|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />rhe undersigned understands that this perJit lay be subject to Ddeed restrictions" which lay be lOre restrictive than City
<br />regulations. rhe undersigned assUles responsibility for cOlpliance with. any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertate work, they lay be required to he 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 />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departtent, (013)
<br />788-6611.
<br />
<br />FurthellOre, if the owner bas hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />DContractor 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 wort. If the contractor wishes 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 Zepbyrbills.
<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 />GuideR prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone otber 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 />vownerv prior to COIIBnCBlent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all wort 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 wort and instailation as indicated. I certify that DO work or
<br />installation has cOIIenced prior to issuance of a perJit and that all work will be perfOrted to .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in t4e jurisdiction. I also
<br />certify that I ~derstand that the regulations of other goveIIllental agencies lay apply to the intended wort, and that it is
<br />IY responSibility to identify what actions I lust take to be in colpliance. Sucb agencies include but are not litited to:
<br />t Departlent of Environlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Nater/Vastewater Treattent
<br />* Southwest Florida Water HanagBlent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable. Waterways
<br />* Deparllent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - NeIls, Wastewater Treattent, Septic Tanks
<br />* US EnviroDlental Protection Agency - Asbestos abatBlent
<br />I also certify that, . if fill lateriaI is to be used in Flood ZOde VA. or IIA,etc.., it is understood that a drainage plan
<br />addressing a .cOlpensating volUlev will be sublitted wbicb 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 witb tbe wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~uance 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 shall becOle invalid
<br />unless the wort authorized by such perJit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntha after the tile the work is coaenced. One 90 day eItension of tile, IiY be
<br />allowed for the pertit with fee charge of '15.00. Tbe extension sball 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 />NARlHHG 1'0 OIliER: YOUR FAILURE 1'0 RECORD A HOTICE OF COHHEHCEHEH'I' MAY RESULT IN YOUR PAYING TWICE FOR IHPHOVEHEIt'S TO YOUR
<br />PROPERrY. IF YOU IJf1'EIID 1'0 OBTAIH FIHANCIHG, COHSULT WITH YOUR LEIDER OR AN A!TOHHBY BEFORE RECORDING YOUR NOTICE OF
<br />COHHENCBHEHT. JOBS UNDER $2,500 IN VALUE 00 HOT NEED TO RECORD AND POST A vHOTICE OF COHHEHCEHBNTIf.
<br />
<br />SIGHATURE: OIiHER OR AGEH'I'
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />srATE OF FLORIDA
<br />COUHrY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STArE 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 />
|