|
<br />CO~DITION8 O~ ?EPMIT AFFIDAVI~
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Thp undersigned understands that this permit may be subject to "deed restrictions~ which
<br />may be more restrictive than City regulations. The underslqned assumes responsibility'for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRA.CTORS AND CON'l'HACTOH RI!:SPONSIBIl,ITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with state and local regulations. If the contractor is not
<br />licensed as required by law, both the Ohmer and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner 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, 813-788-6611.
<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 SectionsN of this application for which they
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating that
<br />yo~, 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 permitting privileges in the City of Zephyrhills.
<br />C. TRANSPOR'l'ATION IMPAC'l' FEES AND UTILITY CONNEc'rrON FEES
<br />D. CONSTRUC'rUION I,IEN LAW (CHAPTER 713, FLORIDA STATUTES, AS 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 aocument and promise in good faith to deliver
<br />it to the "owner" prior to cormnencement.
<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 cormnenced 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 to: *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 "AN or "A,etc.N, 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 ~he 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 />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 conunenced. 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 'fa OWNER: YOUR FAII,URE TO RECORD A NOTICE OF COMMENCEMEN'l' M1\Y RESULT IN YOUR
<br />PAYING TWICE I!'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB'rAIN FINANCING, CONSUL'l'
<br />WITH YOUR LENDER OR AN AT'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VAWE 00 Nor NEED ro RECORD AND POST ~MM~~~l
<br />
<br />
<br />
<br />, NATURE: CONTRACTOR -
<br />
<br />~~s. C-O
<br />
<br />
<br />STATE OF nORIDA -P..ISA
<br />COUNTY OF \..:.- <.'.>
<br />The forego.ing inst&ument was acknowledged
<br />Before me this~ day of~~tJ{ , ~t'J..-
<br />d(. '1d. G' ,
<br />by .A.A ". / 41 -11 Jl -
<br />(name of person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was~acknowledged .
<br />Before me this . <<.day o~ '<12j'd , ~.Jt)O)..
<br />l: .'
<br />by - -..I.!"
<br />(name of pers acknowledged)
<br />X1ho is personally known to me, or
<br />
<br />Owho has produced(~~/<, f'yL, q,~'/JJ.-'73P
<br />(type of identification)
<br />and whoD did OIdid _ no~ ~ake ~n oath.
<br />et~ ,X, l~aLL~
<br />
<br />Signature of person taking acknowledgement
<br />tP ~ Clara L RIChaIdIOll
<br />~onCC85Dl1
<br />Name typed, printed or 5t:: . August 17._
<br />
<br />o who has produced
<br />(type of identification)
<br />and who Ddid fl}:1id not take an oath
<br />
<br />f~A-hA .7f I~ti Ld~
<br />
<br />Signature of person taking acknowledgment'
<br />@l' ~ Clara L Ric:h8rdaon
<br />* *My CommIaIlon CC85II41
<br />
<br />Name typed, printed o. ~11.2OllI
<br />
|