|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RES'fRICTIONS
<br />rh. und"slgoed und.rst,nds tb,t this pe,slt lOr be .ubJ.ct to 'deed ,..t';ctlon.' .bleb lOr b. lOre ,..trlcli.. tban City
<br />regulations. fhe undersigned assUles responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CON'l'RAC'l'OR RESPONSIBILITIES
<br />If the owner bas 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 uJ be
<br />cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-66II .
<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 OlDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes 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 IMPAC'f FEES AND UTILI'fY CONNECTION FEES t ~
<br />
<br />D. CONSTRUC'l'ION LIEN LftW (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 _ HOJeOWDer's Protection
<br />GuideH prepared by the Florida DepartJent of Agriculture and ConSUler Affairs, If the applicant is sOleone other than the
<br />Howner", 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 />Howner" prior to Co-.ence.ent.
<br />
<br />E. CONTRACTOR' S/OWNER r S AFFIDAVI'f
<br />I certify that all the infor.ation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regUlating construction, Joning, 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 worl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfolled to Jeet standards of all 18ls
<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 otber goveCDIental agencies lay 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 liJited to:
<br />t Departlent of EnvirODlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater rreatlent
<br />t Southwest Florida Nater Hanage.ent District - NeIls, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways
<br />t De rtlent of Health & Rehabilitative Services BnviroDlental Health Unit - NeIls, Wastewater 'reatJent, Septic 'anks
<br />t US EnviroDlental Protection Agency - Asbestos abatetent
<br />I also certify that, if fill .aterial is to be used in Plood Zone HAH or "A,ete.H, it is understood tbat a drainage plan
<br />addressing a "co.pensating VolUleH will be sub.itted which is prepared by a professional engineer registered in the State of
<br />PIorida 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, caocel alter, or
<br />set aside any provisions of tbe technical codes, nor shall is~u~nce of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code, Bver, perlit issued shall becole invalid
<br />unless the work authorized by such per.it is cOllenced within six IOnths of issuance, or if worl authoriled by the petlit is
<br />suspended or abandoned for a period of six IOnths after tbe tile the worl is COllenced. One 90 day 81tension of tile, lay 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 I9ntb period, or the project will be considered abandoned.
<br />NARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICB OF COHHBNCBHBN' HAY RBSULT IN YOUR PAYING RICH FOR IHPROVIIIDl'S TO YOUR
<br />PROPIRn. IF YOU INTBND fO OBTAIN FINANCING, CONSULT VIrH YOUR LBNDIR OR AM AnORllY BBFORJl RJlCORDING YOUR JurICH OF
<br />_. JOIIS UllDER 12,500 ." VllLIJIl 00 IIO'l "ERD TO RICOIDI MIl ~ '1IO'llCl OF COIIIlICBIlm'.
<br />
<br />\ ~I J ~' ~ . I.
<br />SIGNATURI: OWNBR OR AGINT SIGNAfURE: ONTRACfOR
<br />
<br />
<br />STATI OF FLORIDA
<br />COUNTY OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATB 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 />
|