|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOU RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to/undertale worl, 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for the intended worl, tbey are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtberlore, if the owner has hired a contractor or contractors, be 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 OlDer 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 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. CONSTRUCTION LIEN L~W (ClffiPTER 713, FLORIDA STATUTES~ AS AMENDED)
<br />I certify that 1, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeOMDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsWler Affairs. If the applicant i8 sOl8ORe 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 with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />I
<br />
<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or
<br />installation has cOlleDced prior to issuance of a perlit and that all work will be perfoIJed to leet standards of all 1118
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govefDIental agencies laY apply to tbe intended IOrk, and that it is
<br />IY responsibility to identify what actions I lust tale to be in cOlpliance. Such agencies include but are not 11lited to:
<br />· Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />· Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />· Departlent of Health' Rehabilitative Services, BnviroDleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />· US EnviroDleDtal Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood ZOne "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "cOlpeDsating volUle" will be sublitted which 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 tbe 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 frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery peIlit Issued shall becoIe Invalid
<br />unless the work authorized by such perlit is cOllenced within sil IOnths of issuance, or if work'autboriled by the petlit Is
<br />suspended or abandoned for a period of sil IOnths after the tile the work is cOllenced. One 90 day eltension of tile, I8Y 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 sil IOntb period, or the project will be considered abandoned.
<br />WARNIHG TO OWHER: YOUR FAILURE TO RECORD A NOTICE OF COMMBNCIHKHT MAY RESULT IH YOUR PAYIHG !WlCE FOR IHPROVIMBITS TO YOUR
<br />PROPERTY. IF YOU IHTEHD TO OBTAIN FINAHCING, CONSULT WITH YOUR LEHDER OR AN ATTORREY BEFORE RECORDIHG YOUR MOriCI OF
<br />COKHEHCKHENT. JOBS UNDER $2,500 IH VALUE DO HOT NEED TO RBCORD ABD POST A "HOTICE OF COKKKHCKHIHT".
<br />
<br />, I'
<br />
<br />SIGHATURK: OWNER OR AGENT
<br />
<br />SIGHATURB: COHTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COURTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUHTY 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 />
|