|
<br />CONDI'l'IONS OF PERM!'!' AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The underaigned understands thqt thi~ permit may be subject to "deed restriotions" which
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applioable deed restrictions.
<br />B. UlnlcENSED CON'I'RAC'rORS AND CON'l'RACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordaIlce with state and local regulations. If Lhe contractor is not
<br />licensed as required by law, both the owner and oontractor may be cited for a misdemeanor
<br />violation under state law. It the owner or intended contractor are uncertain as to ~~lat
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-786-6611.
<br />Furthenno~-e, if the owner has hired a contractor or contractors, he is advised to have the
<br />eontractor(s) sign portions of the "Contractor Sections" of this application for which they
<br />~dll be responsible. It you, as the owner signs as the contractor, YQll are indicating that
<br />you, rather than the oontractor, are responsible for the work. If the oontracto~' \-lishes
<br />you to sign as contractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C. 'I'RAN~POR'l'ATION IMPAC'!' FEES AND U'l'ILI'l'Y CONNECTION F'EES
<br />D. CONS'rRUc'rUION LIEN LAW (CHAP'I'ER 713, FIJORIDA STATUTES, AS AMENDED)
<br />J certify that I, the applicant, haVE: been provided with a copy of "Florida's Construoti.on
<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", I cerify that I
<br />Ilave obtained a copy of the above described dooument and promise in good faith to deliver
<br />it to the "owner" prior to oonunencement.
<br />E. CON'rRAC'rOR' S/OWNER' S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance with all applicable laws regulating construotion, zoning, and land
<br />development.
<br />Applioation is hereby made to obtain a permit to do work and installation as indicated. I
<br />ce.J:ti fy that no work or installation has oonunenced prior to issuanoe of a perrni t and that
<br />all work will 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 agencies may apply to
<br />tile intended work, and that it is my responsibility to identity what actions I must 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 Bensttive
<br />Lauds, Water/WasteHater Treatment
<br />*Soutllwe~t florida Water Management District-Wells, Cypress Bayheads,-Wetland Areas,
<br />Altering Watercourses
<br />'Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Departn~nt of Health & Rehabilitative Services, Environmental Healtll Unit-Wells,
<br />Wastewater Treatment, Septio Tanks
<br />*\1.8. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, it fill material is to be used in Flood Zone ~A" or "A,ete,N, it is
<br />understood that a draJnage plan addressing a "compensating volume"'will be submitted which
<br />is prepared by a professional engineer registered in tile State of Florida prior to permit
<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, canoel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a permit prevent the Building Otficial from thereafter requiring a
<br />correation of errors in plans, oonstruction, or violations of any code. Every permit
<br />isrsued shall become invalid unless the Hork authorized by such permit is oonunenced Hithin
<br />sJx months of issuance, or if work authorized by the permit is suspended or abandoQed for a
<br />period of ai:K months after the tilne the work is conunenced. One 90 day e:Ktension of tillle
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be teques~ed
<br />in writing to the Buildi.ng Official. An approved inspection must be Jogged duri.ng each si.x
<br />month period, or the project Hill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A No'nCE OF COMMENCEMENT MAY RESUW' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IE' YOU INTEND TO OB'!'AIN IfINANqWq, (.::(IN@UL'r
<br />WITH YOUR LENDER OR AN A'l"rORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'r. JOBS UNiJER
<br />$2, SOD IN VALUE DO NO'l' NEED TO RECORD AND POS'l' A "NOTICE OF COMMENCEMEN'IIII.
<br />
<br />SIGNA'l'URE: OWNER OR AGEN'I'
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />S'fA'rE OF FLORIDA
<br />COUNTY OE'-
<br />'J'he foregoing instrument was
<br />Before IlIe this ___ day of
<br />by~
<br />
<br />acknowledged
<br />_, 19_
<br />
<br />STA'l'E OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument w~s aoknowledged
<br />Before me this ------J.iay ot-----, 19.......:._
<br />by
<br />(name of person aoknowledged)
<br />Dlho is personally known to me, or
<br />
<br />(name ot person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />Owho has produced
<br />(type
<br />and who[] did Ddid not
<br />
<br />of identifioation)
<br />take an oath.
<br />
<br />o Hila has produoed_____ .____
<br />(type of identifioation)
<br />and ~Jho Odid DUd not t,ake all oath
<br />
<br />8ignatux.'e of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />---'-~.__..-._- ..__._--.------~~---_.._~.-----_._--_.------
<br />
<br />Hame typed, prillted or stamped
<br />
<br />Hame Lyped, printed ox.' stamped
<br />
|