|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. N.OTICE OF DEED RESTRICTIONS
<br />rb. uoderoign.d UDd.ralaods Ibal thia ponoil lOr be aubJ,cI 10 'deed r.alrlcllona' obiOb lOy be lOr. restriclive lhao City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CON'l'RAC'l'ORS AND CON'l'RAC'l'OU RESPONSIBILITIES
<br />If lbe ....r hoa bir.d a contractor or cootractoro 10 uod.rlal. worl, lbey..y be reguired to b. Ilceoeed io aceo...... ollb
<br />alate oed local regulationa. If lb. COIItraclor Is oul Iiceoaed aa required i>y I.., oolb tIJe -. oed CllIIlr.Ictor IIOJ iJO
<br />ciled fur a .ioleleanor ,Iolalion ond.r atal. lao. ff th. ....r or intended coolractor are uucerlaiu as to olot liceoelag
<br />regulr....ts lOy apply fur th. inlended worl, th.y ar. ad,iaed 10 COIItacl tIo City uf lepbydbllla BUildlug Oeparlaeot, (813)
<br />788-6611. .
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have tlle contractor(s) sign portions of the
<br />'COolraclor S.cti..., of thl, applicallon for oblcb lbey 0111 be respon,ibl.. ff you, aa lb. OlDer sign as tIo contractor,
<br />roo ar. indica ling Ibal roo, ratlor 110. the COIIlracl.r, ar. responsibl. f.r lb. worl. ff the CllIItractor oialo& you 10 algn
<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 U'rILITY CONNECTION FEES ~ "
<br />
<br />D. CONSTRUC'l'ION LIEN LllW (CHAPTER 713, FLOUIDA STA'rUTES1 AS AMENDED)
<br />f cerlify 1101 I, tIo applicanl, ba,. bee. provided .Ith a c.py of 'Florida', Con'lroction Lien Lao _ HOoenonor', Froloetion
<br />Gui~e" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOIeOne other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"owner" prior to couenc8llent.
<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, loning, and land developlent.
<br />,
<br />
<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no wort or
<br />installation has COllenced prior to issuance of a perlit and that all work will be perf oIled to aeet standards of all law.
<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 other governaental agencies lay apply to the intended wort, 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 />· Departlent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />. Water/Wastewater Treattent
<br />I Southwest Florida Water Hanag8llent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· De arttent of Health & Rehabilitative Services Environaental Healtb Unit - Wells, Wastewater Treattent, Septic rants
<br />I US Environaental Protection Agency - Asbestos abateaent
<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 sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
<br />
<br />, A perlit iSSued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />Bet aside any provisions of tbe technical codes, nor sball is~u~nce of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall hecOle invalid
<br />unless the work authoriled by such perlit is cOllenced witbin six IOntbs of issuance, or if work authoriled by the pellit is
<br />suspended or abandoned for a period of six IOnths after tbe till the wort is cOllenced. One 90 day 8Itension of tile, IaJ be
<br />allowed for the perlit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each six tOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHBNCKHENT HAY RESULT IN YOUR PAYING TWICH FOR IHPROVIllm'S TO YOUR
<br />PROPERTY. IF YOO INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LBNDER OR AN ArrORIfEY BEFORE RIlCORDIlfG YOUR JurICH OF
<br />COHHENCKHIlNT. JOBS UNDIlR $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A "NOTICE OF COHMENCKHElfl'".
<br />
<br />~~R A.?~~ .1
<br />
<br />IGNATURE: OWlfER OR AGBNT CONTRACTOR
<br />
<br />
<br />
<br />STATE OF FLORIDA ()
<br />COUNTY OF ra.s ~,f)
<br />The foregoing instrument
<br />before me this I4:lr /1
<br />
<br />
<br />STATB OF FLORIDA /7
<br />COUNTY OF US e 6
<br />The foregoing inptrument was acknowledged
<br />before me this flAtu/" I? , 19-YL by
<br />
<br />,,:J;;A^-- l~< 5n-l~
<br />who is personally known to me or who bas
<br />produced
<br />as identifica~i n and who did/d~id not
<br />take an oath. , 1
<br />~"I../JL~ ,'C n -t>d.J /4.- -
<br />(Signature) )
<br />.J5$
<br />(Name Typed, Printed
<br />NOTARY PUBLIC
<br />
<br />Jihn, L. :sn",d-tr
<br />who is personally known to me or who has
<br />produced
<br />as identificat.on and who did/did not
<br />take an oath
<br />~) d.b"l.~"'l~ \~ -i~:L
<br />(Signature) ') . r- /:.
<br />a SSondr/<.... r. C?t.X-:J!:jbi
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />was a~kllowledged
<br />, 19~ by
<br />
<br />
<br />",,'I '"#( ORA F QOOt.8BV
<br />.,>>1- ~CC1561737
<br />* * E>cpirN Apr. 30. 2000
<br />. ~
<br />"'~ ~
<br />.,,., OF f\.a't'
<br />
<br />~..,,'I '"#(
<br />., :&: 1-
<br />~.,:
<br />
<br />.,,., OF f\.a~
<br />
<br />CASSONDRA F 000I.8BY
<br />My CornIMeIon CC6&1737
<br />ElcpIree Apr. 30, 2000
<br />
|