|
<br />CONDITIONS OF PERM!'l' AFFIDAVl'l'
<br />A. NOT1CE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it .ay be subject Lo "deed restrictions" which .ay be lOre restrictive tban'City
<br />regulations. the undersigned assWles responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B, UNLICENSED CONTRAC'l'ORS AND CON'rlmC'l'On RESPONSIBILI'I'IES
<br />If the owner has hired a contractor or contractors to undertake work, tbey .ay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, botb 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 wbat licensing
<br />requirelents .ay apply [or the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the ONner 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 Ulan the contractor, are responsible for the work. If tbe contractor wisbes you .to sign
<br />as contractor that .ay 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 U'l'ILl'l'Y CONNECTION FEES ,,~
<br />
<br />D. CONSTRUC'rION LIEN L1\W (CHAPTER 713, FLORIDA STA'l'UTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeOWDer'a Protection
<br />Guide" prepared by the Florida DepartJent of ^griculture and ConsWler Affairs. If the applicant is sOleone 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 COMenCelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work Nill be done in co.pliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />I
<br />
<br />Application is hereby .ade to obtain a per.it to do work and instailation as indicated. I certify that no vorl or
<br />installation has cOllenced prior to issuance of a per.it and that all work will be perfolled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of otber goverDlental agencies .ay apply to tbe 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 />* Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and RnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />I Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />I DepartJent of Healtb , Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater rreatJent, Septic ranks
<br />I US EnvironJental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.., it is understood that 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 prior 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 />Bet aside any provisions of tbe technical codes, nor shall is~u~nce of a per.it prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becoie invalid
<br />unless the work authorized by such per.it is cOllenced witbin Sil IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of Sil IOnths after the tile the work is cOllenced. One 90 day eatension of tile, Jay be
<br />allowed for the per.it with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each six IOntb period, or tbe project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHBNr HAY RBSULT IN YOUR PAYIIIG TWICK FOR IHPROVIIIIIIS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORIEY BEFORB RECORDING YOUR HOTICI OF
<br />COHHENCIHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RICORD AND POST A "NOTICE OF COHMINClMEIfT".
<br />
<br />~'''''~~'''''~
<br />SIGNATURB: OWNER OR AGRNT \
<br />
<br />SlmfZ~4-
<br />
<br />. I
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ~"-'
<br />The forego!' 9 itfrt wa. acknowledged
<br />before me this ., 19-..iL by
<br />
<br />r;/h]) (,ts.tOO~
<br />who u~ personally knownJto me or who has
<br />produced
<br />as identif'cation
<br />take an 0 h.
<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 />
<br />who is persDnally 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 />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />...-.-:--..... <;'. . ,... ~,A ~ 8'JLLARO
<br /><~~\ t: t ,;-,~ "~'.. ,t".lj,r"V-\ ,:'. ~~<t .
<br />@~<-/;:--..~~~.\ MV Ccmm Exp, 10/23/99
<br />~/:,.- .' ,-- '\.
<br />1~I"i:,:T;",rt't)'.'~7'80n a.ad By SSlv.ice Ins
<br /><Ill,...."., .'/'i It>
<br />,~ "'''.....j No. CC504440
<br />\. '---~/,/ ~~-. ,....v ll~- I 0
<br />'-..._.-/ 4l~.~.,y,~.., J''''wn ,,,.,,.r.
<br />
|