|
<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 aay be lOre restrictive than City
<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 aay 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 OIner and contractor lay be
<br />cited for 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 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 OlDer 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 per.itting priVileges in the
<br />City of Zephyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES {{
<br />
<br />D. CONSTRUCTION LIEN LftW (ClffiPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HoIeoMner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConSUler Affairs. If tbe applicant is 80180ne 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 cOaJenCeJent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tbe inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, laning, and land developlent.
<br />I
<br />
<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled 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 goverDlental agencies aay apply to tbe intended worl, 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 />· Deparllent of Bnvironlental Regulation - Cypress Bayheads, Wetland Areas and Bnvironlentally Sensitive Lands,
<br />. Nater/Nastewater Treallent
<br />· Southwest Florida Water HanageJent District - NeIls, Cypress Bayheads, Netland Areas, Altering Watercourses
<br />· ArlY Corps of Bngineers - Seawalls, Docks, Navigable Naterways
<br />· Deparllent of Health & Rehabilitative Services, EnvirOnlental Health Unit - Wells, Wastewater rreallent, Septic ranks
<br />t US EnvirODJeDtal Protection Agency - Asbestos abateJent
<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 volOle" will be sublitted whicb 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. Every perlit issued aball beoole invalid
<br />unless the work authorized by such perlit is cOllenced within sil IOnths of issuance, or if work autboriled by the petlit is
<br />suspended or abandoned for a pel'iod of sillOnths after the tile the work is cOllenced. One 90 day l!Itension of tile, IIY 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 sil IOnth period, or'the project will be considered abandoned.
<br />NARHING TO OIINBR: YOUR FAILURI TO RBCORD A NOTICE OF COHMENCIIIBNr HAY RESULT IN YOUR PAYING TWICE FOR IHPROVIIlID'S TO YOUR
<br />PROPIRTY. IF YOU INTIND TO OBTAIN FINANCING, CONSULT WIrH yooR LINDIR OR AN AnORlEY BEFORE RlCORDIHG YOUR 1I000ICI OF
<br />COHHENCKHENT. JOBS UNDER '2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHENClHENT".
<br />
<br />s~~/
<br />
<br />~~
<br />SIGNATUR Ar.mt
<br />
<br />, I
<br />
<br />srATB OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />srATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 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 o~th.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Hame Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
|