|
<br />CONDI'nONS OF PERMI'I' AFFIDAVI'r
<br />A. NOnCE o Ii' DEED REBTRIc'rIONS
<br />'l'he undersigned understands that this permit may be subject to "deed restrictions" whlch
<br />may be more restrlctive than City regulations. The undersigned assumes responsibility for"
<br />compliance with any applicable deedt:estrictions.
<br />B. UNLICIllNSED CON'rRACTORS AND CON'l'RAC'1'OR RESPONSIBILI'l'IES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />I to be licensed in accordance with state 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 state law. If the O\'lner 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 Buildlng Department, 813-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is adv1.sed to have the
<br />oontraotor(s) sign portions of the "Contractor Sections" of this application for which they
<br />will be responsible. If you, as the owner signs as the contractor, you are indioating that
<br />you, rather than the contraotor, are responsible for the work. If the contractor w1.shes
<br />you to a1.gn ae contractor that may be an indicatlon that he 18 not properly licensed and 1s
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C. TRANBPOR'I'A'rIoN IMPAc'r FEES AND U'l'ILITY CONNEC'l'ION FEES
<br />D. CONSTRtIC'l'UION I.IEN LAW (CHAP'l'ER '713, FLORIDA S/rATUTES, AS AMENDED)
<br />I oertify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />li.~n Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the appllcant is someone otller that the "owner", I cerify that I
<br />have obtained a copy of the above described aocument and promise in good faith to deliver
<br />lt to the "owner" prior to commencement.
<br />E. CON'I'RAC'!'OR' B/OWNER' B AIi'FlDAVl'f
<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 />development.
<br />ApplJaation is hereby m~de to obtain a permit to do work and installation as 1.ndioated. I
<br />certify that no work or installation has oommenced pripr to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regUlating oonstruction, City
<br />codes, zoning regulations, and land development regulations in the jurisd.tction. I also
<br />certify tllat'I understand that the regulations of other governmental agencies may apply to
<br />the Jntended work, and that it is lIlY r,sponsibility to identify what actions I must take to
<br />be in compliance. Such agencies include but are not limited tal *Department of
<br />Environmental Regulation-Cypresa Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />"'Southwest B'lori~il Water Management District-Wella, Cypress Bayheads, Wetland Areas,
<br />Altering Wateroourses
<br />"'Army Corps of Engineers-Beawalls, Docks, Navigable Waterways
<br />"'Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Tre.tment, Septic Tanks
<br />*U.S. Ellvlronmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material 1s to be used in Flood Zone "A" or "A,eta.", it is
<br />understood that a drainage plan addressing a "compensating volume" will be submitted which
<br />is prepared I>y a professional engineer registered in the State of B'lorida prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with ~he work and not as
<br />authority to violate, oance1, alter, or set aside any provisions of the technioal codes,
<br />nor shall issuance of a permlt prevent the Bu.Uding Official from thereafter requiring a
<br />con:eotion of errors in plans, oonstruotioJl,or Vio~!ition. of any oode. Hlvery permit
<br />iuued ahall beoome invalid unless the work authorized by suoh permit is oonunenced withJ.n
<br />six month. of issuance, or if work author1.zed 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 thile
<br />may be allowed for the permit with fee charge of $15.00. 'l'he extenslon shall be requested
<br />in writing to the Building Official. An approved inspection must be logged during eaah six
<br />month period, or the project will be considered abandoned.
<br />WARNING 'I'D OWNER. YOUR U'AIWRE TO RECORD A NO/l'ICE OF COMMENCEMENT MAY REBUI,T IN YOUR
<br />PAYING 'rWICE B'OR IMPROVEMEN'rS TO YOUR PROPER'ry. IF YOU IN'l'END 'l'O oa'rAIN FINANCING, CONSUL'l'
<br />WI'l'lf YOUR 1.ENDIllR OR AN A'1''l'oRNEY BEFORE RECORDING YOUR NOTICE OF COMMIllNCIllMEN'I'. JOBS UNDER
<br />$2,500 IN VAI,UE no NOT NEIilD '1'0 RECORD AND POS'l' A "NO'l'ICE OU' COMMENCEMEN'l"'.
<br />
<br />
<br />
<br />7~/__ I.- /)
<br />~Z-'- ._____
<br />
<br />SIG
<br />
<br />BTA'l'E aU' U'LORIDA-u
<br />COUN'!'Y OE' r a 5<-0
<br />'l'he foregoing In&t~um8nt was acknowledged
<br />Before lIIe this ~ day of Septe~ ~:L
<br />by . J' f' r l'" vY\~ J:::b.Q.k s
<br />L' "..tname 0 person aokno..,ledged)
<br />~o is personally knowri to m~, or
<br />
<br />o who has produoed
<br />(type of identificatlon)
<br />Odid not ake an oath.
<br />
<br />BTA'l'E OF FLORIDA Vp'
<br />CoUN'rY OB' _ a ~LO
<br />The foregoing instrument wa~ a~knowledged
<br />Before me this ~--pay of ~~.^~, S ~"J-
<br />by ~ t"(' e \f\^ 14 --1::b2..k s - ____
<br />(name ot person aoknowledged)
<br />~is personally known to me, or
<br />
<br />o who has produced
<br />(type of identifioatlon)
<br />and who /~d DUd ~J~.th
<br />
<br />
<br />Sign ture ~aking acknowledgment'
<br />
<br />
<br />,"\-'\illl,,/. :"~(j/;'i nu Bcihr
<br />
<br />typed, ~~~C;'IJ~:-~~~~~l;l!
<br />~;:th~}:;(f:~'o- ,1." ..... '~'o'~IRU ~~c
<br />
<br />Name
<br />
<br />,,,Hil,, ,-,
<br />,\\. I{..pu',,-:, ;);fl?D(~"lO 8~
<br />typed,~ r(~tf;"8r".~lJ~if,im>B17
<br />:'~'" .",' ",A,!i, 2002
<br />~/:r;f:;X"", :"~;;J9;~,~,!!T;~~~ INC
<br />
<br />Name
<br />
|