|
<br />· :it~~; . CONDITIONS OF PERMIT AFFIDAVIT
<br />:;;'~A. NOTICE OF DEED RESTRICTIONS
<br />)f~lhe undersigned understands that this pertit lay be subject to IJdeed restrictionslJ which lay be 1I0re restrictive than City
<br />}~~~egulations. rhe undersigned assUles responsibility for,colpliance with any applicable deed restrictions.
<br />':i~;r:
<br />:CIB,. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />. the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />ate and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />" 'ted for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />, ':, 1:equireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />1~188-661l.
<br />";;;~~~;r
<br />.'4.l~'"
<br />,,~)urther.ore, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />.., . ntractor Sectionsu of this application for which they ,will be responsible. If you, as the owner sign as the contractor,
<br />,,' 'are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />~:. ~" contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting priVileges in the
<br />j'l "
<br />";;l~~ty of Zephyrhills. ,
<br />
<br />!~. TRANSPORTATION IMPACT FEES AND UT;LITY CONNECTION FEES
<br />.~~1{;'~
<br />)p;. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />..:,'~:/certify that I, the applicant, have been provided with a copy of uFlorida's Construction Lien Law _ HOIIeowner's Protection
<br />'iG,pide" p~epared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />~pllDerl/, I certify that I have obtained a copy of the above described docUJIent and prolise in good fai th to deliver it to the
<br />L~Pwner" prior to couencl!.lent.
<br />\i~': i I
<br />,:~,~ CONTRACTOR' S/OWNER I S AFFIDAVIT '
<br />:~lrcertify that all the inforlation in this application is accurate and that all work will be done in cOllpliance with all
<br />';,~pplicable laws regulating construction, zoning, and land developlent.
<br />:"..i~
<br />"~',
<br />
<br />'i(Pplication is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />:}lD8tallation has cOllenced prior to issuance of a perlit and that all work will be perforJed to Deet standards of all laws
<br />;~~~ating construction, City codes, zonin~ regulations, and land develoPD:nt regulations in th~ jurisdiction. I also
<br />jt~lfy that I understand that the regulatlons of other governaental agencles lay apply to the lntended work, and that it is
<br />~~;responsibility to identify what actions I lUSt take to be in cOlpliance. Such agencies include but are not liaited to:
<br />'(~Departlent of Environaental Regulation - Cypress Bayheads, Wetland Areas and EnvironJentally Sensitive Lands,
<br />:;t.l~;: Water/Wastewater 'freatJent
<br />;;~Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />i~l'my Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />;'~DepartJent of Health Ii Rehabilitative Services, Envirollilental Health Unit - Wells, Wastewater Treatment, Septic Tanks
<br />~lus Environaental Protection Agency - Asbestos abateJent
<br />I.iMso certify that, if fill laterial is to be used in Flood Zone "A" or IJA,etc.", it is understood that a drainage plan
<br />'~essing a uCOlpensating volUle" will be subJitted which is prepared by a professional engineer registered in the State of
<br />.F1.Qlida prior to perJit issuance.
<br />,;'-.i:g:?
<br />atpeIlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />' aet~aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter
<br />r~qtiiling a correction of errors in plans, construction, or violations of any code. 'Every perJit issued shall become invalid
<br />UdJess the work authorized by such per.it is cOlllenced within six lonths of issuance, or if work authorized by the per.it is
<br />8~pendedor abandoned for a period of six IOnths after the tile the work is cOlllenced. One 90 day extension of tile, ,ay be
<br />allowed for the perJit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />.Bp'pioved inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
<br />KG 1'0 OIiNBR: YOUR FAILURE TO RECORD A HOrICE OF COKKEHCEHBHT HAY RESULr IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />!Y. IF YOU IURllD ro OBrAIN FIHAHCING, CONSULI WIrH YOUR LEHDER OR AN ArTOIDIEY BEFORE RECORDING YOUR NOTICE OF
<br />
<br />
<br />~~::~:;oo ~2~~ ro.~rnoo:;:::c~~~
<br />
<br />~;!!GiAIURI: 0liIIER oR~ ~-' SIGIlAIO~: COH~ ~-C-<:
<br />
<br />''':'::::'
<br />
<br />
<br />.."':....,.,~'...,. ,..
<br />
<br />"'~t..i,..;-;,
<br />
<br />S.i~JB OF FLORIDA ~ '
<br />coum OF ~
<br />Ta~e.~.f,.oregOin9 i~ ent wa,s aCknowledged
<br />before me this /. , 19..L1.- by
<br />....'l":~~;. .
<br />
<br />~~kn~ ~as
<br />
<br />.. prQdllced ~
<br />ai~den . ication
<br />taJti' t
<br />"~~;'i
<br />(S~ ature)
<br />~~f:Ji;~'~' .
<br />(~,~J! Typed, p~.~ or Stamped)
<br />NOTARY PUBLIC "'W~ 10 BOBBIE J BURKE
<br />".',' * * My Commission CC543871
<br />'::';, ~!I>" Expires Mar. 31, 2000
<br />, ""t OF f~'!;""
<br />
<br />
<br />STATE OF FLORI~
<br />COUNTY OF \1 ~
<br />The foregoing inst~rnt was aCknowledged
<br />before me tl)is /-7' /.( ,1~ by
<br />
<br />~Q~A~
<br />
<br />who is personally known to me or who has
<br />produced~
<br />as identificatib
<br />take an h
<br />
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed ~~~pe~JSURKE
<br />NOTARY PUEt! C * ~ * MrComminion ccs.t387t
<br />~ ~!I>" &pheM.r.31.2ooo
<br />'9)-e OF f~'!;""
<br />
|