|
<br />CONllI'rIONS OF PERl'1I'I' AE'FIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands thijt this perndt may be subject to "deed restrictionsU ~hich
<br />may be more le:;Ld eti ve than City regulations. 'I'he undersigned assumes responsibility fIn
<br />CJompliance with any applicable deed re::;trictions.
<br />B. UNIJICENSED CON'l'RAC'l'ORS AND CONTRACTOR RESPONSIBIJ,I'l'IES
<br />If the oIVner has hired a contractol- or contractors to undertake work, they Illay be required
<br />to be U censed in accordance ~~lth state aud local n:gulations. If the contractor is not
<br />licensed as H::quired vy lav~1 both the ovmer and contrc.ctor may be cited for a miademeanor
<br />violation under state laH. If the owner or intended contractor are uncertain as to vlhat
<br />licensing requirementl:l may apply for the intended work, they are advised to contaot the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furthermor-e, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contracto~ SectionsH of this application for which they
<br />Hill be r:esponsible. If you, as the ovmer- signs as the contractor, YQl,! are indicat:.ing that
<br />you, rather than the contractor, are responsible for the work. If the contractor wislles
<br />you to sign as contractor that may be an indication that he is not properly liaellsed and is
<br />not enti tled to permitting privileges in the Ci ty of Zephyrh1.l1s.
<br />C. 'l'RANSPOR'rA'UON IMPAC'r FEES AND UTILITY CONNECTION FEES
<br />D. CONS'rRIIC'rlJION LIEN LAW (CHAP'I'ER 713, FLORIDA STATUTES, AS AMENDED)
<br />J certify that I, the applicant, have been provided with a copy ot "Florida's Construction
<br />lien Law - Homeowner's Protection Guideu prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owneru, I carity that I
<br />have obtcdned a copy of the above described document and promise in good faith to deliver
<br />it to the \\ownerH prior to commencement.
<br />El, CON'rRAc'roR' S/OWNER' S AFFIDAVI'r
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance with i:tll 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 Hork or installation has conunenced prior to issuance of a penuit and that
<br />all work Hill be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulatlons in the jurisdiction. J also
<br />cel:"tify that I understand that the regulations of other governmental agenciee may apply to
<br />the intended work, and that it ia my reeponsibility to identity what actions I 11IUI:lt take to
<br />be in compliance, Such agencies include but are not limited to: "'Department of
<br />Envirollmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />"'Southwest fi'lod.da Water Management District-Wells, Cypress Bayheads, Wet..1and Areas,
<br />Altering Watercourses
<br />*Anuy Corps of Engineers-Seawalls, Docks, Navigi:tble WaterHays
<br />*1Jepar:tment of Health 6< Rehabilitative Services, Envir-onmental Health I1nit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*u.S. Environmental Protection Agency-Asbestos abatement
<br />I also certity that, if fill material is to be used in Flood Zone qAU or "A,etc.u, it is
<br />understood that a drainage plan addressing a "compensating volumeu'will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to permiL
<br />issuance,
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />autllority to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a permit prevent the Building Official tram thereafter requiring a
<br />correction of errors in plans, con~truction, or violations of any code. Every penuit
<br />issued ahall become invaUd unless the work authorized by such permit is cOllunenoed Hithin
<br />six montlls of issuance, or if work authorized by the permit is suspended or abandoqed for a
<br />period of six months after the time the work is conunenced. 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 Buildi.ng Offic!.al. An approved inspection must be Jogged during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING '1'0 OWNER: YOUR FAILURE '1'0 RECORD A NOnCE OF COMMENCEMENT MAY RESUL'i' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER'I'Y. IF YOU INTEND TO OB'I'AIN E'INANGINq,~x4N@Ul/1'
<br />WI'i'H YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'I'. JOBS UNDER
<br />$2,500 IN VAW" 00 NO'f NEED 'J'O RECORD AND PO~~MMEHC<MEN'J""
<br />
<br />
<br />
<br />SIGNA'l'URE: OWNER OR AGENT ~ - ONTRACTOR
<br />
<br />
<br />STATE Q~ FLORIDA
<br />COUNTY OF
<br />'J'he foregoing instrument vias acknowledged
<br />Before me this ___ day of ___, 19_
<br />by~
<br />(name af person acknowledged)
<br />Dwha is personally known to me, or
<br />
<br />STA'I'E OF FLORIDA
<br />COUNtry OF
<br />The forego.ing instrument w~~oknowled~
<br />Before ~this --6-.sjay of (h,"^O..(y, _..:.~
<br />by'''' . ,)<..'0(\
<br />ame of person acknowledged)
<br />o is personally known to me, or
<br />
<br />Po-s do
<br />
<br />
<br />o who has produced
<br />(type
<br />and who[J did []did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o Hho has produoed
<br />(type of identifioation)
<br />and Hho Ddid DUd not t.ake an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />lIame Lyped, printed or stamped
<br />
|