|
<br />(;c!.,r,gz/'~~ CONDITIONS OF PERMI'l' AFFIDAVI'l'
<br />A. NOTICE OF DEED HES'l'RICTIONS
<br />The undersigned understands that this per.it lay be subject to "deed restrictions" which .ay be lOre restrictive than City.
<br />regulations. The undersigned assUles respollsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CON'l'RAC'l'ORS AND CON'l'HAC'I'OH HESPONSIBILl'l'IES
<br />If the owner has hired 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 lily be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licenSing
<br />requireJJents lIay apply for the intended wurk, they are advised to contact the City of ZephyrhiUs Building Deparuent, (813)
<br />788-6611.
<br />
<br />Furtheraore, if the ONner has J.ired 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, 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 he is not properly licensed and is not entitled to per.Hting priVileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />l ~'
<br />
<br />D. CONSTRUC'I'ION LIEN L1\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, tho applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeONDer's Protection
<br />Guide" prepared by the Florida Departlent of ^griculture and ConSUler Affairs. If tbe applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"owner" prior to CODence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with aU
<br />applicable laws regulating construction, zoning, and land developlent.
<br />I
<br />
<br />Application is hereby lade to obtain a per.it to do work and instailation as indicated. I certify that no wort or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfolled to .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDlental agencies lay apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to: '_.
<br />* DepartJent of Environmental Regulation - Cypress Bayheads, Wetland Areas and HnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* De artlent of Health << Rehabilitative Services EnviroDlental Health Unit - Wells, Wastewater Treatlent, Septic Tants
<br />* US EnviroDlental Protection Agenc~ - Asbestos abatBlent
<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 "colpensating volUle" will be subllitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
<br />
<br />, A p.rait issued sll.11 b. construed to be . lice,s. to proc.ed .ilh the NOrk and not .s .uthority to ,Iol.t., cancel ailer, 0'
<br />set aside any provisions of the technical codes, nor shall is~u~nce of a per.it prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code, Every perlit issued shall beCOle invalid
<br />u,less tll' aork .utborl..d by such perait is co"',c.d aithi, si, ...tbs of issuance, or If ..rl aotlorlled by tbe perall II
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eztension of tile, tay be
<br />allowed for 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 IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR F^ILURR TO RECORD A NOTICE OF COMMENCEHENT KAY RESULT IN YOUR PAYING twICE FOR IKPROVEKBIrS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RICORDIHG YOUR MOTICi OF
<br />COMMENCEMENT. VALUE DO NOT HEED TO RECORD AND POST A "NOTICE ClHln".
<br />
<br />
<br />
<br />~~~~;yO~FFLORI~~~~
<br />
<br />The foregOing instr
<br />before me thisJ
<br />
<br />G.
<br />
<br />
<br />ent was a~lowledged
<br />, 19--1':+ by
<br />
<br />
<br />who i
<br />produced
<br />as identification
<br />
<br />take ~~. 08
<br />(Signature) f
<br />
<br />and who did/did not
<br />
<br />oIl:J~
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />..'6""'" Angela L Helms
<br />*.*Mv Commission CC800247
<br />~....."..~' Expires January 3, 2003
<br />
<br />""~"" Angela L Helms
<br />; " <, 1< ~Ay Commission CC800247
<br />'~'~',J t.xp.res January 3. 2003
<br />
|