|
<br />CONDI'l'IONS OE' PERM!'l' AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />~~e undersigned understands thijt thi~ permit may be subject to "deed restrictions" which
<br />mi::lY be more restrictive than City Legulations. The undersigned assumes responsibility for
<br />complii::lnce with any applicable deed restrictions.
<br />B. U1nrCENSED c'ON'I'RAC'l'ORS AND CON'l'HACTOR RESPONSIBII,ITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be lioensed in accordance with ~tate and local regulations. If the contractor is Ilot
<br />licensed as required by law, both the owner and contractor may be cjted for a mjsdemeallor
<br />violation under state laH. If the owner or intended contractor are uncertain as to ~~li::lt
<br />li censing requi rement::l Inay apply fen the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furthermol'e, if the o~mer has hired a contractor or contractors, he is advised to IHlve the
<br />contractor(s) sign portions of the "Contractor Sections" of this application for which they
<br />will be responsible. If you, as the owner signs CIS the contractor, YQ4 are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor wisl16S
<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. 'I'RANSPOR'l'ATION IMPAC'l' H'EES AND UTILI'!'Y CONNECTION FEES
<br />D. CONS'l'RUC'rUION LIEN LAW (CHAP'l'ER '713, FLORIDA s'rATUTES, 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 />Ilave obtained a copy of the above described document and promise in good faith to deliv~r
<br />it to the "owner" prior to commencement.
<br />E. CON'rRAc'roR' a/OWNER'S AFFIDAVI'I'
<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 />Applioation is hereby made to obtain a permit to do work and installation as indioated. I
<br />certify that no Hork or installation has cOllUnenced prior to issuance of a penni t and that
<br />all work Hill be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jllrisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies way apply to
<br />the intended work, and that it is my responsibility to identify what actious 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 Bensttive
<br />Lands, Water/Wastewater Treatment
<br />* Southwest Ii'lorida Water Management District-Wells, Cypress Bayheads" Wetl and Areas,
<br />Altering Watercourses
<br />"Army Corps of Engineers-.Sea~Jalls, Docks, Navigable WatenJays
<br />*LJepartlllent of Health 0. 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 "A" or "A, etc.", it is
<br />understood that a drainage plan addressing a "compensating vol.ume"'will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to pennit
<br />i l:lsuance.
<br />A permit issued shall be construed to be a license to proceed Hith 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 />iSliued shall become invalid unless the work authorized by such permit is oOllunenced within
<br />slx months of issuance, or if work authorized by tIle permit is suspended or abandoqed for a
<br />pel:iod of sLx months after the time the work is conunenoed. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be reques~ed
<br />in \'1r1 ting to the Building Official. An approved inspection must be logged during each ai x
<br />month period, or the project vdll be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE 'l'0 RECORD A NOTICE OF COMMENCEMENT MAY RESUL'l' IN YOUR
<br />PAYING TWICE H'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB'rAIN FINANqINq,~qN~UL'l'
<br />WI'l'H YOUR LENDER OR AN A'l'TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNfJER
<br />$2,500 IN VALUE DO NO'l' NEED '1'0 RECORD AND POS'l' A "NonCE OF COMMENCEMEN'llll.
<br />
<br />S I GNA'l'URE: OWNER OR AGEN'l'
<br />
<br />S I GNA'l'URE: CONTRACTOR
<br />
<br />BTATB OF FLORIDA
<br />COUNTY OF
<br />'l'he foregoing instrument was
<br />Before me this _ day of
<br />by.
<br />
<br />acknowledged
<br />, 19_
<br />
<br />STA'l'E OF nORIDA
<br />COUNTY OF
<br />The foregoing instrument Was
<br />Before me this ----Jjay of-
<br />by
<br />
<br />aoknowledged
<br />, 19~_
<br />
<br />(name of person acknOWledged)
<br />Dwho is personally knoHn to me, or
<br />
<br />(name of person acknowledged)
<br />Gho is personally known to me, or
<br />
<br />o who has produced
<br />(type
<br />and who[] did 0 did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />001110 has produced
<br />(type of identification)
<br />and Vlho Ddid DUd not t.ake an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking aoknowledgment
<br />
<br />N~~~-ty'p;d~-pri;lt;d~r stamped
<br />
<br />Name typed, printed or stamped
<br />
|