|
<br />CONDITIONS O~ PE~T AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned underetands that this p.~t may be subject to "d~.d restrictions" which
<br />~y be more restrictive than City r.gulatio~s. The undersigned assume. responsibility for
<br />compliance with any app11cable deed restriction..
<br />B. UNLICENSED CONTRACTORS AND CONTRAcTOR RESPONSIBILITIES
<br />If the owner has hired a contxaotor or contractor. to undertake work, they May be required
<br />to be licensed in accordance with .tate and local regulations. If the contractor is not
<br />licensed as required by law, both the owner and contractor may be cited for a misdemeanor
<br />violation under atate law. If the owner or intended contractor are uncertain a.-to what
<br />licenaing requirements mAY apply for the intended work, they are advised to contact the
<br />City ot Zephyrh11ls Build1ng Department, 813-7$8-~611.
<br />Furthermore, if the owner has hired a contraotor or contractors, he is advised to have the
<br />contractor(s) 8ign portion. of the "Cont~.ctor SectioneN of this application for which they
<br />will be reaponsible. If you, a. the owner signs as the contractorr you are lndicat~q tha~
<br />you, rather than the contractor, are responaible for the work. If the contractor wishes .
<br />you to sign as contractor that may b. an indication that he is not properly licenaed and Ie
<br />not entitled to pexmitting privileges in the City of Zephyrhills.
<br />C. 'l'lUUfsPORTATION IMFACT nES AND UTILITY CONNECTION FEES
<br />,D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of ~Florida's Construction
<br />lien Law - Homeowner'. Protection GuldeN prepared by the Florida Department of Agriculture
<br />and Consumer Affairs, If the applicant is someone other that the "owner", r eerify that I
<br />have obtained a copy of the above descr~bed documen~ and promiae in good faith to delive~
<br />it to the "ownerh prior to oommencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />devolopment.
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no work or installation has cDmm*nced prior to issuance of a pe~t and that
<br />all work will be perfonmed to ~eet standards of all l.wa regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify thstt understand that the regulations of other governm6ntal agencies may apply to
<br />the intended work, and that it i. my re8ponaibility to identify what actione I mu$t take to
<br />be in complianoe. Such agencies include but are not lim1ted to: *Department of
<br />Environmental Regulation-Cypress Sayheads, Wetland Areas and Environmentally SensitiVe
<br />Lands, Water/Wastewater Tr~atment
<br />.Southwest F10~da Water ~n.gement District-Wells, Cypress Bayheads, Wetland ~ea.,
<br />Altering Watercourses
<br />*Army Corps of EngineerS-Seawalls, nocks, NaVigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Soptic Tanks
<br />*U.S. Environmental Protection AgenCY-Asbestos abatement
<br />t also certify that, 1f fill material is to be useq in Flood Zone "An or "A,ete.N, it is
<br />understood that a drainage plan addressing a "co~ensating volumeh will be submitted which
<br />i8 prepared by a professional engineer registered in the State of Florida prior to p~rmit
<br />issuance. .
<br />A pe~t isaued shall be ~onstrued to be a license to proceed with the WQrk and not .s
<br />authority to violate, cancel, alter, or set asi~e any provisions of the technical oodea,
<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 in~alid unless the work authorized by such permit 1a commenced within
<br />six months of issuance, or it work authoriZed by the permit i. suspended or abandoned for a
<br />period of aix montha a~ter the time the work i5 commenced. One 90 day extension of time
<br />may be allowed for the permit with fee charqe of $15.00. The extension shall be requested
<br />in writing to the Building Official. An approved inspection must be l09ged during each six
<br />month period, or the project will be considered abandoned.
<br />WAIU'IING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS To ~OUR PROPERTY. IF You INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOURLENDgR OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 ro VALUE DO NOT O.EO TO ""CO"" ""0 PQ'T A 'N<Y1Irc.~
<br />
<br />
<br />
<br />81 OW}fER OR AGENT SIGNA~ R
<br />
<br />STATE OF FLORIDA 0 I S' STATE OF FLORIDA '\) . 1
<br />'. COUNTY OF .1:. 110.1 e~ I A- COmiTY O!" ........ I '")€.- \ "'" S
<br />The foregoing in~trument wa8r8c~nowtedged The roregoing instrument wa~a1oknowledged
<br />Before me thi8~ day of ~ , ~~ Before me this ~ ~ay o~_ . ~.
<br />by tV A II. tZ-,~ N J:A-r J-I /-J /7J ,;).0 by. Ole o-:L
<br />(name of person acknowledged) ~ (name of person acknowledged)
<br />Owho is personally known to me, or _ho l.B personally known to me, OJ:'
<br />
<br />
<br />LilI who hal5 produced J:>t< 11Je..lP L i (....eN $.f"
<br />(type of identification)
<br />d.not take an oath.
<br />
<br />
<br />.cknowledgement
<br />
<br />
<br />o Who has prodUced
<br />(type of id~nt1fication)
<br />~id., ,nn!t take an oath
<br />
<br />~?-
<br />
<br />acknowledC]lllent
<br />
<br />8 . d
<br />
<br />9Ztl'ON
<br />
<br />SlllHMAHd3Z ~O AliJ
<br />
<br />~d! I: I COO[ .?'C'qaj
<br />
|