|
<br />COND~~~ONS O~ P~RM~~ A~F~DAV~~
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tilt: undersigned understands that thi:, permi t lni;l, Y be S-lDj ec:t ':0 "deed restrictions" which
<br />may be more restrictive than City r.aqulations. The undersiqned assumes responsibility for
<br />compliance with any applicable deed T1astricti::ms.
<br />B. UNLICENSED CONTRACTORS AND CON'I'HACTOR R!!:SPClN'SIJ3ILlrI!!:S
<br />If the owner has hired a contractor 0.1: contractor::; to unden:iike work, they may be required
<br />to be licensed in accordance with S1:a':e and local ,I:egul:itions. If the contractor is not
<br />licensed as required by law, both th.a owner and contrac'cor may be cited for a misdemeanor
<br />violation under state law. If the Ol~J.er or intend.;d cO:J.tra,:::tor are uncertain as to what
<br />licensing requirements may apply for 'the intended 'l'lOrk, they are advised to contact the
<br />City of Zephyrhills Building Departm,;nt, 813-788-6611.
<br />Furthermore, if the owner has hired a contractor or con.trac.tors, he is advised to have the
<br />contractor (s) sign portions of the '''Contractor Sections" of this application for which they
<br />will be responsible. If you, as th,Ol owner signs as the contractor, you are indicating that
<br />you, rather than the contractor, ar,Ol responsible f'or 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 permitting privileges in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA S'TATUTES, ,~S AMENDED)
<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 "owner", I cerify that I
<br />have obtained a copy of the above described doc:ument and promise in good faith to deliver
<br />it to the "owner" prior to commencement,.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the information in t~his application is accurate and that all work will
<br />be done in compliance with all applicable laws> regula,ting construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do ~'ork and installation as indicated. I
<br />certify that no work or installation has commemced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development: regulations in the jurisdiction. I also
<br />certify that 'I understand that the regulatiomi of other governmental agencies may apply to
<br />the intended work, and that it is my responsibilit.y t:o identify what actions I must take to
<br />be in compliance. Such agencies include but eLl:e not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wet:landl Al:eas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management Distrie:t-WEllls, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative ServicE~fl, E:nvironmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is tel bE~ used in Flood Zone "A" or "A, etc.", it is
<br />understood that a drainage plan addressing a "compensating volume" will be submitted which
<br />is prepared by a professional engineer registm:ed in the State of Florida prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a licEmse to proceed with the work and not as
<br />authority to violate, cancel, alter, or set: aside any provisions of the technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, OJ: violations of any code. Every permit
<br />issued shall become invalid unless the work au1:horized by such permit is commenced 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 commEmced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15..00. The extension shall be requested
<br />in writing to the Building Official. An appr<wed 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 NOr.rICE OE' 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 BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND posr.r A "NOr.rICE OF COMMENCEMENT".
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />acknowledged
<br />19_
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this -----Pay of
<br />by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by
<br />
<br />acknowledged
<br />19
<br />
<br />(name of person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />(name of person acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced
<br />(type of identification)
<br />and who Ddid DUd not take an oath
<br />
<br />o who has produced
<br />(type
<br />and whoD did Ddid not
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
|