|
<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 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the inlended work, lhey are advised to contact the City of Zephyrhills Building Departlent, (8J3)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has 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 worl. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entit~ed to perlitting priVileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~ ~
<br />
<br />D. CONSTRUC'l'ION LIEN L..nW (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 _ HOIIONDer's Protection
<br />Guide" prepared by the Florida Deparblent of Agriculture and ConsUll!r Affairs. If the applicant is SOleOlle 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 AFFIDAVl'l'
<br />I certify that all the inforlation in this application is accurate and that all worl 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 wort and instailation as indicated. I certify that no wort or
<br />installation bas cOllenced prior to issuance of a perlit and that all worl will be perf oIled to lIet standards of all lawa
<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 goverDlental agencies lay apply to the intended wort, and tbat 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 />t Deparllent of BnvirODlental Regulation - Cypress Bayheads, Vetland Areas and BnviroDlentally Sensitive Lands,
<br />Vater/Vastewater Treallent
<br />t Southwest Florida Vater Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Arl' Corps of Engineers - SeawallB, Docls, Navigable Waterways
<br />t De arllent of Health' Rehabilitative Services BnvirODlental Health Unit - Wells, Vastewater rreallent, Septic rants
<br />t US EnviroRleRtal 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 ~OIpensating 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 tbe technical codes, nor shall is~u~ce of a per.it prevent the Building Official frUl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Sver, petlit issued shall becoIe iDvalid
<br />unless the work authoriled by such per.it is co.anCed witbin sillOntbs of issuance, or if wort authorilec1 by the peDlit is
<br />suspended or abandoned for a period of sillOntbs after the tile the wort is cOllenced. One 90 day eatension of tile, la' be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. AD
<br />approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARMING TO OWNER: YOUR FA[LURB TO RBCORD A NOTICE OF COHHBlfCBHlNT HAY RESULT [N YOUR PAYING tvICE FOR IHPROVIIIBITS TO YOUR
<br />PROPERTY. IF"YOU INTEND TO OBTAIN FIIfAICING, CONSULT WITH YOUR LEIDER OR AN ATTORMIY BEFORI RlCORDIIfG YOUR JOIICE OF
<br />COHHENCBHBNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHBNCBHINT". '
<br />
<br />SIGNATURE: OWNBR OR AGENT
<br />
<br />" I
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATK OF FLORIDA
<br />COUlTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was aCknowledged
<br />, 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 bas
<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 />(N~e Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
|