|
<br />CONDITIONS OF PEI~IT AFFIDAVIT
<br />A, NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perl it lay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The umJersigned assllIes responsibility for cOlpliance lIith allY applicable deed restrictions.
<br />
<br />I3, UNLICENSED CONTIU\CTOHS AND CON'l'HAC'l'On RESPONSIBILI'l'IES
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance lIith
<br />state and local regulations. If the contractor is not licensed as required by law, ooth the ollner and contractor lay be
<br />cited for a lisde.eanor violation under state lall. If the ollner or intended contractor are uncertain as to IIhat licensing
<br />require.ents lay apply for the intended work, they are adviseu to contact the City of Zephyrbills Building Departlent, (813)
<br />788.6611.
<br />
<br />Furth'erlore, if the owner has hired a contractor or contractors, lie 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, ratlier tlian tlie 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 perlitting privileges in the
<br />CiLy of Zephyrhills.
<br />
<br />C. 'l'R1\.NSI'OHTATION IMPACT FEES A_NO. UTILITY CONNECTION FEES
<br />
<br />D . (::ONliTHU5;:~!:.LQ.!i_~l...~!! L1\W (CIlAP'l'EH '113, FLOHID/\ ST/\TU'l'ES, AS AMENDED)
<br />I certify that I, the applicant, have been provided lIith a copy of "Plorida's Construction Lien Lall - HOleollner's Protection
<br />Guide" prepared by the Florida Oepartlent of Agriculture and Conslller Affairs. If the applicant is sOleone other than tile
<br />'owner", I cerLify that I have obLained a copy of the above described doculent and prolise in good faith to deliver it to tbe
<br />"owner" pr ior tu couellcelenl.
<br />
<br />E, ~oNTnAC.1'OI!"":'~LQ_~NE!.!..~S AFfI~AV IT
<br />I certify that all the inforlation in this applicatioll is accurate and that all work lIill be done in compliance lIith all
<br />applicable laws regulating construction, zoning, anu land developlent.
<br />\
<br />
<br />ApplicaLion is Ilereby lade to obtain a perlit to do work and installation as indicated. 1 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 lalls
<br />regulaLing construction, City codes, toning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify thaL I understand that the regulations of other governaental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify IIhat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />I Deparllent of Envirorrmental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastellater Treallent
<br />I Southwest Florida Water Hanageaent Uistrict - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />t Deparlaent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Trealaent, Septic Tanks
<br />I US Enviro~ental Pro~~~l.Q!1~genci' - Asbestos alialeJlellt
<br />1 al60 certify that, if fill lateriaI is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensaling volllle" will be sub.itted IIhich is prepared by a professional engineer registered in tbe State of
<br />Florida prior to perlit issuance.
<br />
<br />A per.it issued shall be construed to lie 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 issuance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction o[ errors in plans, construction, or violations of any code. Every perlit issued shall becOle invalid
<br />unless the work authorited by such perlit is cOllenced .ithin six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned [or a period of six IOnths after the tile the .ork is cOllenced. One 90 day extension of tLae, aay be
<br />allowed [or 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 six lonth period, or the project will he considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A HOT ICE OF COMMEHCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVKKEKTS TO YOUR
<br />PROPERTY. If YOU INTENO TO OBTAIN PINAHCING, COHSULT WITH YOUR LENDER OR AN ATTORNEY BEfORE RECORDING YOUR NOTICE Of
<br />COKMEHCEHENT. JOBS UNDER $2,500 IN VALUE 00 HOT NERO TO RECORD AHD POST A "NOTICE OP COMMENCEMENT".
<br />
<br />-s7i;1,~i~
<br />
<br />):it' f'j ~
<br />SIGNATURE' CONTRACTOR
<br />
<br />STATE OF FLORIDA Ji) S
<br />COUNTY OF t:JJ- c... V
<br />The foregoing instrument was ac)s1};9wledged
<br />before me this t.lt.t; 11 , 19 ~ by
<br />
<br />---PE.(l(;DtJ~ -( /CtJ t!) fA/ ~
<br />who is personally JulOwli to me or who has
<br />produced
<br />as identification and who did/did not
<br />tak~l_o~ath/)_ ~
<br />
<br />~~ IJ, IJSI3IEL-
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC #'''"6' BruceAAsbel._
<br />*,-*My commission CC7486I 7
<br />,....~, expireS June 22, 2002
<br />
<br />STATE OF FLORIDA n
<br />COUMTY Of ill S GO
<br />Tile foregoing instrument was a~';lOwledgel1
<br />oefore me lilis1lvG 31 r 19~ by
<br />
<br />~'I /CtV~
<br />who is personally known to me or who has
<br />produced
<br />as identification and wilo did/did not
<br />
<br />take~. Il~ ~
<br />(SiynB~~~ 45f5~f-,
<br />
<br />(Name TypeLl, PonleLl or StampeLl)
<br />NOT^RY PUBLIC #'''"6' BruceAAsbel
<br />*if *My Commlslion CC748811
<br />'''''~ Expires June 22. 2002
<br />
<br />, '
<br />
|