|
<br />CONDITIONS OF PElmIT AFFIDAVIT
<br />A. NOTICE OF DEED UES'l'UIC'l'IONS
<br />lb. unoiOriJgned under.tand. LIlaI Lhl. per.1t sa, he 'obJ.ct lu 'd.ed ".LrlcU.... .hld sa, be .." rootrlclh. _ Clt,
<br />reguIaUons. the undersigned aRRllIes respoll8ibiJity lor cUlpHance wilh allY applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTMCTOnS AND CON'l'IUlC'l'On nESPONS.IB.IL.I'l'.IES
<br />If the owner has hired a contractor or contractor8 to under tale worl, they lay be required to be licensed in accordance witb
<br />state and local regulation8. If the contractor is not licensed as required by lalf, both the olmer and contractor la, be
<br />cited Cor a lisde.eanor violation under state law. If the owner or Intended contractor are uncertain as to wbat licensing
<br />requirl!Jlents lay apply Cor the intended Hod, they are advised to contact the City of Zeph,rhi1l8 Building Deparllent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the ONner has Ilired a contractor or contractors, he is advised to have Ule contractor(s) 8ign portions of the
<br />ItContractor Sectionslt oC Ulis appHcaLion Cor Ihich they liJJ be responsible. If you, a8 the woer sign as the contractor,
<br />you are indicating that you, rather Ulan tile contractor, are responsible Cor the worl. If the contractor wislles rou 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. 'l'RANSPOU'l'A'l'.ION IMPACT FEES AND U'l'.ILI'l'Y CONNEC'l'.ION FEES
<br />
<br />D. CONS'l'RUC'l'ION LIEN L1\W (CIIAP'l'ER "113, FLOlUDA STA'l'UTES, AS AMENDED)
<br />I certif, that I, the applicant, have been provided lith a copy of ItFlorida's Construction Lien Law _ HOIeOIDer', Protection
<br />Guidelt prepared by the Florida Deparllent of Agriculture and ConsOler Affairs. If the applicant is 8OIeOne other than the
<br />ItOlner", I certify that I have obtained a copy of L1le above described doculent and prOlise in good faith to deliver it to the
<br />"olfner" prior to conencelenl.
<br />
<br />{
<br />"
<br />
<br />E. CONTMCTOU'S OWNEU'S AFFIDAVI'!' . _, ....',_... ,,. ." _'.'
<br />J, .~lKli4JJiat:'.ti}~,.illfuL.aUlJjlFU:llti8_ap cat on s accurate lind' (hat aJJ worl will be done in cOlpliance witb all
<br />appUcable laws regulating construction, BoninO, and land develop.ent.... '... ~""
<br />.... J. I
<br />. - ". ...."-
<br />Application is hereby lade to obtain aperlit to "do'worr ana .instailation as indicated. I certif, that no worl or
<br />installation bas cOllenced prior to issuance of a perlit and tbat all lorl will be perf oIled to lIet standards or all law8
<br />regulating construction, City codes, loning regulations, and land developlent regulations in tbe jurisdiction. I also
<br />certiC, that I understand that the regulations of otber goverDllntal agencies lay apply to tbe intended worl, and that it is
<br />IY responSibility to identify Hhat actions I lust lale lo be io co.pliance. Such agencies ioclude put are not 11Iited to:
<br />· Deparllent of InviroDlental Regulation - Cypress Barheads, Wetland Areas and BnviroDlentali, Sensitive Lands,
<br />. lIater/llastelfater Treallent .
<br />· Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering lIatercourses
<br />· Arl' Corps of Ingineers - Sealalls, Docls, Navigable lIateClfars
<br />· De arllent of Health' Rehabilitative Services BnvirODlental Health Unit - Wells, Wastelfater Treatlent, Septic lanls
<br />t US InviroDlental Protection Agency - Asbesto8 abatelent
<br />I also certify that, if fiil lateriai is Lo be used in Flood Zone "n" or "n,etc.., it is understood that a drainage plan
<br />addressing a .co.pen8ating volute. will be sublitted "Iich is prepared by a prolessional engineer registered in the State of
<br />Florida prior to perlIt. i8suance.
<br />
<br />..
<br />
<br />..
<br />
<br />.
<br />. A perlit issued shall be construed to be a license to proceed lith lhe lorl 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 tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery pertit issued shall becole Invalid
<br />unless the lorl authorlled by such per.it is COllenced within sil IOnths of issuance, or if worl autboriled br the perlit is
<br />suspended or abandoned Cor a period of sil IOnths after the tile the worl is cOIIenced. One 90 day eatension of tile, III be
<br />allowed for the perlit with fee charge of $15.00. The 81tension 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 />IIARNING TO OWRIR: YOUR FAILURB TO RBCORD A NOJICB OF COHHBNCBHlNT KAY RBSULT IN YOUR PAYING IWICK fOR IHPROVBKBIrS 10 YOUR
<br />PROPIRIY. IF YOU INTIND to OBTAIN FINANCING, CONSULT WJJH YOUR LIIIDIR OR AN ATTORIIY BIFOR! RICORDIIfG YOUR II01lCK OF
<br />COHHINCBHRNT. JOBS UNDIR $2,500 IN VALUR DO NOT N61D TO RRCORD AND POST A "NOJICK OF COHHBNClKRNY-.
<br />
<br />~ g~ ._<:;?) t/f/
<br />SIGNATURE: o;.~NJ - ..- ~- .
<br />Mike Lynch - Vice President
<br />
<br />~~? .~r
<br />
<br />: I
<br />
<br />STATK OF FLORIDA
<br />couln OF PA.')CO
<br />The foregOing instrument was acknowledged
<br />before me I..U1' S {p T1/, t?~io&trz.19 ~ by
<br />
<br />(f),Kt:. Nuf
<br />wh r. personally nown to me or who has
<br />produceu
<br />as identif'cation and who did/did not
<br />t k n I~b~
<br />
<br />a u ;f t47t1lJ CR,~ rJ
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />..,..~,~ Mary K Henderson
<br />*.,j, ,," * My Commission CC705984
<br />.",~~. Expires February 6, 2002
<br />-F"" ",r-
<br />
<br />,.",..~.-t4-
<br />
<br />
<br />STATR OF FLORIDA
<br />CODNn OF Pft,scu
<br />The foregoing instrument was aCknowledged
<br />before me this Dc-fOliO? ~ , 19 99 by
<br />
<br />
<br />did/did not
<br />
<br />
|