|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'fbe undersigned understands that this perlit lilY be subject to 'deed restrictions" 1Ibich lily be lOre restrictive than City
<br />regulations. !be undersigned assUles responsibility for COIpliance .ith any applicable dee4 restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake lIOrt, they lay be required to be licensed in accordance .ith
<br />state and local regulations. If the contractor is not licensed as required by lil1l, both the ower and contractor lilY be
<br />cited for a lisdeJeanor violation under state la1l. If the mmer or intended contractor are uncertain as to wbat licensing
<br />reguirl!lents lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheClOre, if the O1Iner bas hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for .hich they 1Iill be responsible. If JOU, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the lIOrk. If the contractor wishes you to sign
<br />as contractor that lilY 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, have been provided .ith a copy of 'Plorida's Construction Lien Law - lIoIeoImer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is SOJH!OIle other than the
<br />'owner", I certify that I have obtained a copy of the above described dOCUllellt and prOlise in good faith to deliver it to the
<br />"owner" prior to COlll!IlCl!lent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infOIlition in this application is accurate and that all work .ill be done in cQIPliance with all
<br />applicable lil1ls regulating construction, zoning, and land develo~ent.
<br />
<br />Application is bereby Iilde to obtain a perlit to do 1Iork and installation as indicated. I certify that no lIOrt or
<br />installation bas ~ced prior to issuance of a perlit and that all wort 1Iill be perforJed to Met standards of allla1ls
<br />regulating construction, City codes, zoning regulations, and land developlellt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies lilY apply to the intended 110ft, and that it is
<br />Ii responsibility to identify wbat actions I lUst tate to be in colpliance. Such agencies include but are not lilited to:
<br />I Departlent of EnvirODlental Regulation - Cypress Baybeads, tletland Areas and EnviroDlentally Sensitive Lands,
<br />tlater/tlaste.ater !reatlent
<br />I Soutb1lest Florida tlater Managl!lent District - tlells, Cypress Bayheads, tletland Areas, Altering tlatercourses
<br />I ArIy Corps of Engineers - Seawalls, Docks, lavigable tlatenlays
<br />I Departlent of Health & Rebabilitative Services, EnvirODJental Health Unit - Wells, Wastewater freatJent, Septic !ants
<br />I US Environaental Protection Agency - Asbestos abatl!lent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A' or tlA,etc.', it is understood that a drainage plan
<br />addressing a 'COJPeDsating 9OlUJe' will be sublitted .bich is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A pmit issued shall be construed to be a license to proceed .ith 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 frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCClle invalid
<br />unless the work authorized by such perlit is c~ced .ithin sillOntbs of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sil IOntbs after the tile the 1IOrt is COMenced. One 90 day stension of tile, laY be
<br />allOlled for the perlit .ith fee charge of $15.00. 'fbe stension shall be requested in .riting to the Building Official. An
<br />approved inspection lUSt be logged during each six IOJ1th period, or the project .ill be considered abandoned.
<br />tlARlIIIG !O omR: YOUR FAILURE TO RECORD A IOIICH OF COHMBHCIIIm MAY RESULT II YOUR PAYIHG FOR IMPROVBHD!S TO YOUR
<br />PROPmY. IF YOU IJI'fBHD !O OBlAIH FI1IAIICIIG, COHSULf tll!H YOUR LlllDBR OR AnomY ORDIHG JIO'fICH OF
<br />COMMEHCIIIm. JOBS UHDER $2,500 II VALUE 00 101 HEED '1'0 RECORD AHD "IOIICH OF "
<br />
<br />
<br />(~~~{:URE--1 Jf oR~~ri'1te (2 ~
<br />
<br />S'I'AfE OF FLO~
<br />coum OF 0vDC'.A. ")
<br />The foregoing instrum~1fts acknowledged
<br />before me this ai1'U.\ 19~ by
<br />
<br />S'I'Afi OF FLORIDA "j)
<br />coum OF r A5 CD
<br />The foregoing instrument was aCknowledged
<br />before me this dq~~. , 19~ by
<br />
<br />(;~ is personall V known to me Jor who has
<br />produced
<br />as identification and who did/did not
<br />
<br />~; ~~L \l~r~rY'
<br />ill.gnatur~) \ \ "\ \\ _ ^'"'
<br />~f\fi\.()l'1- ~()OUa...~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />. Pamela Woodham
<br />Commiaalon # oa lI:I363O
<br />!lplns ..., "'..
<br />Bonded TIIn
<br />AtlanUc Bondfnff 00., In..
<br />
<br />(!po is persona 11 V known to __ or wbo has
<br />produced
<br />as identification and who did/did not
<br />take oath..p. "'
<br />
<br />(Sign ure)
<br />NN P. L..'~/ZS.
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />ANN P. AUSES
<br />~ Notary Public, State of Florida
<br />My Comm Expir% l\p1i119, 2002
<br />No, CC7350B3
<br />
|