|
<br />CONDI'l'IONS OF PERNI'I' AF'E'IDAVIT
<br />A. NO'rICE OF DEED RES'l'RIC'rIONS
<br />'rhe undersigned understands thi;lt thi:; permit may be subject to "deed restrictions" which
<br />may be ~pre restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNI,ICENSED 'CON'I'RAC'I'ORS AND CONTRACTOR RESPONSIBII,ITIES
<br />I f the owner has hired a contractor or contractors to undertake work, they may be r'equired
<br />to bl:l Ucensed in accordance ~d.th .state and 10ca.1 regulations. If the contractor is not
<br />li oensed as .tequir'ed by la~" both the ,?Hner and contracto.L may be cj ted for a misdemeanor
<br />violation under' state law. If the owner' or intended contractor are ullcerlai.n as to Vlhat
<br />Ucensi.ng requirement::i way apply for the intt:!nded work, they art:! advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furthenllol:e, it the owner has hired a contractor or oontractors, he is advlsed to have the
<br />contractor (s) si gn portions of the "Contractor Sections" of this application for wlli eh they
<br />vllJ1. be responsible. If you, as the owner signs as the contractor, YQU are i.ndicaLing that
<br />you, rather than the contractor, are responsible for the work. If the contractor Hishes
<br />YOll to slyn as contractor' that may be an indication that he 113 not properly licensed and is
<br />not entitled to permittlng privileges 1n the City of Zephyrhills.
<br />c. 'l'RANBPOR'l'A'rION IMPACT IfEES AND U'1'ILI'I'Y CONNECTION lfEES
<br />D. CONS'I'RlJC'rUION LIEN LAW (CHAPTER 713, FIJORIDA S'I'ATUTES, AS AMENDED)
<br />1 oertify that I, the applioant, have been provided Hith a copy of "Florida's Construction
<br />lien Law - HomeoHner's Protection Guide" prepared by the Florida Departmellt of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
<br />have obtained a copy of the above descri.bed document and promise in good faith to deliver
<br />it to the "owner" prior to conunencement.
<br />E. CON'rRAC'I'OR' S/OWNER' S AF'FIDAVI'r
<br />I certify that all the information in this application is accurate and that al.1 work will
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installat10n as indicated. 1
<br />certify that no v;ark or installation has commenced prlor to issuance of a permit and that
<br />all work VillI be performed to meet standards of al.1 laws regulating c6nstruotion, City
<br />codes, zoning regulations, and land development regulat.ions .in the jlll:i::idictlon. I a.1/olo
<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 identi.fy what actions I must t.ake to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environlllental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Sensjtive
<br />Lands, W"Iter/Wastewater 'I'reatment
<br />*Soutllwest Florlda Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />A.1tering Wateroourses
<br />"Army Corps of Engineers-Seawal.ls, Docks, Navigable Watenlays
<br />*Department of Health & Rehabilitative S<:lrvices, EnvlronmentaJ Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />"U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if flll materlal is to be used in Flood Zone "A" or "A,elc.", it is
<br />understood that a drainage plan addressing a "compensating volume" 'wiLL be submitted Hh.ich
<br />i.s prepared by a px:ofess1.onal engineer register'ed in the State of Florida prior' to permit
<br />issllance.
<br />A permit issued shall be construed to be a license to proceed vii th the work and not as
<br />authority to violate, cancel, alter, or set aslde any provisions of the technical codes,
<br />nor aha.11 issuallce of a permi.t prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />isslled shall become invalid unless the Hark authorized by such permit is cOllullenued Hl thin
<br />::Ilx months of issuance, or if Hork authorized by the permit ls suspended or abandoqed for a
<br />p<:lriod of si.x months after the time the work i::i conunenced. One 90 day extension of tIme
<br />may be allowed tor the permit with fee ,charge of $15.00. The extellsion shall be ~equested
<br />III writing to the Buildl.ng Official. An approved inspection must be logged dud n9 each six
<br />month period, or the Pl.-oject Hill be considered abandoned.
<br />WARNING '1'0 OWNER: YOUR FAILURE '1'0 RECORD A NO'rICE OF COMMENCEMENT MAY RESUW' IN YOUR
<br />PAYING TWICE Ii'OR H1PROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO oB'rAIN E'INANGINq,(.::qN~UI"I'
<br />WITH YOUR LENDER OR AN A'j"I'ORNEY BEFORE RECORDING YOUR NOnCE OF COMMENCEMEN'I'. ,JOBS UNDER
<br />$2,50D IN VALUE: DO 1'10'1' NEED '1'0 RECORD AND POS'l' A "NOTICE OF COMMENCEMEN'IJII.
<br />
<br />_.------_._-_.-.._--------_._-~-----
<br />
<br />SlGHA'I'URE: OWNER OR AGEWl'
<br />
<br />SIGNA'I'URE: CONTRAC'l'OR
<br />
<br />STA'f!!: OF FLORIDA
<br />COUN'rY OF ______
<br />The foregoing instrument was acknoHledged
<br />Before me this ___ day of , 19~
<br />b Y ~___
<br />(name of person acknowl.dged)
<br />Owho is personally known to me, or
<br />
<br />STA'I'E OF nORIDA
<br />COUNTY OF
<br />The foregoing instrument WC!S ackllov1J edged
<br />Before me thls __,jJay of-----, 19._:._
<br />by _._____
<br />(name of person acknowledged)
<br />Gho ls personally knoHn to me, or
<br />
<br />o who has produced
<br />(type
<br />and who[] di.d [Idid not
<br />
<br />D Hha has produced____________
<br />(type of identification)
<br />and Hho Ddid DUd not take au oath
<br />
<br />of identi.fication)
<br />take an oath.
<br />
<br />Si.gnature of person taking acknowledgement
<br />
<br />Slgnature of person taki.ng acknowledgment
<br />
<br />--,.._~-._-._'-----------~_._---------_._-----
<br />
<br />Name typed, priuted or stamped
<br />
<br />Name Lyped, printed or stamped
<br />
|