|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The und~rsigned understa~ds 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 CON'l'RACl'on 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licenSing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />188-6611.
<br />
<br />FurtherlOre, if the owner bas bired 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 owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If tbe contractor wishes IOU to sign
<br />as contractor that lay be an indication tbat he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND U'!'ILITY CONNECTION FEES " "
<br />
<br />D. CONSTRUC'I'ION LIEN L1\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify tbat I, the applicant, bave 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 the applicant is SOIeDne other than the
<br />"owner", I certify tbat 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 AFFIDAVI'I'
<br />I certify tbat all tbe inforlation in tbis application is accurate and tbat all work will be done in cOlpliance witb all
<br />applicable laws regulating construction, laning, 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 wort or
<br />installation bas cOllenced prior to issuance of a perlit and that all work will be perf OIled to Jeet standards of all laws
<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 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 liJited to:
<br />· Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Nater/Wastewater Treatlent
<br />· Soutbwest Florida Water HanageJent District - NeIls, Cypress Bayheads, Netland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways
<br />· DepartJent of Health & Rehabilitative Services, EnvirODlental Healtb Unit - Wells, Wastewater Treatlent, Septic Tants
<br />· US EnviroDlental Protection Agency - Asbestos abat8lent
<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 "colpensating 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 tecbnical' codes, nor shall is~u~ce of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Sverl pt[Iit iBlued &ball becoIe invalid
<br />unless the work authorized by sucb perlit is cOllenced within sil IOnths of issuance, or if wort authorized by tbe perlit is
<br />suspended or abandoned for a period of sil IOnths after tbe tile the work is cOllenced. One 90 day ezt808ion of tile, lIy be
<br />allowed for the perlit with fee charge of $15.00. The eltension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six IOntb period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A HOTICE OF COHHENCEHEHT HAY RESULT IN YOUR PAYING RICK FOR IHPROVIIIDTS TO YOUR
<br />PROPERTY. IP 'YOU IH1'END TO OBTAIH FIKANCING, CONSULT WITH YOUR LEHDER OR AN AnORNEY BEFORE RIlCORDIKG YOUR IOllCE OF
<br />COHHEKCEHEHT. JOBS UNDER $2,500 IN VALUE DO NOT NEilD TO RECORD AND POST A "HOTICIl OP COHMEHCBIIEH1'". .
<br />
<br />~44f
<br />SIGNATURE: ONMIlR OR AGIlNT
<br />
<br />~~~?P
<br />SIGNATURE: CONTRACTOR
<br />
<br />: I
<br />
<br />"
<br />
<br />STATE OF FLORIDA
<br />COUH1'Y OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATK 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 />
|