|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigne~ understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assWles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CON'l'RAC'!'OU 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 Cor a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the ONner has 'Iired a contractor or contractors, he is advised to have tile 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 Cor the Ifork. If the contractor Ifisbes 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. CONSTRUC'l'ION LIEN L1\W (CHAPTER 713, FLOHIDA STA'l'UTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Lalf - HOJeOMDer's Protection
<br />Guid~" prepared by the Florida DepartJent of Agriculture and Consu.er Affairs. If the applicant is sOl8one 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 co..encelent.
<br />
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'l'
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance Ifith all
<br />applicable lalfs regulating construction, zoning, 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 Ifork or
<br />installation has cOllenced prior to issuance of a perlit and that all Ifork will be perf oIled to Jeet standards of all lalfs
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDlental agencies laY apply to tbe 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 BnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />. Water/Wastewater Treatlent
<br />· Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treallent, Septic Tanks
<br />· US EnviroDlental 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 that a drainage plan
<br />addressing a "cOlpensating volOle" 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 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. Ivery perlit issued shall beCOJe invalid
<br />unless the Ifork authorized by such perlit is co..enced within sil IOnths of issuance, or if Ifork authorized by the perlit is
<br />suspended or abandoned for a period of sil IOnths after tbe tile the work is cOllenced. One 90 day Bltension of tile, IiJ be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in Ifriting 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 FAILURE TO RECORD A NOTICR OF COKHENCRHRNT KAY RESULT IN YOUR PAYING TWICR FOR IHPROVEHERlS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORIRY BIFORB RBCORDING YOUR NorICI OF
<br />COHHINCEHENT. JOBS UNDIR $2,500 IN VALUE DO NOT HIRD TO RECORD AND POST A "NOTICE OF COKHENCRMlRI..
<br />
<br />~
<br />(~
<br />GNATURE: OWHER ~
<br />
<br />~IJ,~
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />. I
<br />
<br />" c,"'- ~
<br />who is
<br />produce
<br />as identification and who did/did not
<br />tak~an oath. U:::A
<br />~~ ~
<br />(Si nature)
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument.~as aC~Jlowledged
<br />before me this f1~.tt.c.H"t, 19-1L. by
<br />
<br />1JLt,.,vC+V
<br />to me or who has
<br />
<br />Pl+sc D
<br />
<br />STATE OF FLORIDA D i/l t?
<br />COUNTY OF 1 rr > C-/o
<br />The foregoing instrume~ was acknowledged
<br />before me this t1~ t.. , 19~ by
<br />B /l--~ e-6A . ~ 6'G L
<br />who is ttiersQ!@!!Y knomi>to me or who has
<br />produceCr
<br />as identification and who did/did not
<br />take an f!~ ft--~
<br />(Signature) .
<br />
<br />
<br />s-ol'V.P\ MARC KLEI.
<br />~ COMMISSION ICC654319
<br />(Name Typed, Printe
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed~.R.t_ Stamped) ';',
<br />NOTARY PUBLIC ~~" I'J,'""", lh~'__
<br />~ COMMISSIONlCC6543ni
<br />OF...rg EXPIRES JUNE 10. 2001
<br />
|