|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOT.ICE OJ!" DEED RESTRICTIONS
<br />The undersigned understands t~at this permit may be subject:,to "deed restrictions" which
<br />may be more restrictive than City regulations. The undersigned 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 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 owner 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 Sect!ons" of this application for which they
<br />will be responsible. If you, as the owner signs aathe 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 (CHAPTER 113, 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 document and promise in good faith to deliver.
<br />it to the "owner" prior to commencement.
<br />E. CONTRACTOR' S/OWNER' S AFI!'IDAVIT
<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 perfonmed 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 />*S.outhwest 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 f.ill material is to be used in Flood Zone "A" or "A, etc.", it is
<br />understood that a drainage plan addressin9 a "compensating volume" will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to penmit
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with the work ~nd 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 oode. Everypermit
<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 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 ANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN E OF COMMENC JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST COMM CEM T".
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by
<br />. (name of person ackno~ledged)
<br />o who is personally known to me, or
<br />
<br />acknowledged
<br />, 1!L-
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF .
<br />The foregoing instrument wa~~~wledged
<br />Before me this ~day of . t::::J;: ." , _ ~3>
<br />by rA0 L..- 1.-1 M!3
<br />(name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />Dwho has produced
<br />(type
<br />and whoDdid Ddid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced
<br />
<br />~. ~ibOlld~onl
<br />andwh. . ~&,
<br />
<br />
<br />~ig~ature of person taking acknowledgment
<br />R, Mark Willett
<br />MMISSION # CC880695 EXPIRES
<br />priR~BI d
<br />~ONOED THRU ffi)y A IN
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Name typed, printed or stamped
<br />
<br />
|