|
<br />CONDI'l'IONS OF PERMIT AFh'IDAVIT
<br />1\. NOTICE OF DEED RESTRICTIONS
<br />'l'he undersigned understands thijt; this perrni t may be subj ect to "deed restrictions" which
<br />may be more restrictive than City regulations. 'l'he undersiyned assumes responsibility for
<br />compli~nce with any applicable deed restrictions.
<br />B. UNIJICENSED c'ON'l'RAC'l'ORS AND CON'l'RAC'l'OR RESPONSIBIJ,I'l'IES
<br />If the owner lias hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with state and local reglllations. If the contractor is not
<br />licensed as required by law, both the ovmer and contractor may be cited for a misdemeanor
<br />violation under state laH. If the owner or intended contractor are uncertain as to Vlhat
<br />licensing requirements may apply for the intended work, they are advi.sed to contaat the
<br />city of Zephyrhills Blli.lding Depar-tment, 813-788-6611.
<br />Furthenllol:e, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor Secti.ons" of this appli.cation for which they
<br />Vlill be responsible. If you, as the owner signs as the contractor, YQ4 are indicating that
<br />you, rather than the contractor, al:e responsible for the work. If the contractor- wishes
<br />you to sign as oontractor that may be an indication that he is not properly licensed and is
<br />not entitled to per-mitting privileges in the City of Zephyrhills.
<br />c. 'l'RANSI?Ok'!'ATION IMPAC'!' !fEES AND UTILITY CONNECTION FEES
<br />D. CON S'l'R\JC'l'U ION IJI EN LAW (CHAP'l'ER 713, FLORI DA S'rA'l'UTES, AS AMENDED)
<br />j certify that I, the applioant, 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" prlor to commencement.
<br />E. CON'rRAC'l'OR' S/OWNER' S AFli'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 construction, zoning, and land
<br />development.
<br />Applioation is hereby made to obtain a permjt to do work and installation as indicated. I
<br />certify that no Hork or installation has cOIlUnenced 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 tIle jurisdiction. J 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 identi_fy what aations I must take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environlljental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Bensj.ti ve
<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 WatenJays
<br />*Department of Health Ii 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 />under-stood that a dralnage plan addressing a "compensating volume" 'will be submi tted which
<br />is prepared by a professional engineer registered in the state of Florida pdor to penni l
<br />llilsuance.
<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 />nOl: shall issuance of a permit prevent the Building Official from thereafter requlring a
<br />correction of errors ill plans, oon,fjtruotion~ or violations of any oode. Every pel:mit
<br />iSoSued ahall become invalid unless the work authorized by such permit is commenced within
<br />sjx months of issuance, or if work authorized by tIle permit is suspended or abandoqed for a
<br />pedod of six months after the time the work is commenced. One 90 day extension of tillle
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be reques~ed
<br />ill writing to the Buildi.ng Official. An approved inspection must be logged during each six
<br />month period, or the project Hill be considered abandoned.
<br />WARNING '1'0 OWNER: YOUR FAIIJURE '1'0 RECORD A NO'rrCE OF COMMENCEMENT MAY RESUL'l' IN YOUR
<br />PAYING 'rWICE If'OR IMPROVEMEN'l'S TO YOUR PROPERTY. IF YOU INTEND TO OB'fAIN E'INA.NqINq,CqN~Ul}I'
<br />Wl.TH YOUR LEHDER OR AN A'I'TORNEY BEFORE RECORDING YOUR NO'l'ICE OF COMMENCEMEN'r. JOBS UNfJER
<br />~UO~N VAW' no 'NEEI> '1'0 RECORD AND POS" ~ICE--\!J~C'M'
<br />
<br />
<br />
<br />SlGNA'l'URE; SIGNA'fURE: CONTRACTOR
<br />
<br />
<br />ST.ATE or FLORIDAI')
<br />COUN'l'Y OF @,!,(..O
<br />The foregoing instrument was acknowledged
<br />Before l~ this 13""'" day of f'c1t,ro.r,/ ' M{Y.3
<br />by ~ l).. {,Ji/l:4wt 1IJe11"~
<br />(name of person acknowledged)
<br />~who is personally known to me, or
<br />
<br />Owho has produced
<br />(type of identification)
<br />Od d not take an oath.
<br />
<br />STATE OF FLORID~
<br />COUNTY OF f> c-O
<br />The foregoing instr~ment w~s acknowledged
<br />Before IJ this ~~Y 0;';' FeIo,..",A"7 , ~ ...2/)0.-
<br />by . Wi/I'-A"" m~" r-..I
<br />,.J . (name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />JOSH lWAFIOOSKY
<br />. My~#g~~
<br />EXPIRES: January 28, 2006 -
<br />Bor1dlld Thru NOlIty PWIic llndolwrlIets
<br />
<br />
<br />Name t
<br />
<br />
<br />Signatur
<br />
<br />Sign
<br />
|