|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />rbe undersigned understands that this penit lilY be subject to 'deed restrictions' which lilY be lOre restrictive than City
<br />regulations. rbe undersigned assU188 responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake IIOrt, they lilY be required to be licensed in accorclance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the 0IIJleI and contractor lilY be
<br />cited for a liscleleanor violation under state law. If the owner or intended contractor are uncertain as to wbat lic8D8ing
<br />requireJIents lilY apply for the intended wrt, they are advised to contact the City of Zepbyrhills Building Deparblent, (813)
<br />788-6611.
<br />
<br />Furtbenore, if the OIOler bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for wbich they will be responsible. If you, as the mmer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the IfOrt. If the contractor wishes you to sign
<br />as contractor that lilY be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zepbyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILI'1'Y CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of 'Plorida's Construction Lien Law - BoIeoImer's Protection
<br />Guide' prepared by the Florida Depart:lent of Agriculture and ConsUJl8I' Affairs. If the applicant is 80180I18 other than the
<br />'mmerl, I certify tbat I bave obtained a copy of tbe above described docuIent and prOlise in good faith to deliver it to the
<br />"owner" prior to COlleDCeJl8llt.
<br />
<br />E. CONTRACTOR1S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and tbat all IIOrt will be done in COIpliance with all
<br />applicable laws regulating construction, loning, and land develo(lRllt.
<br />
<br />Application is hereby Iilde to obtain a perlit to do work and installation as indicated. I certify that no IIOrt or
<br />installation bas C31encec1 prior to issuance of a perlit and that alllOrt willbe perfOIlecl to IIl!8t standards of all laws
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDll!JltBl agencies lily apply to the intended IfOrt, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in COIpliance. Such agencies include but are not liaited to:
<br />I Departlent of EnvirODl8lltal Regulation - Cypress Baybeacls, lIetlandAreas and EnviroDleDtally Sensitive Lands,
<br />lIater/llastewater 'Ireatlent
<br />I Southwest Florida later Hanagl!lellt District - lIells, Cypress Baybeads, Wetland Areas, Altering lIatercourses
<br />I AIly Corps of Engineers - Seawalls, Docks, lavigable Watenays
<br />t Departlent of Health i Rehabilitative Services, InvirODleDtal Health Unit - lIells, Wastewater 'IIeablent, Septic rants
<br />t US InvirOlllental Protection Agency - Asbestos abatl!leJlt
<br />I also certify that, if fill I8terial is to be used in Flood Zone 'AI or IA,ete.', it is understood that a drainage plan
<br />addressing a 'COIP8D8ating voluel will be sublitted which is prepared bya professioUl engineer registered in the State of
<br />Florida prior to peIlit issuance. .
<br />
<br />A perlit issued shall be construed to be a license to proceed with the wrt and, not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a PeIlit prevent the. BuildiDg Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any coda. Ivery perlit issued shall becme invalid
<br />unless the IfOrt authoriled by such perlit is COII8Ilced within sillODtbs of issuance, or if wrt authoriled by the perIIit is
<br />suspended or abandoned for a period of sil IODtbs after the tile the IOlt is ~cec1. One 90 day 81tension of tile, Iilr be
<br />allowed for the perlitwith fee charge of $15.00. !be 81tension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each slllODth period, or the project lill be considered abandoned.
<br />NARlING '10 OIIIIR: YOUR FAILORI TO RECORD A IIO'fICE OF allMDCIIIIU HAY RESULT II YOUR PAYIIG nICE FOR IIIPROVIIImS fO YOOR
<br />PROPIR'fY. IF YOU mIlD fO OBUII PIIWlCIXG, COISUL'I lID YOOR LBMDIR OR lIf AnomY BIFORI RICORDIIG YOOR 1O'fICE OF
<br />OJIHIIClMBI'f. JOBS UlDIR $2,500 1M VALUI DO 1O'f IfDD fO RECORD lIfDl'O$I"l~1 OF WlllllCIIIm'.
<br />
<br />.. .,... /~
<br />// ,./ .
<br />/
<br />
<br />SIG.NAfURB: OOIR OR AGBII'I
<br />
<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 />..,.-----....
<br />SrArB OF FLORIDA<'1-__--? .
<br />coum OF j r'L "l a .J)
<br />The foregoing instrument was acknowledged
<br />before me th~~gd!<A1 , :3 . , &;200 I by
<br />
<br />o:lf .~~/ ,
<br />..ho, . pe~: ~~r wbo bas
<br />pr ced
<br />as " . ication and wh~ did no't
<br />take an i.' C~.
<br />' \.._-~. / . ,
<br />
<br />~~tu e . ....
<br />C/ c..;:i~ )n~/1Nn
<br />(N, . ~ed, Printed or Stallped)
<br />NOTARY PUBLIC
<br />
<br />
<br />
<br />srArB OF FLORIDA
<br />coum OF
<br />The foregoing instrument was aCknowledged
<br />before me this , 19____ by
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />....~".." Bobble Swetland
<br />E.1Jl:""'~~ MY COMMISSION # CC893160 EXPIRES
<br />~. :~l February 22. 2004 _
<br />'~i",,"~~ BONDED THRU TROY FAiN INSURAI\ICE, INC
<br />~~',Rfllfr\\ .
<br />
|