|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A.. NO'rICE OF DEED RESTRICTInNS
<br />Th. und.rBign.d und.rstands that this permit may be subject to "de.d restrictions" which
<br />may be mars r.strictive t"an City r.gula'ions. The undersigned assumes responsibility fa,
<br />compliance with any applicable deed re3trJctions.
<br />B. UNLICENSED CONTRACTGRS AND CONTRACTOR RESPONSIBILITIES
<br />If the O~e. has hired a coutractor o. cootrautors to undertake ~rk, they may be requi'ed
<br />to be licensed in accord'noe with state and local regulations. If the cont.actor is not
<br />licsnsed as required by l.w, both the owner .nd contr.ctor may b. cited for. mi..d.....nor
<br />violation under atate law. If the owner or intended contractor are unc..tain as to what
<br />licensing requirements may apply for the intended work, they are advised to contact ths
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furth.rmore, if the owner bas bired a contractor or contr.ctors, be ie adviaed to have tbe
<br />cont..cto.ls) sign po.tions of the "Contra eta. Sections" of this application for which the,
<br />will be .esponsible. If you, as the owner signs as the contractor, you are indicaUng that
<br />you, tather 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 i.
<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 STATUTES, AS AMENDED)
<br />I c..tify that I, the applicant, have been p'ovided with a copy of "Florida's Construction
<br />lien Law - Ho"eo~e.'s Protection Guide" p.epa.ed by the Florida Depa.tment of Ag.iculture
<br />snd Consume. Affairs. If the applicant ia someone other that the "o~er", I cerify that I
<br />havo obtained a copy of the above desc.ibed document and P'omise in good faith to d.liver
<br />it to the "owner" prior to commencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<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 />Application is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no work or installation has commenced 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 regulations of other governmental 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. Such agencies include but are not limited tOI ~Department of
<br />Environmental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />~Southwest Florida Water Management District-Wells, Cypress 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 fill material is to 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 registered in the State of Florida prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a license 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, Or violations of any code. Every permit
<br />issued shall become invalid unless the work authorized by SUch permit is commenced within
<br />slx 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 shall 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 BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregOing instrument was
<br />Before me this _ day of
<br />by
<br />
<br />(name of person aoknowledged)
<br />Dwho is personally known to me, or
<br />
<br />acknowledged
<br />19_
<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 />Dwho has produced
<br />(type
<br />and whoD did Odid not
<br />
<br />(name of person acknowledged)
<br />C1ho is personally known to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Owho has produced
<br />(type of identification)
<br />and who Odid DUd not take an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Henle typed, printed or stamped
<br />
|