|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A" NOTICE OF DEED RESTRICTIONS
<br />lb. uode..lgned UDd.,st,ods th,t lbls perolt oa, he sobj.ct to 'deed rest,lctl..s' which .., he .... restrlctl.. lhao Clt,
<br />regulations, The undersigned assUles responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tho ..... baa hi'ed , contractor 0' coot,acto,s to uodertale ..'I. !her oa, he 'egalred to he 110!a0ed In ....rdance will
<br />.t,t. and loc,l '.gulali.... If the coot,actor i. not lic....d as 'egui'ed If law. bolb lb. ..... and cantractor .., be
<br />cited fo, , .i.d.....o, .iolation under stat. 1... If the own., 0' intended cont'actn, are uncertain as to lhat II....ing
<br />,eg..,....t. lay apply fo, th. int.oded ..'I. th.y a,. ad.i.ed to contact lb. City of Z.phyrhill. Bnildlng Departo,at, (811)
<br />788-6611, .
<br />
<br />Fu'the,..re. if the ...., hes hi,ed a cont,acto, 0' coot'acto,s. he i. ai.l.ed to he.. the contracto,(.) .iga porli... of the
<br />'Cootractor Socii.... of thl. appllcalioo for which the, will he ,..""".ibl.. If IOU, as !be ..... .Iga as the can_.
<br />you a,. Indicating !bat YOU. ,athe, tban lb. cootracto,. are '88pODBibl. fn, the earl. If tbe cantracln, wi8loa "" to algn
<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'rILITY CONNECTION FEES
<br />
<br />, ~,
<br />I
<br />
<br />D. CONSTRUCTION LIEN L'AW (CHAPTER 713, FLORIDA STATUTES, AS AMEIlDED)
<br />I certify that I, the applicant, have been provided with a copy of -Florida's Construction Lien Law _ HoIeoIoer'l Protection
<br />Guide- prepared by the Florida Deparblent of Agriculture and ConsUlf!r Affairs, If the applicant is So.eoDe other than the
<br />.....,.. I ce,tlf, !bat I he.. obtained a COpy of the obooe desc,lhed doc....t and Prool.. io good failb to dell... It In tho
<br />-oNner- prior to cOalenCelent,
<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 will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />I
<br />
<br />Application is hereby .ade to obtain a per.it to do Nork and installation as indicated, I certif, that DO worl or
<br />installation has cOllenced prior to issuance of a per.it and that all worl will be perfoflled to leet ltandards of. all lawl
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I allo
<br />certify that I understand that the regulations of other govern.ental agencies aay apply to the intended work, and that it i8
<br />.y responsibility to identify what actions I .ust take to be in co.pliance, Such agencies include but are not lilited to:
<br />t Deparblent of Envirou.ental Regulation - Cypress Baybeads, Netland Areas and EnviroDleOtally Sensitive Landi,
<br />. Nater/Nastewater Treablent
<br />t Southwest Florida Nater Hanagelent District - NeIls, Cypress Bayheads, Netland Areas, Altering Natercourses
<br />t Ar., Corps of Engineers - Seawalls, Docks, Navigable Naterways
<br />t De arblent of Health & Rehabilitative Services Invirou.ental Health Unit _ NeIls, Nastewater Ireatlent, Septic rants
<br />t US Invirou.ental Protection Agencl - Asbestos abate.ent
<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 yolWl8- 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 />,
<br />. A per.it issued shall be construed to be a license to proceed with the work and not as authorit, to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~u~ce of a perlit prevent the Building Official lrOl thereafter
<br />requirIng a correction of errors in plans, construction, or violations of any code. Ivery per.it issued shall becole invalid
<br />unless the worl authoriled by such perlit is COllenced within sil 80nths of issuance, or if worl authorized by the per.it is
<br />suspended or abandoned for a period of sil IIOnths after the U. the worl is cOllenced. One 90 day eatension of tile, II, 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 sil IIOntb period, or'the project will be considered abandoned.
<br />NARNING TO ONlfER: YOUR FAILURE TO RECORD A NOTICE OF C(JfHI/lCIHIllf1' IUIY RlSULt IN YOUR PAYING DICE FOR DlPROVIIIBIrS 10 YOUR
<br />PROPERlY, IF YOU IIft'END TO OBTAIN FINANCING, CONSULT NITH YOUR LINDER OR AN ATTORlJlY BEFORJ RlCORDIIG YOUR MorICE OF
<br />ClIIHENCIHEH'l, JOBS UNDIR $2,500 IN VALUE 00 NOT NEID TO RICORD AND POsr A MNOTICE OF COIININCEIIIlf1'".
<br />
<br />(". \.
<br />
<br />SIGNATURE: ONlfIR OR AGINT
<br />
<br />" I
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUlf1" OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE 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 has
<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 />
<br />L,_~^
<br />
|