|
<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 aSSU8es 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 .ay 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 la, be
<br />cited for a .isdeleanor 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 Zephyrbills Building Departlent, (813)
<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 OlDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wiabes lou to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting priVileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />, ~.
<br />,
<br />
<br />D. CONSTRUC'I'ION LIEN L'AW (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 _ HoIeoKner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUl8r Affairs. If the applicant is sOlBODe other than the
<br />"owner", I certify that I have obtained a copy of the above described docU8ent and prOlise in good faith to deliver~jt tiJ. 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, laning, and land developlent.
<br />j' ,
<br />
<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no vorl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforaed to Jeet standards of all IllS
<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 otber goverDlental agencies laY apply to the intended worl, 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 />· Departlent at EnviroDJeDtal Regulation - Cypress Blyheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />· Southwest Florida Water Managelant District - Wells, Cypress B~yheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalis, Docks, Navigable Waterways
<br />· Departlent of Health' Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater freatlent, Septic rants
<br />· US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "An 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 sball 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 sball 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. Every perllt Issued &ball becoIe Invalid
<br />unless the work autboriled by such perlit is cOllenced within sil IOnths of issuance, or if work autboriled bl the perJlt is
<br />suspended or abandoned for a period of sil IOnths after the tile the wort is coaenced. One 90 dal Bltension of tile, lal be
<br />allowed for the perlit with fee cbarge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each sil IOOth period, or the project will be considered abandoned.
<br />WARRING TO OWHIlR: YOUR FAILURE TO RIlCORD A NOrICE OF COKKIlNCEHEN'l HAY RBSULT IN YOUR PAYING RICE FOR IHPROVIIIDr8 TO YOUR
<br />PROPERTY. IP' YOU IN'lEND TO OBTAIN FINANCING, CONSULT IIITH YOUR LIlNDIlR OR AN AnORRIY BEFORB RECORDING YOUR HO'lICE OF
<br />COHHENCRHENT. JOBS UNDER $2,500 IN VALUE DO NOT NIlED TO RECORD AND POST A "NOrICIl OF COt!HEHCBllEN'l"..
<br />
<br />, I
<br />
<br />SIGNATURIl: ONNER OR AGENT
<br />
<br />SIGNATURIl: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COON'll OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknOWledged
<br />, 19_ by
<br />
<br />STATE 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 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 />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
|