|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands th,t this p~rmit may be subject to "deed restriotionsH Wllich
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />con~liance with any applicable deed restrictions.
<br />B. UNIJICENSElD CON'I'RAC'I'ORS AND CON'l'RACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be Ii censed in accordance ,,~i.th state and local regulations. It the oontractor is not:
<br />licensed as required by law, both the owner and oontractor 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 contapt the
<br />city of Zephyrhills Building Department, 813-768-6611.
<br />Furthermo:r::e, if the owner has hired a contractor or contractors, he i.s advised to have the
<br />cant.r-actor (s) sign portions of the "Contractor Sections" of this appli.cation for whi ch t.hey
<br />will be responsible. If you, as the owner signs as the contractor, YQ4 are indicating that
<br />you, rat.her than the contractor, are responsible for the work. If the cont.ractor wishes
<br />you to si.yn as contractor that mOlY be an indi.cation that he is not properly licensed and is
<br />not entitled to permitting privil~ges in the City of Zephyrhills.
<br />c. 'I'RANSt'OR'l'ATION IMPAC'l' ll'EES AND UTILI'l'Y CONNECTION ll'EES
<br />D. CoNS'fRUC'rlJION LIEN LAlli (CHAP'l'ER 713, FI,ORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided wi.th a copy of "Florida's Constrllctien
<br />lien Law - Homeowner's Protecti.on Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the appli.cant is someone other that the "owner", I cerify that I
<br />have ebtained a copy of the above described document and promise i.n good fai.th to deliver
<br />i.t to the "owner" pri.or to commencement.
<br />E. CONTRAC'l'OR' S/OWNER' S AFfIDAVI'l'
<br />I certi.fy that all the information i.n this appli.cati.on is accurate and that all work will
<br />be done in compliance with all applicable laws regulating constnlCtion, zoni.ng, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and i.nstallation as indioated. 1
<br />certi fy that no work or installaU.on has commenced pr'ior to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating conatruction, City
<br />codes, zoning regulations, and land development regulatlons in the judsdi.ction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the i.ntended work, and that it is my responsibility to identify what acti.ons I nmat take to
<br />be i.n compliance. Such agencies include but are not. limited tOI *Department of.
<br />Envi.ronmental Regulatipn-Cypress Bayheads, Wetland Areas and Environmentally Senstti.ve
<br />Lands, Water/Wastewater Treatment
<br />*Southwest rlc~ida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawal.ls, Docks, Navigable Waten/ays
<br />*lJepartment: of Health & Rehabilitative Services, Environmental Health Uni.t-Wel.1.s,
<br />Wastewater Treatment, Septic Tanks
<br />*u.s. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, i.f fill material is to be used in Flood Zone ~AH or "A,ete.H, it is
<br />understood that a drainage plan addressing a "compensati.ng volumeH 'will be submitted which
<br />is prepared by a professional engineer regi.stered i.n the St.ate of Florida prior to permit
<br />issuance.
<br />A permi.t issued shall be construed to be a li.cense to proceed wi.th the work and not as
<br />autllority to vi.olate, cancel, alter, or set aside any provi.si.ons of the technical codes,
<br />nor shall i.ssuance of a permit prevent the Building Offici.al from thereafter requiring a
<br />oorrection of errors in plans, con~truction, or violations of any oode. Every p&rmit
<br />issued shall. beoome invalid unletls the work' authorized by such permi.t is cOllulIenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandolled for a
<br />period of ai.], months after the time the work is commenced. One 90 day extensi.on 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 Bui.ldlng Official. An approved inapection must be logged during each si.x
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A No'rrCE OF COMMENCEMENT MAY RESUL'I' IN YOUR
<br />PAYING TWICE FOR IMPROVEMEN'l'S 'I'O YOUR PROPER'ry. IF YOU IN'rEND TO oa'fAIN E'INANC;INq, ~9N~UI!I'
<br />WI'l'H YOUR LENDER OR AN A'I'TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'r. .JOBS UNDER
<br />$2,500 IN VALUf!l DO NO'l' NEED TO RECORD AND PoS'l' A "No'l'ICE OF COMMENCEMEN'llll.
<br />
<br />SIGNA'l'URE: OWNER OR AGENT
<br />
<br />SIGNA'l'URE: CONTRACTOR
<br />
<br />~TA'n OF E'LORIDA
<br />COUNTY OF
<br />'l'he foregoi.ng instrument was acknowledged
<br />Before me this ____ day of _______, 1!L-
<br />
<br />by __._.________
<br />(name of person acknowl,dged)
<br />Dwho i.s personally known to me, or
<br />
<br />STA'rE OF FLORIDA
<br />COUN'rY m'
<br />The foregoing instrument w~s aoknoHledged
<br />Before me this __-Slay of-----, 19 _..:.._
<br />
<br />by _____________._
<br />(name of person acknowledged)
<br />[1ho is pe1:sonally knovm to me, 01:
<br />
<br />Dwha has produoed
<br />(type
<br />and what] did [) did not
<br />
<br />o who has produced__
<br />(type of identification)
<br />and v/ho Odid mid not t.ake an oath
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />.--.~"--~---------_._--_._------
<br />}i~~;--typed, ydnted or stamped
<br />
<br />Name typed, printed or stamped
<br />
|