|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersi~ed understands that this perlit lay be subject to Bdeed restrictionsB wbieb laY be lOre restrictive than City
<br />regulations. !he undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If tbe contractor is not licensed as rl!CJUired by Jaw, botb the owner"' and: contractor laY be
<br />ci ted for a lisdl!leanor violation under state law. 1f the Olmer or Intended contractor are uncertain as to wbat licensing
<br />requirl!lents laY apply for the intended work, they are advised to contact the tity of Zepbyrbills Building Departlent, (813)
<br />788-6611. .
<br />
<br />FurtherlOre, if tbe owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />DContractor SectionsB of this application for wbicb 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 wisbes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zepbyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN ~AW (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 - HOJII!OIfJler's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOIeOne other than the
<br />.owner", I certify that I bave obtained a copy of the above described docUlent and prtmise in good faith to deliver it to the
<br />BownerB prior to cOllenCetent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT . .
<br />I certify that all the inforlation in this application is accurate ahd 'that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land deve,loplent. . . .
<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 perforJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agencies laY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in colpliance. Sueb agencies include but are not lillited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Bayheads, Vetland Areas and EnviroDleDtally Sensitive Lands,
<br />Vater/Wastewater Treatlent
<br />t Southwest Florida Vater Hanagl!lent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rebabilitative Services, EnvirODlental Health Unit - VeIls, Vastewater !reatlent, Septic Yanks
<br />t US EnvirODleDtal Protection Agency - Asbestos abatetent
<br />I also certify that, if fill laterial is to be used in Flood Zone BAD or BA,etc.", it is understood that a drainage plan
<br />addressing a ucOlpeDSating voluae" will be subllitted wbicb 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 witb tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~uance of a perlit prevent the Building Official frtm thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball beCOle invalid
<br />unless the work authorized by such perlit is COII8Dced 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 cOlleJlced. One 90 day extension of tille, lay be
<br />allowed for the perlit with fee cbarge of $l5.00.!be extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eacb six IOnth period, or the project will be considered abandoned.
<br />WARNIHG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMHENCEllBNT HAY RESUL! IN YOUR PAYING !WICE FOR IHPROVEIIBN'l'S !O YOUR
<br />PROPER'lY. IF YOU INTEND TO OB'l'AIM FIHbCIHG, COHSOL'I' III!H YOUR LENDER OR AM AftORNBY BBFORE RECORDIMG YOUR DICE OF
<br />COMHEHCBHBNr. ' JOBS OMDER $2,500 IN VALUE 00 HOT HEED '1'0 RECORD AJfD POS'I' A "NOTICE OF COMHBHCEllBNT".
<br />
<br />SIGNATURE: OIINER OR AGENT
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF 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 />
|