|
<br />CONDITIONS OF PER11I'I' AFFIDAVIT
<br />A. NO~ICE OF DEmD RESTRICTIONS
<br />The undersigned understands th~t this p~rmit may be subject to "deed restriotionsU wllieh
<br />may be more restrictive than City regulations. Tile undersigned assumes responsibility for
<br />oomplianoe with any applicable deed J:estrictions.
<br />B. UNLICENSED (;ONTRAC'l'ORS AND CON'l'RACTOR RESPONSIBIJ,I'l'IES
<br />I f the m>lner 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 Ilot
<br />licensed as required by law, both the OHner and contractor may be cited for a misdemeanQr
<br />violation under state law. If the owner or intended contractor are uncertain as to Hllat
<br />li cansing requirements may apply for the intended work, they are advised to contilPt the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furtherlllore, it the owner has llir-ed a contractor or contractors, he is advised to have the
<br />contractor(s) sign portiDns of the "CDntractor SectionsH of this application for which they
<br />will be responsible. If you, as the owner signs as the contractor, YQl! are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor wislles
<br />you to sign as contractor that may be an indication that he is nDt properly licensed and is
<br />not entitled tD permitting privil~ges in the city of Zephyrhills.
<br />C. 'I1RANBPOR'I'ATION IMPAC'l' IfEES AND UTILITY CONNECTION FEES
<br />D. CONS'l'RllC'l'UION 1,IEN LAvJ (CHAP'I'ER 713, FLORIDA STATUTES, AS AMENDED)
<br />I oertify that I, the applicant, have beeQ provided with a copy of "Florida's ConstructiDn
<br />lien Law - HDmeowner's PrDtection Guideu prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "ownerH, I aerify that I
<br />Ilave 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. CON'I'RAC'l'OR' a/OWNER' a AFIi'IDAVI'l'
<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 constr-uction, zon1ng, and land
<br />dev~lopment.
<br />Applioatioll is hereby made to obtain a permit to do work and installation as indicated. I
<br />ceq:ti fy that no viOrk Dr installation has commenced prior to issuance qf a permit and that
<br />all wDrk Hill be perfDrmed to meet standards of all laws regulating construction, City
<br />oode~, zoning regulatiDns, and land develDpment regulations in the jurisdiction. I also
<br />certify that I understand that the regulatiDns of other governmental agencies may apply to
<br />the intended work, and that it is my responsibility to identify what actions I IIIllst take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environnlental Regulation-Cypress Bayheads, Wetland Areas and Environmentally SensJ.tive
<br />Lands, Water/Wastewater Treatment
<br />.Southwest ilorida Water Management District-Wells, Cypress Bayheads) Wetland Areas,
<br />Altering Watercourses
<br />.Army Corps Df Engineers-Seawalls, Docks, Navigable Waten/ays
<br />.Department Df Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Trea~ment, Septic Tan~s
<br />*u.s. Environmental ~roteation Agency-Asbestos abatement
<br />I also certify that, if fill material is tD be used in Flood Zone ~Au or "A,eta.H, it is
<br />underatoDd that a dratnage 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 />isauance,
<br />A permit issued shall be construed tD be a license to prDceed with the wDrk and not as
<br />authority to violate, cancel, alte.t:, or set aside any prDvisions of the technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />cor~ection of errors in plans, con~truction[ or vio~ationa of any code. Every p~rmit
<br />is~ued shall become invalid unleas the work authorized by such permit is oOlluulinoed 'within
<br />slxmonths of issuance, or if work authorized by the permlt is suspended or abandoqed f9r a
<br />period of sLIi months after the tillle 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 requea~ed
<br />i n ~'iri ting to the Buildlng Official. An approved i.nspection must be logged during each fiix
<br />IIlDnth period, or the project will be considered abandoned. .
<br />WARNING TO OWNER I YOUR If AlLURE TO RECORD A No'rICE OF COMMENCEMENT MAY RESUL'I' IN YOUR
<br />PAYING 'rWICE FOR IMI?ROVEMEN'l'S TO YOUR PRO~ERTY. IF YOU INTEND TO DB'l'AIN FlNANqINq,CqN~uL'r
<br />WlTH YOUR LENDER OR AN A'I"I'ORNEY BEIfORE RECORDING YOUR NOTICE OF COMMENCEMIilN'I'. JOBS UNDlllR
<br />92,500 IN VALUE DO NOT Nl!:IilD TO RECORD AND POST A "NonCE OF COMMENCEMENT".
<br />
<br />SIGNA'l'UREI OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument w~s aoknowledged
<br />BefDre me this_~ay of-------, 19
<br />by
<br />(name of person acknowledged)
<br />Gho is personally known to lIIe, or
<br />
<br />Dwho has produced
<br />(type of identifiQation)
<br />and vJho Ddid DUd not t.ake an oiilth
<br />
<br />S'I'A'l'E QF FLORIDA
<br />COUNTY Ot'
<br />The foregoing instrument was acknowledged
<br />Before me this __ day of , 1!L-
<br />by ____.
<br />(name of person aakno"l~dged)
<br />DwhD is persDnally knDwn to me, or
<br />
<br />o \'iho has prDduced
<br />(type
<br />and who[] did Ddid not
<br />
<br />of identificatiDn)
<br />take an oath.
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking aoknowledgment
<br />
<br />Hame typed, printed Dr stamped
<br />
<br />Hame typed, printed Dr stamped
<br />
|