|
<br />CUN.lJJ.'l'I0NS OF PERMIT AFFIDAVIT
<br />A, NOTICE OF DEED RESTRICTIONS
<br />The und'ersigned understands tqatthia pe.rmit: may be subject :,to "deed restrictions" which
<br />may L~ more restrictive than Cityregulat:iolls. The undersigned aSSUMes responsibility for
<br />compliance with any applicable deed rest.dctions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RI!:SPONSIBILITIES
<br />If the owner has hired a contractor or contraotors to undertake work, they lIlay be required
<br />.to be licensed in aocordanoe with state Rnd local regulations, If the contraotor is not
<br />licensed as required by law, both the omler and contractor may be cited for a misdemeanor
<br />Violation under state law. If the owne~ or intended contractor are uncertain as to what
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-188-6611.
<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 Sect!ons" of this application for which they
<br />will be responsible, If you, as the owner signs as the contr~ctor, you are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign as contractor that may be an indication that he is not properly licensed and is
<br />not entitled to penMltting priyileges in the City of Zephyrhills.
<br />C. TRAH~PORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA S'l'ATUTEtI, ABAHENDED)
<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 uowner", I cerify that I
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />it to the uowner" prior to commencement,
<br />E" CONTRACTOR' S/OWNER' S AF!'IDAVIT
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance with allap'plicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a penMlt to do work and installation as indioated. I
<br />certify thaf no work or installation has commenced prior to issuance of a penMlt and that
<br />all work will be perfonmed to meet standards of all laws regUlating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiotion, I also
<br />certify that "r understand that the regulations of other gover~ental 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. Suoh 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 Distriot-Wells, CypEess Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army 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 till material is to be used in Flood Zone ~A" or "A,etc.H, it is
<br />understood that a drainage plan addressin9 a ucompensating volume" will be submitted which
<br />is prepared by a professional engineer registered in the state of Florida prior to penmit
<br />issuance.
<br />A permit issued shall be construed to be a lioense to proceed with' the work ~nd not as
<br />authority to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a penmit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violation~ of any oode. EveryperRdt
<br />issued shall become invalid unless the work authorized by Buoh permit is oommenced within
<br />six months of issuance, or if' work authorized 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 extension shal~ be requested
<br />in writing to the Building Official. An approved inspection must be logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR' PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEro~ RECORDING YOUR NOTICE OF COMMENCBMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE or COMMENCEMENT",
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRAcTOR
<br />
<br />r,,,,
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF .
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by
<br />
<br />aclJ;nowledged
<br />, 19~
<br />
<br />acknowledged
<br />, IlL-
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF .
<br />The foregoing instrqrnent was
<br />Before me this ~ay of
<br />by
<br />
<br />(name of person ackno~ledged)
<br />I:lwho is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and whoOdid Odid not take an oath.
<br />
<br />Signature of person taking aCknOWledgement
<br />
<br />9ignature ot person taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
|