|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this perlit lay be subject to "deed restrictions" which .ay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTOHS AND CON1'RAC'l'OH RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they .ay 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 .ay be
<br />cited for a lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />reguirelents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />188-6611.
<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" of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than tIle contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />I ~'
<br />,
<br />
<br />D. CONS1'RUC'l'ION LIEN L'I\.W (CHAPTER 713, FLORIDA STA'rUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ Hoteowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and pro.ise in good faith to deliver it to the
<br />"owner" prior to co..encelent.
<br />
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'l'
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />I
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no worl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfoCled to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction, I also
<br />certify that I understand that the regulations of other goverDlental agencies lay apply to the intended work, and that it is
<br />,y responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not li8ited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and Bnvirofilentally Sensitive Lands,
<br />Nater/Nastewater Treatlent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Netland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, BnvirODlental Health Unit - NeIls, Wastewater Treatlent, Septic Tanis
<br />t US BnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan
<br />addressing a "colpensating volUle" will be sub.itted 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 the technical codes, nor shall issuance of a perlit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or vioiations of any code, Bvery peClit issued shall heCOle invalid
<br />unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eatension of tile, tay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be reguested in writing to the Building Official. An
<br />approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
<br />NARMING TO ONNER: YOUR FAILURB TO RECORD A NOTICB OF COHHENCKHENT HAY RESULT IN YOUR PAYING fNlCE FOR IHPROVEHBIrS TO YOUR
<br />PROPBRTY. IF YOU IHTHND TO OBTAIN FINANCING, CONSULT NITH YOUR LHNDBR OR AN ATTORNBY BBFORB RBCORDING YOUR HOTICH OP
<br />COHHHNCHHHNT. JOBS UNDER $2,500 IN VALUH DO NOT NEHD TO RECORD AND POST A "NOTICH OF COHHKNCKMKHI".
<br />
<br />/ '~ ~ttQrd]t
<br />. S~ RE: ONIIIlR OR A ;T' i
<br />
<br />~\J$~
<br />SIGNATURE: CONrHAe R
<br />
<br />. I
<br />
<br />STATE OF FLORIPGl
<br />COUNTY OF 't' Q 'S C 0
<br />The foregOing instrument was acknowledged
<br />before me this ~J.ftl~)".. \, 1:9:QQt by
<br />
<br />k "' N ()ft G u. 'e.l' lGt1- ~
<br />w 0 is personal If known to me or W"h,O, has
<br />produced i- t D J-.... ,_
<br />as ide,n tification,.and wbo did~id noJ)
<br />
<br />~~~,d,~~ ~JVL
<br />(~~{-~ A 'T ;~.~ N ~ \
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLOR~
<br />COUNTY OF ~ Q C;C' .f)
<br />The foregoing instrument was acknowledged
<br />before me this A~'\ \dS , t9"d.O~y
<br />
<br />~~o...' ~~
<br />who is personally known to me or who bas
<br />produced ~ L '\::) L
<br />as identification and who di~id nQt)
<br />ta oatb.
<br />
<br />
<br />
<br />II""""",'
<br />
<br />..... --
<br />--... -
<br />.... --
<br />,......._......
<br />
|