|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this peIlit laY be subject to 'deed restrictionsQ wbieb lay be lOre restrictive than City
<br />regulations. Tbe undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired 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 for a lisdeeanor violation under state law. If the owner or intended contractor are uncertain as to "hat licensing
<br />requirl!lents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherJOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for wbieb 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 be is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zepbyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - lIoIeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUleI' Affairs. If the applicant is SOIeODe other than the
<br />"ownerQ, I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to cOlleDcl!lent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOIpliance with all
<br />applicable laws regulating construction, loning, and land developllent.
<br />
<br />Application is bereby lade to obtain a peIlit to do work and installation as indicated. I certify that no wort or
<br />installation bas ~ced prior to issuance of a peIlit and that allllOrt will be perforted to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverJlJeDtal agenCies laY apply to the intended wort, and that it is
<br />If responsibility to identify what actions I lUst tate to be in colpliance. Sueb agencies include but are not lillited to:
<br />t Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanagl!leDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departaent of Health i Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater TreatJent, Septic rants
<br />t US Envil'ODlelltal Protection Agency - Asbestos abatl!leDt
<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 "cQlpeDSating volUJe" will be subllitted whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />/'
<br />
<br />liTE ,(nORIDA
<br />comFop'
<br />The foregoing instrument was acknowledged
<br />before .me this , 19____ by
<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 sball issuance of a peIlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOJe invalid
<br />unless the work authoriled by sueb peIlit is COlleDCed within six IOnths of issuance, or if work authoriled by the pel1Iit is
<br />suspended or abandoned for a period of six IODtbs after the tile the work is co.enced. One 90 day l!Itension of tille, Jay be
<br />allowed for the peIlit with fee ebarge of $15.00. Tbe l!Itension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eaeb six IOnth period, or the project will be considered abando ~
<br />WADING TO OIlIER: YOUR FAILURE TO -'l.DICE OF COIHEICEIlBIft' HAY RESULT IN YOUR PAYING fillMPROVmlmS TO YOUR
<br />PROPERn'. IF YOU IIft'BIiD ~~~iG, CONSULT WITH YOUR LENDER OR All A ...BE. FOIJ: / YOUR Ii
<br />
<br />ClIIIEIICIlIlIIII> J UID/~ P IRJ! IIED!O IlI\lBIIIIID POS'f I .~ ./; #CEIlB. ,'::;--"
<br />
<br />// ~:-' ,/ .- - ~ /
<br />// "".""./"': ,-;;--:/ ---_/
<br />
<br />Rift'. If1'RACTOR
<br />
<br />~
<br />
<br />CO
<br />The foregoing instrument was acknowledged
<br />before me this , 19_____ by
<br />
<br />
<br />
<br />
<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 has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
|