|
<br />"'"
<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this pertit laY be subject to "deed restrictions" wbich laY be lOre restrictive tban City
<br />regulations. 'be undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />I~ the owner bas bired a contractor or contractors to undertake work, they lay 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 lay be
<br />cited for a lisdeieanor violation ~der state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartleRt, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wbieb 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 tbe contractor wisbes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to pertitting privileges in tbe
<br />City of,Zepbyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (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 - HOIeOIDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUIeC Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to COIIeIlCl!lellt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accura(~ilIldtJJat all work will be done in cOIpliance with all
<br />applicable laws regulating construction, zoning, and l~,;oplent. /
<br />i . '_ !
<br />Application is hereby lade to obtain a perlit:-to .do ~~4 installation as indicated. I certify that no work or
<br />installation bas cc.lenced prior to issuancef ot a pert1"hJitct"tbat all work will he perfoI'led to .leet standards of all laws
<br />regulating construction, City codes, zoQiDg regulations, and land develuplBDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other gov8lllll!Jltal agencies laY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lUst take to ~ in colpliance. Sucb agencies include but are not lilUed to:
<br />· Departlent of BnviroDl8Dtal Regulation - Cypress Baybeads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />laterfWastewater TreatleRt
<br />· Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Watenays
<br />· DepartleRt of Health i Rebabilitative Services, EnviroDleDtal Health Unit - Wells, Wastewater Treattent, Septic 'anks
<br />t US BnvirODlelltal Protection Agency - Asbestos abatl!lent
<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 "cOlpensating volUle" will be subtitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
<br />
<br />A perlit issued sball be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in planst,construction, or violations of any code. Bvery perlit issued sball beCOle invalid
<br />unless tbe work authorized by such perlit is cOllenced within sil IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned l-or a periqd of Sil, Mmths after the tie the work is c_enced. One 90 day I!Itension of tile, laY be
<br />allowed for the peIlit with fee charge ot$lS.OO......fbe I!Itension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillOntb period, or the project will be considered abandoned.
<br />NAMING TO OVIER: YOUR FAILURE TO RECORD A, NOTICE OF COMtlBMCBIIm HAY RESULT IN YOUR PAYING DICE FOR IMPROVIMBMlS fO YOUR
<br />PROPERTY. IF YOU IMlDD TO OBTAIN FINANCING-, CONSULf WITH YOOR LlMDBR OR AN Aft()IIIBY BEFORE RECORDING YOUR NorICE OF
<br />COMMBNCEHBNf. JOBS UNDBR $2,5 XALUlfDO Nor NEBD fO RECORD AND POST A -NorICI. OF COMMBNCBMBMI-.
<br />
<br />, \ ~
<br />~ --
<br />~~
<br />
<br />
<br />SfAfE OF FLORIDA
<br />coum OF PASCD
<br />The foregoing instrument was acknowledged
<br />before me this...;;or,.J ~ t:J , 19.-%.. by ,
<br />
<br />JJELSoAJ 7: Y JI1/f A.J
<br />who 'is personally known to me or w~a ~
<br />J.d. J ,
<br />sa ij..tifieal!sft and who ~/did not
<br />
<br />take a~~ (j, ..fJ4~
<br />
<br />(Signature) / .
<br />kA-IJ..iJ F=l:::::.--JJ \.. r: BRow,.J
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />. )
<br />STATE OF FLORIDA ~....
<br />coum OF jJ,45 e a
<br />The foregoing instrUment was acknowledged
<br />before me this vAtl :\,.~ ~ , 19!1.L by
<br />
<br />/JA ~D;J P..'YHA 0
<br />who is personally known to me or aLs has-
<br />~.IIi,u~rea
<br />aA ;dftntiii8SlisB and who di6/did not
<br />
<br />takef~9"Jjh~
<br />(Signature) f)
<br />k A J7..I L.El2}J ":J: 'P;7<\.t:) W tJ
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />...,.1\1 Pll8
<br />~"'.6. ".-..,
<br />*~*
<br />li!>~,~.
<br />""" DF f~'~
<br />
<br />KATHLEEN J BROWN
<br />My Commission CC449Q29
<br />,,"xp". Apr. 02, 1999
<br />
<br />,\"I\l PI/Q(
<br />~f;",,~t:.~
<br />
<br />~.;
<br />
<br />", DF f~O"
<br />
<br />KATHLEEN J BROWN
<br />MyCo~slonCC44~
<br />Expires Apr. 02.1999
<br />
|