03-1980 - Laserfiche WebLink

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CONIHT.lONS OF PEHMl'l' AFFIDAVIT A. NOTICE OF DEED HES'l'IUC'l'IONS The linJer8ig-lI~d-un(lerili:a'iid9l.iialiilis'iiel-.ii:'..av-ijesubject to "deed restrictiolls" which lay be lOre restrictive than City regulations. The undersigned assll.les responsibility Cor cOlpliance wiLh any applicable deed restrictions. B. UNLICENSED CONTHAC'I'OHS AND CON'l'HAC'l'OH HESPONSIDILI'l'IES If the ollner haR hired a conlractoror cOlllractors-to-ullderLake,iork-:-iheYlaYbe required to be licensed in afcordancf. with state and local regulations. If the contractor is not licensed as required by law, both the ollner and contractor lay be cited Cor a lisdeleanor violation under stat.e law. If the ONner or intended contractor are uncertain as to what licensing requireaents lay apply Cor the intended HOrk, they are advised to contact the City of ZephyrbiJls Building Deparllent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he iR advised to have the contractor(s) sign portions of the "Contractor Sections" of this application Cor which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than tile contractor, are responsible for the wod. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. C. 'fRANSPOHTATION IMPACT FEES AND UTILITY CONNECTION FEES "" D. CONSTHUC'l'ION LIEN L1\W (CIIl\P'I'EU "/13, FLOlUIJA S'fA'fU'l'ES, AS AMENDED) I certiiy-Lha~ihe-appjlcalli-:-haVE!been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection Guide" prepared by the Florida Departlent of ngriculture and Consuler nCCairR. If the applicant is sOleone other Lhan the "oNner", I cerliCy LhaL I have obtained a copy oC Lhe above described..doculenl and prolise in good faith to deliver it to the "owner" prior to cO.lenCelent. , E. CONTHAC'l'OH' SLQWNEH' S AFFIDAVIT I certiry-that alj~he infuriation in this appji'cation~accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. I Application is llereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codeR, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations oC other goverlllental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not Iililed to: · Deparllent of Envirolllental Regulation - Cypress Bayheads, Wetland Areas and Hnvirolllentally Sensitive Lands, Water/Wastewater Treatlent . · Southwest Florida.Water Hanageaent Distfict - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ~rlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · Departaent of Jlealth & Rehabilitative Servic~~nvirolllental Health Uni~ - Wells, Wastewater Treatlent, Septic Tanks · US Envirolllental Protection Agency - nsbestos abaLelent I ai8O-CeriliY~hai~i-fij~latef1al is Lo be used in Flood Zone "n" or "n,eLc.., it is understood that a drainage plan addressing a "colpensating volllle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. . A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or vloiations of any code. Every per.it issued sball becOle invalid unless the work authorized by such per.it is cOllenced within six lonths of issuance, or if work authorized by the per.it is suspended or abandoned for a periOd of six IOnthR after the tile the work is cOllenced. One 90 day eltension of tile, aay be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six IOnth periOd, or the project will be considered abandoned. \ WARNING TO OWNER: YOUR FAILURB TO RECORD A NOTICR OF COHHENCRHHNT KAY RESULT IN YOUR PAYING TWICR FOR IHPROVEHHKTS TO YOUR PROPBRTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR I.HNDRR OR AN ATTORN BY BEFORB RBCORDING YOUR NOTICE OF COHHHNCHKHNT. SUNDER $2,500 IN VALUH DO N9~ NEKD TO RECORD AND POST A "NOTICE OF COHHRNCKKBNT". . J)/.... # H IPYJ-.'1SJ--lff-s.ro-tJ -----SIGNAlrURF,:--COHTRACTOR srnn OF FLOlIlD~~ COUNTY OF The foreyoin i::J:t / - ,twas ackilOwledyed before me this '. ,~~ by <:/(/l./cU!; who W ~ersonallY produced as identificatio not take an oat STnTK UP FLURIUn COUNTY OF The foregoing instrument before me this was acknowledged , 1lI_ by who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC