|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" whicb lay be lOre restrictive than City
<br />regulations. Tbe undersigned as sOles responsibility for cOlpliance 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 _ith
<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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to _bat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtberlore, if the ONner bas hired a contractor or contractors, he 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 tbe contractor wisbes 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 l{
<br />
<br />D. CONSTRUC'fION LIEN L'I\W (CHAPTER 713, FLORIDA STATUTES1 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 Deparllent of Agriculture and ConsUler Affairs. If the applicant is SOIeDne other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"owner" prior to COllenCelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance _ith all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />I
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no worl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforaed to lIet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify tbat I understand that the regulations of otber goveIDIental agencies aay apply to the intended _ark, 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, Vetland Areas and BnviroDlentally Sensitive Lands,
<br />Vater/Vastewater Treallent
<br />· Southwest Florida Vater Hanagelent District - VeIls, Cypress Bayheads, Vetland Areas, Altering Vatercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Departlent of Health' Rehabilitative Services, BnviroDlental Healtb Unit - VeIls, Vastewater Treatlent, Septic Tanks
<br />· US EnviroDJental Protection Agency - Asbestos abateaent
<br />I also certify that, if fIll laterIaI is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan
<br />addressing a .colpensating volUle" will be sublitted whicb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
<br />
<br />. A perlit issued shall 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 shall is~u~nce of a perlit prevent the Building Official lrOl thereafter
<br />requiring a correction of er[o[s in plans, construction, or violations of any code. Bvery perlit issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOllenced _ithin sil IOnths of issuance, or if work authoriled by the peIlit is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is cOll8nced. One 90 day eJtension of tile, IiY be
<br />allowed for the perlit with fee charge 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 />VARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCHMBNT MAY RESULT IN YOUR PAYING !VICK FOR IMPROVBHBI!S TO YOUR
<br />PROPERTY. IF YOU INTBND TO OBTAIN FINANCING, CONSULT VITH YOUR LENDER OR AN ATTORlEY BEFORE RlCORDING YOUR IIO'l'ICK OF
<br />ClIIIIIIlCIIlm. JOIIS IlIOlIIl 12,500 11 VILUI 00 ROf RIID ro P.FJ:'.fN.~Icr. OF ~.
<br />
<br />
<br />. Lil .~) ~~
<br />SI~IR OR !GIRT (~/ S RRTUIlJl: COIrlRiffiil--
<br />
<br />STATE OF FLOR~
<br />COUNTY OF ~
<br />The foregoing instrument
<br />before me this ~ - ~
<br />
<br />was acknowledged
<br />, 19.1:2 by
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF ~
<br />The foregoing instrument was acknowledged
<br />before me this 6 - b , 19...2:!z.. by
<br />
<br />
<br />-~,
<br />who is personall own to me or who has
<br />produce
<br />as identification and who did/did not
<br />take ~n ~~th.' .... . 111 (J
<br />'::::::Lt- . a If~~
<br />(Signature~ Y\ L-'V A i1 oDd
<br />
<br />(Name Typed, Printed oJ!" Stamped) 'I
<br />NOTARY PUBLIC
<br />
<br />
<br />who i personal own to me or who bas
<br />produce
<br />as identification and who did/did not
<br />take an oat~ . . C(!J1 tH:7 /;~ ,
<br />
<br />(Signature) . .4:::a A )1 Q ~ j)
<br />
<br />(Name Typed, Printed ~ Stamped) /
<br />NOTARY PUBLIC
<br />
<br />\,,,m.,, NanCY A. MoodY
<br />i~;Uirl"~-'" MY CQMt.tSS1ON' CC534800 EXP IRE. S
<br />;"! ::E ""'-..... 21. 2000
<br />'OX . . .......-. INSllRAIlCE 'N'
<br />"'<t~'''\l..~' BOMOEDlIIIUTROVFAIII ., "
<br />,Rf.",""
<br />
<br />....~~ll;f"" Nancy A. Moody
<br />l.?:"ib,l'iff-... W COMMISSION * CC534806 EXPIRf:
<br />=:~(.~.~1 February 21. 2000 ".
<br />"i" ...~' BONDED THRU TROY fAIN INSURANC". ,N~
<br />I",l'ftl~\
<br />
<br />-
<br />
|