|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned underBtands that this per.it .ay be subject to "deed restrictions" which .ay be aore restrictive than City
<br />regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRAC'l'OU RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they .ay 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 .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (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, aB the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wort. 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 />City of Zephyrhills.
<br />
<br />"
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ,.
<br />
<br />D. CONSTRUC'l'ION LIEN L1\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeowner's Protection
<br />Guid~" prepared by the Florida DepartJent of Agriculture and Consu.er Affairs. If the applicant is sOIeOne other than the
<br />"owner", I certify that I have obtained a copy of the above described docUlent and pro.ise in good faith to deliver it to the
<br />"owner" prior to co..ence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />I
<br />
<br />Application is hereby .ade to obtain a per.it to do work and instailation as indicated. I certify that no worl or
<br />installation has cOllenced prior to issuance of a per.it and that all work will be perf OIled to aeet standards of all laws
<br />regulating construction, City codes, loning regulations, and land develop.ent regulations in the juriBdiction. I also
<br />certify that I understand that the regulations of otber goveru.ental agencies lay apply. to tbe intended work, and that it is
<br />.y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not lilited to:
<br />· DepartJent of Hnvirou.ental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· Ar.y Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Depart.ent of Health & Rehabilitative Services, Bnvirou.ental Health Unit - Wells, Wastewater Treat.ent, Septic tanks
<br />· US EnviroDlental Protection Agency - Asbestos abate.ent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "co.pensating volu.e" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it. issuance.
<br />
<br />. A per.it issued shall be construed to be a license to proceed with the work and not as autbority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~u~nce of a per.it prevent the Building Official frQl thereafter
<br />requiring a correction of errors in plans, construction, or violationB of any code. Bvery perlit issued shall heCOJe invalid
<br />unless the wort authorized by such perlit is cOllenced within six aonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six aonths after the ti.e the wort is cOllenced. One 90 day 81tension of tile, liy be
<br />allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved ins ction .ust be logged during each six aontb period, or the project will be considered abandoned.
<br />WARNING T ONNB YOUR FAILURE TO RECORD A NOTICB OF COHHENCKHKNT HAY RESUL YOUR PAYING TIIICR FOR IHPROVRIIHIIS TO YOUR
<br />PROPERTY. IF YOU INTBND TO OBTAIN ANCING, CONSULT WITH YOUR LENDER OR A ArT RBY BBFORE RICORDI YOUR NafICK OF
<br />COHHENCEH T. JO UNDER $2, 0 1 V LUB DO NOT NEED TO RECORD AND POST A NOTIC OF CotlMBN "
<br />
<br />
<br />
<br />. I
<br />
<br />STATE OF FLORIDA
<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 wbo 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 />
|