|
<br />CONDITIONS OF PERl'.uT AFFIDAVI'r
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The.undersigned understands thqt t.his pl'lrmit may be subject to "deed restrictions" Hhich
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNIJICENSED CON'I'RAC'l'ORS AND CON'l'RACTOR RESPONSIBIJ,I'I'IES
<br />I f the ol'1ner has hired a contractor: or contractors to undertake work, they may be required
<br />to be Ii censed in accordance Hith state and local reglr1ation6. If the contracl:or is not
<br />licensed as required by lav~, botb the OHner and contractor may be cj ted for a mlsdemeanot:
<br />violation under state laH. If the OHner or intended contrClctor are lUlc.n'tain as to Vlhat
<br />li c:ensing requirements may apply for the int.mded work, they are advised to conta.ct the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furtherwor-e, 1 t the OHner has hired a contractor or contractors, he is advised to IHlve the
<br />conttactor(a) sign portions of the "Contractor Sections" of this application for Hhich they
<br />Hill be responsible. If you, as the owner signs as the contractor, YQij are indicating that
<br />you, r-ather than the oontractor, 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 />llot entitled to permitting privil~ges in the City of Zephyrhills.
<br />C. 11'RANSPOR'l'ATION IMPAC'l' FEES AND UTlLI'l'Y CONNECTION IfEES
<br />D, CONS'l'Rllc'rUION I,IEN LMl (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />1 certify that I, tile applicant, have been provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agrioulture
<br />and Consumer Affairs. If the applicant is someone other that the "owner:", 1 carify that I
<br />have obtaineci a copy of the above ciescribed document and promise in gooci faith to deliver
<br />it to the "owner" prior to commencement.
<br />E. CONTRAC'l'OR' S/OWNER' S AFFIDAVI'r
<br />I certify that all the information in this application is accurate and tllat all work will
<br />be done in compliance with all appllcable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do Hork and installation as indicated. I
<br />certify that no Hork or installation has con~enced prior to issuance of a permlt and tllat
<br />all work Vlill be performed to meet standards of all laws regulating construotion, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I under-stand that the regulations of other governmental agenciee lOay apply to
<br />the intended work, and that it is my responsibility to identify what actions I must take to
<br />1.>e in compliance. Such agencies include but are not limited to: *Department of
<br />Envirollmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally SensJtive
<br />Lands, Water/WasteHater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable WaterVlays
<br />*lJepartment of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*11.8. Environmental Protection Agency-Asbestos abatement
<br />I al150 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 volume" 'will be submitted Vlhioh
<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 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 />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors ill plans, con~truction, or violationa of any code. Every permit
<br />isaued ahall become invalid unless the work authorized by such permit is aounenced Hithin
<br />six months of issuance, or if work authorized by the permit is suspellded or abandoqed for a
<br />period of ail, months after the time the Hork 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 tequested
<br />j n \'1ri ting to the Building Official. An approved inspection must be logged during each six
<br />month perlod, or the project will be considered abandoned.
<br />WARNING rro OWNER: YOUR li'AILlJRE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUUl' IN YOUR
<br />PAYING 'l'WICE FOR IHPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO oB'rAIN V'INANGWtj, J,X,{N\JUI,'l'
<br />WITH YOllR LENDER OR AN A'l"rORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNfllllR
<br />$2,500 IN VALUE: DO NO'l' NEED TO RECORD AND POS'l' A "NOTICE OF COMMENCEMEN'111/.
<br />
<br />S I GHA'lllJRE : OWN ER OR AGEN'I'
<br />
<br />SIGNA'l'URE: CONTRAC'l'OR
<br />
<br />acknowledged
<br />,19_
<br />
<br />STA'l'E OF v'LORIDA
<br />COUNTY OF
<br />The foregoing instrument w.s acknowledged
<br />Before me this ---liay of-------, 19 __~_
<br />by __
<br />(name of person acknoHledged)
<br />Diho is personally known to me, or
<br />
<br />o who has produced____
<br />(type of identification)
<br />and who Lldid DHd not take an oath
<br />
<br />S'rA'i'E 013' IfLORIDA
<br />COUNTY OF ----
<br />The foregoing instrument Has
<br />Before me this __ day of
<br />by
<br />
<br />(name of person aaknow1,dged)
<br />Owho is personally known to me, or
<br />
<br />Owho has produced
<br />(type
<br />and who[] did []did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Signature of person taklng acknowledgement
<br />
<br />Signature of person takiug aaknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
|