|
<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. . NOTH::E OF DEED RESTRICTIONS
<br />The undersigned understands that this pE!l:mit may be subject to "deed restrictions" which
<br />'I!'.ay be more restrictive than Ci ty rl~gulat:ions. The undersigned assumes responsibility for
<br />compliance with any applicable deed L"l~strictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with s"tate and local regulations. If the contractor is not
<br />licensed as required by law, both the owner and contractor Imay be cited for a misdemeanor
<br />violation under state law. If the owneJC or intended contractor are uncertain as to what
<br />licensing requirements may apply for thl~ intended work, they are advised to contact the
<br />City of Zephyrhills Building Department. 813-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />. contractor(s) sign portions of the "Contractor Sections" of this application for which they
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating that
<br />you, rather than the contractor, are rE!sponsible for the work. If the contractor wishes
<br />you to sign as contractor that may be aln indication that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTII,ITY CONNECTION FEES
<br />,D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant: is someone other that the "owner"; I cerify that I
<br />have obtained a copy of the above descJ:ibed document and promise in good faith to deliver
<br />it to the "owner" prior to commencement:.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the information in l:his application is accurate and that all work will
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no work or installation has commenced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land de-~elopment regulations in the jurisdiction. I also
<br />certify that ! understand that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is my responsibility to identify what actions I must take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*AImy Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is
<br />understood that a drainage plan addressing a "compensating volume" will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />authority to violate~ cancel, alter, cor set aside any provisions of the technical codes,
<br />nor shall issuance of a permit prevent: the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become invalid unless the work authorized by such permit is commenced within
<br />six months of issuance, or if work aut:horized by the permit is suspended or abandoned for a
<br />period of six months after the time the work is commenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extensio~shall be requested
<br />in writing to the Building Official. An approved inspection must be logged during each six
<br />nth period, or the project will be considered abandoned.
<br />W G TO YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING ICE FO OVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH Y L R OR ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />2,500 V UE NOT NEEO TO RECORD ANO POST ^;"lP ~.
<br />
<br />
<br />
<br />SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORID~
<br />COUNTY OF -=-m~(!,o
<br />The foregoing instrument was acknowledged
<br />Before me this ,,~ day oft;o~It\~ ' ~
<br />by
<br />~ (name of person acknowledged)
<br />~who is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and wh~did Odid not Ili~e an oath.
<br />
<br />~-:r~ ~ X ddL
<br />
<br />Sign'ature of person taking acknowledgement
<br />
<br />..~'{I
<br />P!'ifJ\1"il1 . sfllfXltiamp ed
<br />'j'~~! April 13, 2004
<br />'!i ;;f,,~~..,. BONDfO'lHRlI TROV FAIN INSURANCf, INC.
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF .C{'I1)
<br />The foregoing ins~ument was acknowledged
<br />Before me this ~day of FebN1()'f ' ;l4JOf
<br />by
<br />(name of person acknowledged)
<br />~hO is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and WhO~d DUd n~e. an oath
<br />
<br />~/J(. 'd1
<br />
<br />Signature of person .taking acknowledgment
<br />
<br />
|