|
<br />CONDI'rIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands th,t this p~rmit may be subject to "deed restriotionsU ~hicll
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED C;ON'l'RAC'l'ORS AND CON'l'RACTOR RESPONSIBILr'l'IES
<br />If the owner has hired a contraotor or contractors to undertake Hork, they may be required
<br />t.o lle Ij censed in accordanoe ~d.th state and local regulations. If t.he contracl:or is not
<br />licensed as requi.red by la~II, both the ovmer and contractor may be clted for a mlsdemeano.r
<br />violation under state len-II. If the owner or intended contractor are uncertain as to vlhat
<br />licensing requirements may apply for the intended work, they are advised to contaot the
<br />City of Zephyrhills Building Department, 813-766-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />oontractor(s) sign portions of the "Contractor SectionsU of this application for whicll they
<br />vJill be responsible. If you, as the owner signs as the oontractor, YQlI are indicating that
<br />you, rather than the oontractor, are responsible for the work. If the contractor \o/ishes
<br />YOq to siyn as contractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privUeges in the City of ZephyrhUls.
<br />C, 'l'RANSI:'OR'l'A'rION IMPACT nES AND U'l'ILl'l'Y CONNECTION Ini:ES
<br />D. CONS'l'RUCTUION I,IEN LAW (CHAP'I'ER 713, FLORIDA S'l'ATUTES, AS AMENDED)
<br />I certify that I, the applioant, have been provided with a copy of "Florida's Constrllction
<br />lien Law - Homeowner's Protection GuideU prepared by the Florida Department of Agriculture
<br />emd Consumer Affairs. If the appli.c~nt is someone other that the "owneru, I cerify that 1
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "owneru prlor to cOllUT\encement.
<br />E. CON'I'RAC'I'OR' a/OWNER'S AFFIDAVI'I'
<br />I certify that all the information in this application is accurate and tllat all work will
<br />be done in oompliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain apermj t to do work and installation as indioated. I
<br />certlfy that no Hark or installation has oommenoed prior to issuanoe of a permit and that
<br />all work will be performed to meet standards of all laws regulating construotion, City
<br />code~, zoning regulations, and land development regulations in the jurisdiction. I also
<br />oertify 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 must take to
<br />be in complianoe. Such agencies include but are not 11mited to: *Department of
<br />Environmelltal Regulation-Cypress Bayheads, Wetland Areas and Environmentally Senstt1ve
<br />Lands, Water/Wastewater Treatment
<br />*Soutllwest rlorida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health lie Rehabilitative Service~, Environmental Health Unit-WeLls,
<br />Wastewater Treatment, Septio Tanks
<br />'U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone ~Au or "A,etc.u, it is
<br />understood that a drainage plan addressing a "compensating volumeu 'will be submitted v~lich
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<br />issuance.
<br />A permlt issued shall be oonstrued to be a license to proceed with the work and not as
<br />aqthorit:y to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a permit prevent the Building Of{icial from thereafter requiring a
<br />correction of errors in plans, con~truation, or violations of any code. Every pe~mit
<br />iSllued shall become invalid unless th@ work authorized by such permit is aOllullenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoqed far a
<br />period of 13111 months after the time the work is cOllUT\enced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be tequested
<br />j n writing to the Buildlng Official. An approved inspeotion must be logged duri.ng each' 6i x
<br />month period, or the project will be considered abandoned.
<br />WARHlNG '}'O OWNER: YOUR FAILURE TO RECORD A NOTICE OJ!~ COMMENCEMENT MAY RESUW' IN YOUR
<br />PAYING TWICE j!'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND '1'0 DB'rAIN j!'INANGING, c'm~UI}r
<br />Wl'1'H YOUR LENDER OR AN A'I"rORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'l'. 'JOBS UNDER
<br />$2,500 IN VAWE DO NO'!' NEED TO RECORD AND POS'!' A "NOTICE OF COMMENCEMEN'llll.
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNA'i'URE: CONTRACTOR
<br />
<br />acknowledged
<br />,19_
<br />
<br />STA'I'E OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument WqS aoknoHledged
<br />Before me this .------5iay of----, 19
<br />by
<br />(name of person acknowledged)
<br />C1ho is personally knovm to me, or
<br />
<br />OHho has produced
<br />(type of identifioation)
<br />and Hho Ddid DUd not t.ake an oath
<br />
<br />S'T'A'rE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before llIe this _._.._ day of
<br />by
<br />
<br />(name of person acknowl,dged)
<br />Owho is personally known to me, or
<br />
<br />Dwho has produoed
<br />(type
<br />and who[] did []did not
<br />
<br />of identlfication)
<br />take an oath.
<br />
<br />Signature of person taking aoknowledgement
<br />
<br />Signatqre of person taking acknowledgment
<br />
<br />-~----'--~----'.-.-~--~--~---"-_.__._-
<br />Hame typed, printed or stamped
<br />
<br />Harne typed, prlnted or' stamped
<br />
|