|
<br />CONDI'rIONS OF PERMrrr AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands th,t this permit may be subject to "deed restrictionsU which
<br />may be more restrictive than City regulations. 'l'he undersigned aSSUmes responsibili.ty for
<br />compliance with any applicable deed restrictions.
<br />B. UlnICENSED CONTRAC'I'ORS AND CON'l'RAc'rOR RESPONSIBII,I'I'IES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with state and local regulatJons. If the contracl:or is not
<br />licensed as required by law, both the ovmer and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertaln as to vlhat
<br />licensing requirements may apply for the intended work, they are advlsed to contapt the
<br />city of Zephyrhills Building Department, 813-788-6611.
<br />Furthermol--e, it the owner has hired a contractor or contractors, he is advised to have the
<br />oontractor-(s) sign portions of the "Contractor Sections" of this application for which they
<br />will be ~esponsible. If you, as the owner signs as the contractor, YQY are indicatlng that
<br />you, rather than the contractor, are responsible for the work. If the contracto~ wisl16s
<br />you to slgn as contractor that may be an lndication that he is not properly lioensed and is
<br />lIot enUtled to permitting privileges in the City of Zephyrhil1s.
<br />c. 'I'RANSl'OR'l'ATION IMPAC'r FEES AND UTILITY CONNECTION FEES
<br />D. CONS'rRlJCTUION LIEN LAW (CHAP'I'ER 713, FLORIDA STATUTES, AS AMENDED)
<br />1 certify that I, the applicant, have been provided with a copy of "Florida's Constrllction
<br />lien Law - Homeowner's Protectlon Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "o~ler", I carify that I
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />it to the \'owner" prior to commencement.
<br />E. CON'rRAC'l'OR' a/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 wlth all appl1cable laws regulating construction, zoning, and land
<br />developmeIlt.
<br />Application is hereby made to obtain a permj.t to do work and installation as indicated. 1
<br />certify that no work or installation has corrunenced prior to lssuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating oonstruction, City
<br />codes, zoning regulations, and land development regulations ln the jurisdiction. I 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 ldentify what actions I IIIUst 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 Sensj.tJve
<br />Lands, Water/Wastewater Treatment
<br />'Southwest Florida Water Management District-Wells, Cypress Bayheads,.. Wetl and Areas,
<br />Altering Watercourses
<br />'Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />'lJepartment of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*lJ. S. Envil:onmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone ~A" or "A,ete.", 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 pr10r to permit
<br />j ssuanc.. .
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />authority to violate, cancel, alte!.-, or set aside any provisions of the technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requlrlng a
<br />correction of errors in plans, construction, or vio~ations of any code. Every permlt
<br />is.aued shall become invaUd unless the work authoriz.ed by such permit is commenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandol1ed for a
<br />period of siil months after the tlme the work is oorrunenoed. 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 />in Hriting to the Building Official. An approved inspection must be Jogged during each six
<br />month period, or the project Vlill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMEN'I' MAY RESUL'l' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB'rAIN b'INANGINq,~9N~UI!r
<br />Wl'l'H YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'I'. ,mas UNlJER
<br />$2,500 IN VALUE DO NO'l' NEED 'I'O RECORD AND POST A "NO'l'ICE OF COMMENCEMEN'l'".
<br />
<br />S I GNA'l'lJRE : OWN ER OR AGEN'I'
<br />
<br />SIGNA'l'URE: CONTRACTOR
<br />
<br />8TA'l'Er OF FLORIDA
<br />COUN'I'Y OE' -----
<br />'l'he foregolng instrument was acknowledged
<br />Bedore me thJs __ day of , 19_
<br />by _____
<br />(name of person acknowl.dged)
<br />Owho is personally known to me, or
<br />
<br />STA'rE OF I!"LORIDA
<br />COUNTY OF
<br />The forego.ing instrument w~s aoknowledged
<br />Before me this ------.Jiay of----, 19.....:.._
<br />
<br />by _.___________
<br />(name of person acknowledged)
<br />Cliho is personally known to me, or
<br />
<br />o Hho has produced
<br />(type
<br />and wilo[] did [)did not
<br />
<br />of identlficationl
<br />take an oath.
<br />
<br />o who has produced _____
<br />(type of idenLifioatlonl
<br />and vJho Odid DUd not t.ake all oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />l'lame typed, printed or stamped
<br />
<br />I'Tallle t:yped, printed or stamped
<br />
|