the project will be considered abandl!.
<br />IiAHi:ING TO OWNER: YOUh FAILURE TO RECORD A NOTICE OF COHKENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR 11-1,
<br />~jiUPEHTY. IF YOU INTEND 'fo OBTAIN FINANCING, ,CONSULT WItH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YU,
<br />CUHHENCEHEHT. JOBS. UH!:EH $4,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHKENCEMENT".
<br />
<br />" cancel alter, or
<br />Jl frol thereafter
<br />;all becolle invalid
<br />by the permit is
<br />.JIl of tile, Jlay be
<br />I1g Official. An
<br />
<br />iVEHEN'J'S TO YOUR
<br />,WTICE OF
<br />
<br />--....
<br />'. ;;J,tTUIiE: OWNER OH '~HT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />:, i n .)r- !'LUHIDI1
<br />
<br />"". "dloiny llL ,rwnent ~C}s ac~owledged
<br />,lie this ,~-,--_, 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />--~-
<br />The foregoing instrument was a, .Jlowledged
<br />before me this , 19 by
<br />
<br />",.,- ,:: personal 1 : known to me or who has
<br />
<br />known to me ,
<br />
<br />'-.
<br />,JlJo /100;
<br />
<br />as .Jelltificatioll and who did/did not
<br />L:.IKe :.Iii oath.
<br />
<br />who is personally
<br />produced
<br />as identification
<br />take an oath.
<br />
<br />and who did/l..J not
<br />
<br />l)L.'.......\.,lUL:l.\,j _____
<br />
<br />, :] ~ ,jolG Lure)
<br />
<br />(Signature)
<br />
<br />(Name 'l'yped, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped
<br />NOTARY PUBLIC
<br />
|