|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'be undersigned understands that this perlit JaY be subject to Ideed restrictions I which Jay be lOre restrictive than City
<br />regulations. the undersigned asSUJeS responsibility for allpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has 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 mmer and contractor lilY be
<br />cited for a lisdeJeanor violation under state law. If the mmer or intended contractor are uncertain as to wbat licensing
<br />requireJents lilY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sectionsl 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 si~
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to peraitting privileges in the
<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 IFlorida's Construction Lien Law - BoIeoIDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUlll!I' Affairs. If the applicant is SOEODe other than the
<br />Immerl, I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"mmer" prior to cOlleDceJent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforJation in this application is accurate and that all work will be done in cOJpliance with all
<br />applicable lil1ls regulating construction, loning, and land developlK!Jlt.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has co.enced prior to issuance of a pend t and that all work will be perforJed to Jeet standards of all lil1ls
<br />regulating construction, City codes, loning regulations, and land developl8l1t regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governJental agencies JaY apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in COJpliance. Such agencies include but are not laited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater 'l'reatJent
<br />t Southwest Florida Water Managel8Dt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater 'l'reatJent, Septic 'l'anks
<br />t US EnviroDllental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill IiIterial is to be used in Flood ZOne "AI or HA,etc.l, it is understood that a drainage plan
<br />addressing a lCOJpenSating volUll!I will be subllitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A pmit issued shall 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 sball issuance of a perlit prevent the Building Official ffOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOll! invalid
<br />unless the work authoriled by such perlit is COllllJlced "ithin sillODths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of sillOntbs after the tiJIe the work is coaenced. One 90 day 81tension of tille, lily be
<br />allowed for the perait "ith fee charge of $15.00. 'fhe 81tension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each sillODtb period, or the project will be considered abandoned.
<br />WARMING '1'0 <*MER: YOUR FAILURI '1'0 .~COJ.D A' NO'I'ICE OF ~CEIIIN'f MAY RESUL'I' IN YOUR PAYING 'fWICE FOR IMPROVEMBIft'S '1'0 YOUR
<br />PROPER'I'Y. IF YOU IIfEHD '1'0 OBlAIN FIJIDCING, CONSUL'I' lID YOUR LODER OR AN A'I"I'ORIEY BEFORE RECORDING YOUR NO'I'ICE OF
<br />aJOIENCEIIIN'f. JOBS UNDER $2,500 IN VALUE 00 10'1' NEED '1'0 RECORD AND POS'I' A lIHO'I'ICE OF COMMEHCEIIEH'I".
<br />
<br />v/ ~ ~~ ~~~~
<br />SIGJIA'I'URI: OIfIIER OR AGBH'I'
<br />
<br />~/~~~/~
<br />SIGHA'I'URI: CON'l'RAC'l'OR
<br />-.
<br />4,
<br />
<br />~~l\e\.-'tT
<br />
<br />S'fA'fE OF FLORIDA
<br />COUH'I'Y OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />S'fA'fE OF FLORIDA
<br />COUN'I'Y 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 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 />
|