|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />>be updor.lgpo! uodoroland. Ihal Ihl. pec.11 .ar he .uhj..1 10 'deed c..lclcll.... ohich oar be ..c. C..lrlcll.. lhon ellg
<br />regulations. rhe 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 ONDer and contractor .ay be
<br />cited for a lisde.eanor 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 conLact the City of Zephyrhills Building Departlent, (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 peClitting priVileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~~
<br />
<br />D. ~ONSTRUC'l'ION LIEN LftW (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 _ HOIeOw.Oer's Protection
<br />Guide~ prepared by the Florida Deparllent of Agriculture and ConsUler Affairs. If tbe applicant is SOl8ODe other than the
<br />"oNDer", 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 cOllenCelent.
<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 with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />1\
<br />
<br />Application is hereby lade to obtain a perlit to do work and instaifation as indicated. I certify that no wort or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfoCled to leet standards 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 goverRlental agencies .ay apply to tbe intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to:
<br />t Deparllent of EnviroRleRtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t De arLlent of Healtb & Rehabilitative Services EnviroRlental Health Unit - Wells, Wastewater Treatlent, Septic Tants
<br />t US EnvirORlental 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 volUle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
<br />
<br />
<br />. A perlit issued shall be construed to be a license to proceed with tbe 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. Bvery perlit i8sued &ball beCDle invalid
<br />unless the work authorized by such perlit is cOllenced within six lanths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of six lanths after the tile the work is cu.enced. ODe 90 day 81tension of tile, .y be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. AD
<br />approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARNUm TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCKHBNT HAY RESULT IN YOUR PAYING flnCE FOR IHPROVEllDrS TO YOUR
<br />PROPIRlY. IF YOU IIITEND TO OBTAIN FINANCING, CONSULT WITH YOUR LINDIR OR AN ArrORRBJ BEFORE RECORDING YOUR MorICI OF
<br />COHHENCIHENT. JOBS UNDER $2~ VALUE 00 NOT NEID TO RICaRD AND POST A "NOTICE OF COHHKNCKHKJIT".
<br />
<br />/ ~;f~ ~~ .1
<br />
<br />NATURB: OWNIR -Oif~ ,.8'(GNATURE: COlfTRACrOR
<br />
<br />STATE OF FLORIDA
<br />COUIITY OF .p A s Co
<br />The foregoing i~~ wa. ~~O"ledged
<br />before me this ' , 19 by
<br />
<br />NG:Lso JJ ~J4AtJ
<br />who is personally kn wn to me &r whe haa
<br />1'f'6du~t!(J
<br />a8 igon~i~ir~t~gA and who ~/did not
<br />
<br />tak~~~ /.~
<br />~?l'J-. .~
<br />(Signature) ..
<br />kATlI LEE-Ai ~ / ~Re() w Ai
<br />(Hame Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PAS C~
<br />The forego.ng i~~t w..a. s a~k9,pwledged
<br />before me this . S?, 19~ by
<br />
<br />~~
<br />~Jn,S.o~ V A'
<br />who is personally known to e~r ~o has
<br />prgglleed
<br />as idenliG",llli8ft. and who .di4{did not
<br />take an oa
<br />
<br />
<br />",,~ PIIII(
<br />..<>'\.:0. {,
<br />;u;
<br />
<br />I't OF f\.'>
<br />
<br />KATHLEEN J BROWN
<br />My Commission CC449029
<br />Expires Apr. 02.1999
<br />
<br />:\,,\\~ PIIII(
<br />..<> ~~ {,
<br />~W:
<br />
<br />""t OF f\.()~
<br />
<br />KATHLEEN J BROWN
<br />MyCommSsionCC44~
<br />Expires Apr. 02, 1999
<br />
|