|
<br />CONDI'rIONS OF PERl'1IT AE'FIDAVIT
<br />Po. N(trICE OE' DEED RES'l'RIC'rIONS
<br />'rhe undersigned understands thqt this plarrnit may be subject to "deed restrictions" \-Jhich
<br />m~y be more restrictive than City regulations. The undersigned assumes responsibility for
<br />oompliance with any applicable deed restrictions.
<br />B. UNLICENSED 'CON'l'RAC'l'ORS AND CONTRACTOR RESP9NSIBII,I'l'IE:S
<br />If the (mner has hired a contractor or contractors to undertake work, they may be required
<br />to bl:: li censed in accordance ~d.th state and local regulations. If the contractor is not:
<br />Ii uensed as required l.Jy law, both the ovmer and cont.ractor may be oj ted for a mJademeanor
<br />violation under state law. If the owner or intended contractor are uncertain C:lS to vlhC:lt
<br />licensing requirements loay apply for the intended work, they are advised to contact the
<br />City of Zephyddlls Building Department, 813-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor Sections" of this application for which they
<br />vlill be r.esponsible. If you, as the owner signs as the contractor, you are indicating that
<br />you, lather than the contractor I are responsible for the wot'k. I f the contractot' \"iishes
<br />you to siyn as contractor that may be an indication that he is not properly licensed and is
<br />not ellUtled to permitting privileges in the City of Zephyr-hUls.
<br />C. 'l'RANSl'OR'l'A'rION IMPACT FEES AND U'I'ILl'I'Y CONNECTION FEES
<br />D. CONS'I'RUc.:'l'UION LIEN LAW (CHAP'1'ER 713, FLORIDA S'l'ATUTES, AS AMENDED)
<br />r certify that I, the applicant, have been provided with a copy of "Florida's Constrllction
<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", 1 cerify that I
<br />llave obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to corrunencement.
<br />El. CONTRAC'l'OR' S/OWNER' S AFFIDAVI'l'
<br />I certify that all the information in this application is accurate and tllat all work will
<br />be done in compliance with all applicable laws regulating constt-uetion, 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 conuoenced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all law~ regulating c6nstruction, City
<br />code.s, z.oning regulations, and land development regulations .in the jurisdictlon. 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 identify what action5 I mllst take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environmelltal Regulation-Cypress Bayheads, Wetland Areas and Environmentally Bensttive
<br />Lands, Water/Wastewater Treatment
<br />*Soutllwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />AArmy Corps of Engineers-SeaHalls, Docks, Navigable Waterways
<br />*ilepartmenL of Health & Rehabilitative Services, Environmental Health UnJt-Wells,
<br />Wa.:ltewate! 'l'reatment, Septic 'ranks
<br />*II.S. Environmental ~rotection 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 />under.stood that a dralnage plan addressing a "compensating volume" 'wiLL be f:lubmitted which
<br />is prepared by a profess! anal engineer registered in the. State of Florida pdor to pennH
<br />issuance.
<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 />Ilor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />iSrJu~d shall become invalid unless the Hark authorized by such permit is cOllunel1ced Hi.thin
<br />six montl1s of issuance, or if \'iork authorized by the permi.t is suspended or abandoqed far a
<br />period of si.:K months after the tillle the work is corrunenced. One 90 day extensi.oll 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 Building Official. An approved inspection must be logged during each' six
<br />lIIonth period, or the pt'oject Hill be considered abandoned.
<br />WARNING 'fO OWNEJRI YOUR FAIWRE TO RECORD A NO'l'ICE OF COMMENCEMENT MAY RESUL'l' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS '1'0 YOUR PROPERTY. IF YOU IN'I'END TO OBTAIN l!"INAlH:;lN~, ~qNI1!UL'I'
<br />WITH YOUR LENDER OR AN A'l"fORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'I'. ,JOBS ITNfJER
<br />$2,500 IN VAW&: DO NOT NEED '1'0 RECORD AND POS'l' A "NOTICE OF COMMENCEMEN'l'''.
<br />
<br />~/Z,J~
<br />
<br />S I GNA'l'URE I OWN ER OR AGEN'l'
<br />
<br />~_ /2a-o ~
<br />
<br />-- ,-
<br />S I GNA'l'URE I CONTRACTOR
<br />
<br />STA'r! OF FLORIDA
<br />COUN'l'Y OF ___,
<br />'1'he foregoing instrument was acknowledged
<br />Before me this ____ day of ____, 19~
<br />by __
<br />(name of person acknOWledged)
<br />[] ~;ho is personally known to me, or
<br />
<br />STA'I'E OF FLORIDA
<br />COUN'1'Y OF _________
<br />'fhe foregoing instrument W~S aoknoHl edged
<br />Before me this __day of--------, 19
<br />
<br />by _______ _"_
<br />(name of person acknowledged)
<br />C1ho .is personally known to me, or
<br />
<br />o who has produced
<br />(type
<br />and who[] did []did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced______.______
<br />(type of identification)
<br />and Hho .Ddid DUd not take an 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 />Name typed, printed or stamped
<br />
|