|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this peIlit lay be subject to 'deed restrictions' wbieb lilY be lOre restrictive than City
<br />regulations. !be undersigned assUles responsibility for COIpliance 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 JaY 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 MY be
<br />cited for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherJOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />'Contractor SectiODSI of. this application for whieb 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 wishes you to sign
<br />as contractor that JaY be an indication that be is not properly licensed and is not entitled to peaitting privileges in the'
<br />City of Zepbyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />,
<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 'Plorida's Construction Lien Law - BcIIeoImer's Protection
<br />Guidel prepared by the Florida DepartJent of Agriculture and ConsUleI' Affairs. If the applicant is sDleone other than the
<br />lownerl, I certify that I have obtained a copy of the above described docUlent and prDlise in good faith to deliver it to the
<br />lownerl prior to cOlleDceJent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in COIpliance with all
<br />applicable laws regulating construction, Joning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit ~o do work and installation as indicated. I certify tbat DO vork or
<br />inetallation has CDlenced prior to issuance of a pertit and that allworlwill be perfomed to leet atanc1arc1s 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 JaY 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 lilited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Vetland Areas and EnviroDlentally Sensitive Lands,
<br />Vater/Vastewater !reatJent
<br />J Southwest Florida Vater HanageJent District - VeIls, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />J Arl' Corps of Inqineers - Seawalls, Docks, Havigable Vaterways .
<br />tDepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - WellS, Vastewater !reatJent, Septic !anks
<br />J US EnvirODlental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill laterial is to be used in Flood Zone 'AI or IA,etc.l, it is understood that a drainage plan
<br />addressing a ICOlpensating volUle' will be subJitted wbieb 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 with the work and not as authority to violate, cancel alter, or
<br />. set aside any provisions of the technical codes, nor sball issuance of a peIlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans"construction, or violations of any code. Every petlit issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOllenced within six IOntbs of issuance, or if work authoriled by the petlit is
<br />suspended or abandoned for a periOd of sillOntbs after the tile the work is cOllenced. One 90 day utension of tile, Ja, be
<br />allowed for the peait with fee charge of $15.00. The utension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sl1lOnth period, or the project will be considered abandoned.
<br />VARHIHG TO OIIHER: YOUR FAILURE TO RECORD A HOTICE OF COHKEHCEHEIfJ' HAY RESUL! IK YOUR PAYIHG !VICE FOR IHPROVEllmS !O YOUR
<br />PROPERTY. IF YOU IIfJ'BKD !O OBIllK FlHAKCIKG, COKSULI IUrH YOUR LBKDER OR AH ArrORHEY BEFORE RECORDIKG YOUR HOIlCE OF
<br />COflMHHCEHm. JOBS UKDER $2,500 IH VALU HOT KEED fa RECORD AlfD pas! A 'KOTICE OF COHKHKCEHm'.
<br />
<br />
<br />(U9rl'f/
<br />~!URE: COIfJ'JIACTOR
<br />
<br />
<br />STArE OF FLORlgA
<br />COI!M OF flJ:::u.. cJ1ofl.ovc.-J...I
<br />The foregoing instrument was acknowledged
<br />before me this27,101V-f. , 19~ by
<br />
<br />
<br />w~~~r~~a~;/~~ to me or who has
<br />produced ~
<br />as identification and who didldid not
<br />takeA o~th., 4 _1 -
<br />~a fYJLJU -
<br />(Signature) A
<br />~A \il:1J j/ -ONlrA
<br />( ame Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~,
<br />
<br />SlAtE OF FLOR~
<br />coum OF o~ri
<br />The foregoing instrument was acknowledged
<br />before me this 27 ,,1iJNt- ,19.11- by .
<br />
<br />S~ ,tj. ttL~
<br />~ho is personally wn to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />~ oath. ~
<br />~ 12
<br />(S~ture) ~ .
<br />I -A...J:r:. 7') ^ lOA.
<br />(Name ~ed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />'l'
<br />
<br />DAVID RONDA
<br />lIT""',,~
<br />--=:.:-=r.-
<br />
<br />~
<br />
<br />-,
<br />
|