|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />- A. rNOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to ndeed restrictions" which laY be lOre restrictive than City
<br />regulations. !he undersigned assUles responsibility for cOlpliance 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 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 lay be
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections I of this application for wbich 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 wisbes you to sign
<br />as contractor that laY be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zepbyrhills.
<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, bave been provided with a copy of IFlorida's Construction Lien Law - Boteowner's Protection
<br />Guide" prepared by the Florida Departtent of Agriculture and Consuter Affairs. If the applicant is sOJleone other than the
<br />nownerll, I certify that I bave obtained a copy of the above described docutent and prOJlise in good faith to deliver it to the
<br />"owner" prior to cottenCetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in tbis application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas cOllenced prior to issuance of a perlit and that all work will be perforted to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agenCies laY apply to the intended work, and that it is
<br />IY responsib~lity to identify what actions I lUst take to be in colpliance. Sucb agencies include but are not lilited to:
<br />* Departtent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and Environtentally Sensitive Lands,
<br />Water/Wastewater Treattent
<br />* Southwest Florida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & ~ebabilitative Services; EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic ranks
<br />* US InviroDlental Protection Agency - Asbestos abatetent
<br />I also certify that, if fill laterial is to be used in Flood Zone HAn or "A,etc.", it is understood that a drainage plan
<br />addressing a "cOJlpensating voluteR will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor shall issuance of a perlit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCOle invalid
<br />unless the work authorized by such perlit is COIIenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IODtbs after the tite the work is co.enced. One 90 day eltension of tite, laY be
<br />allowed for the perl~~ with fee charge of $15.00. !he extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IOntb period, or the project will be considered abandoned.
<br />WARRING TO OWRER: YOUR FAILURE TO RECORD A NO'l'lCE OF COMMDCEllltff MAY RESULT IN YOUR PAYING !VICE FOR IMPROVBMmS TO YOUR
<br />PROPERTY. IF YOU ItffBMD TO OBrAlN FINANCING, CONSULT WITH YOUR LENDER OR AN AnoRRIY BEFORE RECORDING YOUR NO'fICE OF
<br />COMMlNC NT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED !O RECORD AND POsr A "NOTICE OF COMMINCEMEtff".
<br />
<br />
<br />.. ~?(ue0" . Lr,f.j2$- i~r/Zft7&C~..-C<k:"?
<br />SIGNATURE: OWNER OR GIRT I SIGNATURE: CONTRACT R
<br />
<br />
<br />S!ATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19 by
<br />---
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was aCknowledged
<br />before me this , 19_____ by
<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 />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 />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
|