|
<br />CONDI'l'IONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands th~t this permit may be subject to "deed restriationsU which
<br />may be more restriotive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNI,ICENSED (;ON'l'RACTORS AND CON'l'RAC'l'OR RESPONSIBILI'l'IES
<br />If the owner' has hired a contractor- or contractors to undertake work, they may be l:equired
<br />to 1J8 Ii censed 1n accordance ~~ith state and local regulations. If the contractor is not
<br />l1censed as required by law, both the OvJfler and contractor may be c1ted for a lItisdemeanor
<br />violation under state law. If the owner or intended contractor are ullcerLain as to what
<br />licensing requirements may apply for the intended work, they are advised to contapt the
<br />City of Zephyrhills Building Department, 813-768-6611.
<br />Furthermol:e, it the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor SectionsH of this application for whiell they
<br />"lill be responsible. If you, as the aI-mer signs as the contractor, YO!,! are indicating that
<br />you, .I.'ather than the contractor, are responsible for the work. If the contractor' Idshes
<br />you to sign as contractor that may be an indication that he 1s not properly licensed and is
<br />not entitled to permitting privil~ges in the City of Zephyrhills.
<br />C. 'I'RANI:lI?Ok'l'ATION IMPACT fEES AND U'l'ILI'l'Y CONNECTION FEES
<br />D. CONS'l'RIIC'l'UION LIEN LAW (CHAPTER '713, FLORIDA S'rATUTES, AS AMENDED)
<br />r certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection Guideu prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "ownerU, I cerify that I
<br />have obt~ineci a copy of the above ciescribed Qocument and promise in good faith to deliver
<br />it to the "owner" prior to conunencement.
<br />E. CONTRAC'l'oR' S/OWNER' S AFFIDAVI'l'
<br />I certify that all the information in this appl.ication is accurate alld that all work will
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Applioation is hereby made to obtaln a permit to do work and installation as indioated. I
<br />ce-!=tify that no ~wrk or installaU.on has conunenced prior to issuance of a permit aud 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 j\lrisdict1on. I also
<br />certify that I understand that th~ regulations of otller governmental agencies may apply to
<br />the intended wO.l.k, and that it is my responsibility to identify what actions I mllst Lake to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />EnvirowQelltal Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensttive
<br />Lands, Water/Waste\-./ater Treatment
<br />*Southwest ~lorida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*DepartmenL of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*u.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone qA" or "A,ete.u, it is
<br />understood that a drainage plan addressing a "compensating volumeu'will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<br />i Bsuance.
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />author} ty to v.i.olate, cancel, alter, or set aside any provisions of the tecllllical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any cocie. Every permit
<br />ie.5ued ahall become invalid unless the WOJ.:k authorized by such permit is cOllunenced Hithin
<br />six montlls of issuance, or if ~-./ork authorized by the permJt is suspended or abandoqed for a
<br />period of elx months after the time the work is cOllunenced. One 90 day eKtension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />j n writing to the Buildi,ng Official. An approved inspection must be logged dudng each six
<br />montb period, or the project Hill be considered abandoned.
<br />WARNING TO OWNER; YOUR FAILURE TO RECORD A NO'rICE OF COMMENCEMENT MAY RESUW' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB'l'AIN E'INANc.;IN~1 ~qNl?UL'I'
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'I'. JOBS UNlJER
<br />$2,50n HI VALUE DO NO'l' NEED TO RECORD AND POS']' A "NOTICE OF COMMENCJillVIEN'l'''.
<br />
<br />SlGNA'l'URE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STA'rE OF FLORlDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />BeLa e !He this __ day of
<br />by _____.___
<br />(name of person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />'1 (
<br />I ..J..J_
<br />
<br />STA'l'E OF FLORIDA
<br />COUNTY OF
<br />'J'he forego.i.ng instrument wae aokllo\-11edged
<br />Before me this --------Jiay of---, 19....-:..~
<br />by ______
<br />(name of person acknowledged)
<br />C1ho is personally known to me, or
<br />
<br />Dwho has produced
<br />(type
<br />and who[] did 0 did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced ~_____
<br />(type of identifiQCltion)
<br />and Hho Ddid DUd not t.ake an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking aoknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Nan~ typed, printed or stamped
<br />
|