|
<br />CONDITIONS OF PERMIT AFFIDAVIT .
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned under~tandsthat this perlit lay be subject to "deed restrictions" which .ay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOn 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 aay be
<br />cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Further.ore, 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 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 Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />I ~.
<br />,
<br />
<br />D. CONSTRUC'!'ION LIEN L1\W (CHAPTER 713, FLORIDA STA'fUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florjda's Construction Lien Law _ HoIeowner'. Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sOleone other than the
<br />.owner", I certify that I have obtained a copy of the above described doculent and pro.ise in good faith to deliver it to the
<br />"owner" prior to couencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in tbis application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />I
<br />
<br />Application is hereby .ade to obtain a per.it to do work and instailation as indicated. I certify that no wor1 or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perf OIled to leet standards of all lawa
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveCDIental agencies .ay apply to the intended wort, and that it is
<br />,y responsibility to identify what actions I .ust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />· Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Nater/Wastewater Treatlent
<br />· Southwest Florida Nater Hanagelent District - NeIls, Cypress Bayheads, Netland Areas, Altering Natercourses
<br />· Ar.y Corps of Engineers - Seawalls, Docks, Navigable Naterways
<br />· Departlent of Healtb i Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic ran~s
<br />· US EnvirODlental Protection Agency - Asbestos abatelent
<br />I alBo certify that, if fill .ateriaI is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan
<br />addressing a .co.pensating volUle" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida pr~or to per.it. issuance.
<br />
<br />. A per.it 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~lIce of a per.it prevent tbe Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball beCOle invalid
<br />unless the work authorized by such per.it is cOllenced witbin six IOnths of issuance, or if wor1 authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after tbe ti.e tbe work is cOllenced. One 90 day 81tension of tile, lal be
<br />allowed for the per.it with fee charge of '15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each six IOnth period, or tbe project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR PAYING rwICB POR IHPROVEKBMlS TO YOUR
<br />PROPERTY. IF YOII INTJlND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDJlR OR AN ATTORNEY BJlPORI RECORDING YOUR Harle! OF
<br />COHHRNCEHENT. JOBS UNDRR '2,500 IN VALUJl DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHENCKKRNT".
<br />
<br />~J.. #- \..'~ /).) .
<br />---Lt~ ~
<br />SIGNATURE: CONTRACTOR ~ "
<br />
<br />~~~.
<br />SIGNATURE: ONNER OR AGINT
<br />
<br />. I
<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 />STATI OF FLORIDA
<br />COUNTY OF
<br />'I'he 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 has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
|