|
<br />CONDITIONS OF PERMIT AFFIDAVI~
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject 1:0 "deed restrictions. which
<br />may be more restrictive than City regulations. The undersi~led assumes responsibility for'
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertClke work, they ~y be required
<br />to be licensed in accordance with state and local regulationH. If the contractor is not
<br />licensed as required by law, both the owner and contractor mlY be cited for a misdemeanor
<br />violation under state law. If the owner or intended contrac1:or 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 UContractor Sections. of t:his application for which they
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating that
<br />you, 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. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CIIAP'l'ER 713, FLORIDA STATUTES, AS AMl!:NDED)
<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 "owneru, I cerify that I
<br />have obtained a copy of the above described document 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 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 ~at 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 uAN or "A,etc.N, it is
<br />understood that a drainage plan addressing a ucompensating 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 autho~iz~Cby such permit is commenced within
<br />six JIlOnths of issuance, or if work authorized by tlie permit is suspended or abandoned for a
<br />period of six months after the time the work is COllllleDced. 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 ins~~tion must be logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEHCEMEN'T 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 BISFORE RECORDIt;lG Y N ICIS OF COMMENCISMENT. SUNDER
<br />$2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A IC OF COMMENC
<br />
<br />WIffJit(
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />STATE OF FLORIDA fJx~{)
<br />COUNTY OF
<br />The foregoing ins~nt ~cknOwledged
<br />Before me this ~ day of ' , _ , ~62CO;2
<br />by
<br />~ (name of person ackno,.ledged)
<br />7' who is personal.ly knowD to -, or
<br />
<br />Dwho has produced
<br />(type of identification)
<br />aA:JioD~ ~ take an oath.
<br />
<br />VIla c U
<br />
<br />Signature of person taking acknowledgement
<br />
<br />\\~.~..~
<br />')MI 1:>1l"'lIIlSNI Ill"" AOO n~H1 a3()NQll ~;-'
<br />~~ i '~'_
<br />Name t~g ~~~fl .~~g
<br />PJDM .~ ouoa ~~11/;"t,~,....
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing inst~nt was~acknOWledge~
<br />Before me this ~ay of 01"_ , ).4r.&!PZ
<br />by
<br />).,{.L._ (name of person acknowledged)
<br />r- i. persona1ly known to me, or
<br />
<br />Dwho has produced
<br />(type of identification)
<br />d not take an oath
<br />
<br />
<br />Signature of person ta Ing acknowledgment
<br />
<br />..,.."";....., Dana M. Ward
<br />.. l'i" ~I~H /I 99QJ8128 iXlllRES
<br />Name ~. tjpr n e ~. ..~ed
<br />"f.f'....~ WNDE01!lt!U TROYfAlN tNSURANC~ INC.
<br />'I'.w,,~"
<br />
<br />----
<br />
<br />-----
<br />
|