|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perJit 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 CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, 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 lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />188-6611.
<br />
<br />FurtberlOre, if tbe owner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of the
<br />"Contractor Sections" 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 tbe 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 LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - HOIeowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If tbe applicant is sOleone otber tban the
<br />"owner", I certify that I have obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the
<br />"owner" prior to couencl!leJlt.
<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, zoning, and land developlent.
<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 has 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 goveIDlental agencies lay apply to the intended work, 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 />* DepartJent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />* Southwest Florida Water Hanagl!leJlt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rebabilitative Services, EnvirODJeDtal Health Unit - NeIls, Nastewater TreatJent, Septic Tanks
<br />* US EnviroDlental Protection Agency - Asbestos abatetent
<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 uCOlpensating 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 the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued sball beCOle invalid
<br />unless tbe work authorized by such perlit is cOllenced 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 cOllenced. One 90 day extension of tile, laY be
<br />allowed for the perJit with fee charge of $15.00. Tbe 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 />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHEllCEMENT HAY RESULT IN YOUR PAYING "'ICE FOR IHPROVEHmS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AffORRBY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />n~&-- ~~~
<br />SIGJlATURE: OWNER OR AGENT
<br />
<br />C1~ ~~
<br />SIGJlATURE: CONTRACTOR
<br />
<br />STATE OF FLORJDA--.-."
<br />roUNTYOF ~~
<br />The foregoing instrument was aCknowledged
<br />before me this ~ -!l- , 19 LZ: by
<br />
<br />C5"dS-c:J.I3-.J.j- ~() ~ - 0
<br />who is pet&nallY known to me or who has
<br />produced ' Ju.~ ~~ A n
<br />as identi ~cation and who did/did not
<br />take a~. ,a)11 ~,4
<br />
<br />(Signature) 71 A A", I
<br />LLOl h '- v LJ /-j /TO d. V
<br />(Name Typed, Printedror Stamped) /
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF . ~
<br />The foregoing instrument was acknowledged
<br />before me this )7 ~ cf-- , 191..t- by
<br />
<br />who i~~own to me or who has
<br />produ d
<br />as identification and who did/did not
<br />
<br />take an oat:=1 - 1l1::!t
<br />(Signature) ~::r~~ If /10 Y
<br />
<br />(Name Typed, Printed of Stamped)
<br />NOTARY PUBLIC
<br />
<br />'"'''''' Nancy A. Moody
<br />,,~io."" .~~~
<br />~v;""..;:-
<br />~~/J:i.'l:,.\ t8'( COMMISSION' CC534806 EXPIRES
<br />l \~. j FebnJaJy 21.2000
<br />~~;U~~ BONDED 11tAU 11lOV FAIN INSURANCE,tHC
<br />Iffr..~Y
<br />
<br />,\\~~I't"I,
<br />"~~'\....~ AI...._, A Moo
<br />g..: ':.J MY co '-"'r. dy
<br />;..: : = MMlSSlON # CC534B06 EXPIR'-'
<br />'<~i-...... ~~ FebruaJy 21 2000 '
<br />"Rr..fII~ BONDED THRu TROY FA"; IIISURANC, .'.
<br />E, IN.
<br />
|