|
<br />~ CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it .ay be subject to "deed restrictions" which .ay be aure restrictive than City
<br />regulations. The undersigned ass08es responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRAC'l'OU 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 OWDer and contractor lay be
<br />cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (8Il)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wbich 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 .ay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of ZephyrhiIls.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~~
<br />
<br />D. CONSTRUC'fION LIEN LftW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HoIeoIner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Consuaer Affairs. If the applicant is S08eOne other than the
<br />"owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
<br />"owner" prior to co..enceaent.
<br />
<br />E. CONTRACTOR' SjOWNER I S AFFIDAVl'f
<br />I certify that all the infor.ation in tbis application is accurate and tbat all work will be done in cOlpliance witb all
<br />applicable laws regulating construction, zoning, 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 work or
<br />installation has cOllenced prior to issuance of a perlit and tbat all work will be perforaed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of otber govefDlental agencies lay apply to the intended wort, and that it is
<br />.y responSibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not lilited to:
<br />· DepartJent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />· Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering WatercourBeB
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Departaent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treataent, Septic lants
<br />t US EnviroDlental Protection Agency - Asbestos abateaent
<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 "coapensating volO8e" will be sublitted whicb 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 autbority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery petlit issued shall beCOll invalid
<br />unlesB the work authorized by such perlit is cOllenced within Bil IOnths of issuance, or if work authorized by the per.it is
<br />sUBpended or abandoned for a period of Bil IOntbs after the tile the work 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 requeBted in writing to tbe Building Official. An
<br />approved inBpection lust be logged during eacb sil IOnth period, or the project will be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMHKNCEHKNT MAY RESULT IN YOUR PAYING I1IICE FOR IHPROVIIIIIl'S TO YOUR
<br />PROPERTY. IF YOU IIfTKND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORB RBCORDING YOUR MoriCE OF
<br />COMHENCEHENT. JOBS UNDER $2,500 IN VALUE 00 NOr NEED TO RECORD AND POST A "NOYlCE OF COtlMENCBMElft'".
<br />
<br />, I
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUN'lY 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
<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 o~tb.
<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 />
|