|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peClit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance 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 lay be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licenSing
<br />reguiretents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, 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 owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lay 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 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, have been provided with a copy of .Florida's Construction Lien Law _ 8DIeoIner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is SOHOne other than the
<br />"owner", I certify that I have obtained a copy of the above described docUJeDt and prOlise in good faith to deliver it to the
<br />"owner" prior to cOllencetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a peClit and that all work will be perfoCled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleOt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDlental agencies laY apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and InviroDleDtally Sensitive Lands,
<br />Water/Wastewater rreatlent
<br />f Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of Ingineers - Seawalls, Docks, Navigable Waterways
<br />f DepartJent of Health & Rebabilitative Services, EnvirODJental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />f US EnviroDlental Protection Agency - Asbestos abatetent '
<br />I also certify that, if fill aaterial 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 sublitted which is prepared by a professional engineer registered in 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 frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peClit issued shall becOle invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of' six IOnths after the tile the work is c~enced. One 90 day ntension of tile, lay be
<br />allowed. for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURi '1'0 RECORD A NOTICK OF COHHENCEHElft' HAY RiSULr IH YOUR PAYlHG rlUCK FOR IHPROVIIIID'S '1'0 YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LINDER OR AM AnORHIY BEFORi RiCORDIHG YOUR lorlCl OF
<br />COHHENCEHHHT. JOBS UNDIR '2,500 IH VALUE DO Nor HElD TO RICORD AND POST A "HorICE OF COHHIHCEHENT".
<br />
<br />
<br />~~/~ ~~~I
<br />SIGNATURB: OWNIlR OR AtllNT SIGNATURE: COHTRA fOR
<br />
<br />STATE OF FLORIDA ~
<br />mUnYOF ~
<br />The foregOing instrument was acknowledged
<br />before me this J1J a/l ,;l G , 19 r Y---by
<br />
<br />"--,
<br />who i personally kn to me or who has
<br />produ ----
<br />as identification and who did/did not
<br />take an oat~ ~ . (] )J1I'J-t}-~
<br />
<br />(Signature) ~ ~
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~~" Nancy A. Moody
<br />f*:i::~ Mf COMMISSION' t::CS34lIre EXPlR.E S
<br />~~ . . f FeIlnJery 21,2000
<br />"~,9f.,tli BONllEDTHIIU TRO\' FAIN INSURANCe, INC
<br />
<br />STATE OF FLORIDA ?
<br />COUny OF '. ~
<br />The foregoing instrument was acknowledged
<br />before me this H'UuL;l G , 19f Y by
<br />
<br />
<br />...-----"
<br />who is ersonall to me or who has
<br />produce
<br />as identification and who did/did not
<br />take an oath. Yl If. . (). JIlt ~ _
<br />
<br />(Signature) ~ .~
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC .~~~' Nancy A. Moody
<br />*: :*E MY COMMISsIoN , CC534800 EXPIRE'
<br />\....... '~i FebnNuy21,2000 ,C
<br />t,w; ,!l\ IIONllED THIIU TROI' FAlN 'NSUIlANcE, INC
<br />
|