|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />110 und.rsigned und.r.t.nds tb.t tbi. por.it .., be .ubj..t to 'deed r..tricti.... ,bieb lOy be lOr. r..tricti.. than City
<br />regul.tion.. lb. under.igned ....... r..ponsibility fnr coopliance 'lib any applicabl. deed r..trictl....
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If lbo ....r baa bired · contr.ctor or contr.ctor. to und.rt.l. lOri, !boy lOy be required to be liceosed in accordancs wilb
<br />.t.t. and local regul.ti.... ff th. contr.ctor i. not licen.ed .. required by I." both 1Io ..... and conlIactor lIy be
<br />cited for · .iad.....or ,iol.tion ond.r .t.t. I.,. ff tho ....r or intended contr.ctor are uncerlain .. to wh.t II....ing
<br />r.goir....ts ..y .pply for tb. int.Ddod unrl, thoy .r. .d,i..d to cont.ct th. City of Zephyrilll. BuIlding Doparl8ont, rB13)
<br />788-6611.
<br />
<br />FurlborlOr., if tbe ouner ha. hir.d · contr.ctor or contractor., h. i. .d,isod to h.,. tb. contractor(.) .ign porti... 01 1Io
<br />'Cootr.ctor S..ti.... of Ibi. .ppllcation for ,hieb they ,ill he r..ponslbl.. fl you, an tho ...er 8190 an 1Io contractor,
<br />you .r. Indic.ting tbat you. r.thor tboo tb. contr.ctor, .r. r..ponsibl. lor lbo IOrl. fl th. contractor 'iahes you to .igo
<br />an contr.ctor tbat .., be au indication that h. i. not properly lic".ed .nd i. not ..titled to peraitliog pei'ileges in tbs
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />, ~'
<br />,
<br />
<br />D. CONSTRUC1'ION LIEN Lftw (ClfAPTER 713, FLORIDA STATUTES, AS AHilNDED)
<br />i certify that I, tbo .ppllcant. b... b... provided with . copy of 'Florld.'. COnstruction Li.. Lao _ HuoeuIuer'. Protection
<br />Guld.' pr.par.d by tbo Florid. Doparbtont 01 Agrlcultur. .nd COo....r AII.ir.. II lb. 'PPli,,"t I. ....... otbsr than tbs
<br />....or., f cortlfy that I har. obt.ined · copy of tbo abo.. dl!llCribed docuoont and Pmol.. in _ f.11b to d8lhor It to tbs
<br />HOHner" prior to Co-.enCBlent.
<br />
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVl'l'
<br />I certily that .11 tb. ioforootiou in tbl. .pplicatlou i. .ccur.t. and that .11 >otl will he duo. in coopli.... with .11
<br />applicable laws regulating construction, loning, and land develop.ent.
<br />I
<br />
<br />Applic.tion i. h.rehr IOd. to obt.in . perwit to do ..rl and in.t.ll.tiou as indicated. I cerlily tbat no warl nr
<br />install.tlon baa COIIenc!d prior to i.,...c. 01 · per.it .nd tbat .11 warl will he perlO<lOi to ...t .laoiards nl all lawo
<br />regul.ting con'lructiou, City cod... .oning regol.ti..., and land d.,.I.,...t regal.ti... In tIo Inriolietlau. I 'Ian
<br />c.rtlly Ib.t I und.r.tand that the regul.tiou. of other ,",.moent.1 'gencI.. lOy apply to tIo Inteolol lOri, and tIot it i.
<br />or r"ponsibllity to id..tify wh.t actinns I ...t tab to he in coopUauc.. Socb ageoci., inci.... bat are notilolted to: _.
<br />· Deparlaont 01 In.i......t.i B.gui.tfon - Cypr... Baybeola, IOti.nd Ar... and Bn'ir.....taiiy Sanaiti.. Landa,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Nater HanagBlent District - Wells, Cypress Bayheads, Netland Areas, Altering Watercourses
<br />f ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Do arlJont 01 H..ith · Behabilit.ti,. Ser,ice. 1n,lronoentai H..ilb DOlt - N<ila, Maat...ter 'reotaont. Septic 'au"
<br />f US EnviroDlental Protection Agency - Asbestos abatBlent
<br />j .i.o certlly tb.t, il fill IOt.rl.1 I. to he u.ed in Flnod .... 'A' or 'A..tc.', It i. uodoraloud that. draioaga pi..
<br />'ddreaaing · 'OlIpeD..ting ..I.... 'ill he .ohaitted 'hieb i. prepared by . prol...i...1 engi.... regi.tered in the Slate 01
<br />Florida prior to perlit. issuance. .
<br />
<br />- A parait I..ued .b.11 be coo.trued to be . lie.... to proc.ed 'ith !be ..rl and not as IOtIorlty 10 'iol.te. cancel aller. or
<br />..t ..Id. any Provl.i... 01 tb. tecbnlcal cod.., nor BIoII 11!O;WC. of . per.it pr....t !be Building Offlelli I... tbereafter
<br />requiring · carr.etlon 01 .rmr. In plana, conatrueti... or 'iolati... of any cud.. .'''Y IOIOIt 1B8Ued sba11 becosa ln,aIid
<br />unl... the ..rl authori..d bF .ueb per.it I. COBIencod within .i. IOOtha of i........ or il warl lDtborilOl by tie parait I.
<br />suspend.d or abandoned for · period 01 .i. IOOtba .ft.r !be t... th. uorl i. ......ced. Obe 9B day "lenalon nl t.... lOy he
<br />'11- lor th. poralt with I.. cltarge 01 $15.00. lb. ..tenaion shall he regueated In writing to tbs Building Offlci.l. In
<br />approved inspection .ust be logged during each six IQnth period, or the project will be considered abandoned.
<br />-flO 10 1Il1llB: YflllB FAfUlRll TO RICllllIl A larlCB OF ClIlIlBIICBIlII IlAY IlISIJLr fl 1lIII FIYIIIG MCB flIIlIIFIIlRIIIIns TO TOIJIi
<br />PROPIRTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WIrH YOUR LINDER OR AN AnOONIY BEFORl RlCORDING YOUR NorIC! OF
<br />COHHENCIHBNT. JOBS UNDER $2,500 IN VAWB DO NOT NfiBD TO RECORD AND POST A "NOTICE OF COHHINCllllHI".
<br />
<br />SIGNArURB: ONKIR OR AGINT
<br />
<br />-SIGNATURE: CONTRACTOR
<br />
<br />STArl OF FWRIDA
<br />COUNTY OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19__ by
<br />
<br />STATE 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 oath.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
|