|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject Lo "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired 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 _y be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the ONner has hired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of the
<br />.Contractor Sections. of this application for whicb 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 the contractor wisbes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to peIlitting privileges in the
<br />City of Zepbyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES .,.'
<br />
<br />D. CONSTRUCTION LIEN LftW (CHAPTER 713, FLORIDA STATUTES1 AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HoIeoIner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant i8 SOleOD8 other than the
<br />.owner", I certify tbat I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"owner" prior to cOllenCelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in tbis 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 lade to obtain a perlit to do work and installation as indicated. I certify that no worl or
<br />installation has COllenced prior to issuance of a perlit and that all work will be perforled to leet staodards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of otber goveInlental agencies laY apply to the intended work, and tbat it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />I Departlent of EnviroOlental Regulation - Cypress Bayheads, Wetland Areas and EnviroRleDtally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health i Rehabilitative Services, EnviroOlental Health Unit - Wells, Vastewater Treallent, Septic tanks
<br />I US IoviroOlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.., it is understood tbat a drainage plan
<br />addressing a .cOlpensating volDle" will be sublitted which is prepared by a professional engineer registered iD the State of
<br />Florida prior to perlit. issuance.
<br />
<br />. A perlit 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 shall issuance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or vioiations of any code. Ivery plIlit Issued ahall becoIe invalid
<br />unless the work authoriled by such perlit is cOllenced within sil IODths of issuance, or if work autboriled by the petlit i8
<br />suspended or abandoned for a period of sill IOnths after the tile the work is couenced. One 90 day l!Itension of tDe, _y be
<br />allowed for tbe perlit with fee charge of $15.00. The extension sball be requested in writing to the Building Official. AD
<br />approved inspection lust be logged during each six IOntb period, or the project will be considered abaodoned.
<br />WARJlING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHKNCKIIKHT HAY RESULT IN YOUR PAYING 'fIfICE FOR IMPROVIIIIIIS fO YOOB
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ArrOMEY BBFORE RICORDIIG YOUR IOfICE OF
<br />COKKENCKHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMKlfCKMINf".
<br />
<br />. I'
<br />
<br />SIGNATURB: ONNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregOing instrument was acknowledged
<br />before me this , 19____ by
<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 />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 />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
|