|
<br />COl\DI'l'IONS OF PERNIT AFFIDAVIT
<br />A. NO'l'ICE OF DEED RE8TRIC'l'ION8
<br />The undersigned understands th~t this permit may be subject to "deed restrictions" wlllch
<br />may be more restriotive than City regulations. 'l'he under'si goed assumes responsibility for
<br />oompliance with any applicable deed restrictions.
<br />B. UNLICENSED (;ONTRAC'l'ORS AND CON'l'RAC'l'OR RE:SPONSIBILI'I'IES
<br />If the mmer has hired a contractor or contractots to undertake work, they may be required
<br />to be licensed in accordance with state and local regulations. If the contractor is Ilot
<br />licensed as required by law, both the owner and contractor may be cited for a misdemeallor
<br />violation under state law. If the owner or intended contractor are uncertain as to wllat
<br />licensing requirements may apply for the intended work, tlley are advised to oontaot the
<br />City of Zephyrhills Building Department, 813-766-6611.
<br />Furtherlllo!.'e, if the owner has hit'ed a contractor or contractors, he is adviaed to hiiviD the
<br />contraator(s) sign portions of the "Contractor SectionsU of this application for which they
<br />will be responsible. If you, as the owner signs as the contractarl YQ4 are indicating that
<br />you, ~ather than the contractor, at'e responsible for the work. If the contractor wishes
<br />you to sign alii contractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of Zephyrhllls.
<br />C. 'I'RANSPOR'l'ATION I MPAC'I' FEES AND UTILITY CONNECTION b'EES
<br />D. cONS'rRUC'l'UION LIEN LAW (CHAP'l'ER '713, FLORIDA STATUTES, AS AMENDED)
<br />1 certify that I, the applicant, have been provided with a copy of "Florida's Constr\lction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applic/ilnt is someone other that: the "owner", I carify that I
<br />have obtained a copy of the above described Qocument and promise in good faith to deliver
<br />it to the "owner" prior to conunencement.
<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 appli.cable laws regu1 ating constl'tletion, zoning, and land
<br />dev~lopment.
<br />Applioation is hereby made to obtain a permit to do work and installation as indioat$d. I
<br />ceJ:tify that no Hark or installation has conunenced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating cbnstruation, 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 aations I must take to
<br />be in compliance. Such agencies inolude but are not limited tal *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sens~tive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management Distriot-Wells, Cypress Bayheadsl Wetland Areas,
<br />Altering Watercourses
<br />*Arloy Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.8. Environmental Protection Agenoy-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone qA" or "A,ete.", it is
<br />understood that a drainage plan addressing a "oompensating volume"'will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to pennit
<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 coues,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />cor~ection of arrors in plans, pon~truatioq! or vio~~tions of any coda. Every p.cmit
<br />la~u~d ahall beoome invalid unless the work authorized by such permit is oOllunenoed within
<br />six monthlil of issuance, or if work authorized by the permi.t is suspended or abandollild t9r a
<br />period of aLK months after the time the work is aonunenaed. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be ~eQuested
<br />ill writing to the Building Offioial. An approved inapection must be logged during each aia
<br />month period, or the project will be considered abandoned. .
<br />WARNING TO OWNER: YOUR IfAILURE TO RECORD A NO'rICE Ob' COMMENCEMENT MAY RESUI/l' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB'fAIN f'INAlH1IN~1 ,~qN~UL'!'
<br />WITH YOUR LENDER OR AN A'l"fORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEWl'. JOBS UNDER
<br />$2,500 IN VAI,UEl no NOT Nji;ED TO RECORD AND POS'l' A "NO'l'ICE OF COMMENCEMEN'l'".
<br />
<br />SIGNATURE I CONTRACTOR
<br />
<br />S I GNA'l'URE I OWN ER OR AGENT
<br />
<br />S'J'A'rJlJ OF FLORIDA
<br />COUWl'Y OE'
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by.
<br />
<br />ackno~vl edged
<br />, l~
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument w~s
<br />Before me this -----Jiay of
<br />by
<br />
<br />aoknowledged
<br />I 19 ~~
<br />
<br />(name of person ackno"l~dged)
<br />Dwho is personally known to me, or
<br />
<br />o who haa produoed
<br />(type
<br />alld who[] did 0 did not
<br />
<br />(name of person acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Dwho has produced
<br />(type of identifioation)
<br />and VJha Ddid DUd not t.ake an oilth
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking aaknow~edgment
<br />
<br />Harne typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
|