|
<br />COHDI'rIONS OF PERMI'!' AFlrIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands thqt this permit may be subject to "deed restriotions" widell
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UlnICENSED CON'l'RAC'l'ORS AND CON'I'RACTOR RESPONSIBIJ.I'l'IES
<br />If the OHner has hired a contractor or contractors to undertake work, they may be required
<br />to bl:l U ceused in accordance wi.th state and local regulations. If the contractor is not:
<br />licensed as required by law, both the ovmer and contractor may be cited for a lIIi.sdemeauor
<br />violation under state laH. If the owner or intended contractor are uncer'lain as to Vlhat
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />lfurthennore, 1 f the owner has hired a contractor or contractors, he is advised to hAve the
<br />oontractor(s) sign portions of the "Contractor Sections" of this application for which they
<br />will be Lesponsible. If you, as the owner signs _s the contractor, YQ4 are indioating that
<br />you, rather than the contractor, are responsible for the work. If the contractor wishes
<br />you to si.gn as UOlltractor that may be an indication that he is not properly licensed and is
<br />not E:lltitled to permitting privil~ges in the City of Zephyrhills.
<br />C. 'I'AANSPOH'l'A'rION IMPACT FEES AND U'l'ILI'rY CONNECTION ~'EES
<br />D. CONS'I'Rllc'rUION LIEN LAvJ (CHAP'I'ER '713, FLORIDA STATUTES, AS AMENDED)
<br />j certify that I, the applioant, have been provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the appli.cant is someone other that the "owner", I cerify that I
<br />Ilava obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to commencement.
<br />E. CONTAAC'rOR' S/OWNER' S AFFIDAVl'I'
<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 construction, zoning, and land
<br />devt;:lopment.
<br />Application is hereby made to obtain a permjt to do work and installation as indicated. I
<br />certify that no Hark or installation has conunenced prior to lssuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating construation, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. I dlso
<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 identify what actions I must take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Envirollmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally BensJtive
<br />Lands, Water/Waste\iater Treatment
<br />* Southwest E'lorida Wa ter Management District-Wells, Cypress Bayheads, Wet.} and Areas,
<br />Altering Watercourses
<br />"Anny Corps of Engineers-Seawalls, Docks, Navigable WaterVlays
<br />"Department of Health & Rehabilitative Services, EnvJronrnental Health I1nit-WeJ.ls,
<br />Wastewater Treatment, septic Tanks
<br />*11.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, Jf fJIl material is to be used in Flood Zone ~A" or "A,etc.", it is
<br />understood that a drainage plan addressing a "compensating volume" 'will be suLmitted which
<br />is prepared by a professional engineer registered in the State of Florida prj.or 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, cancel, alter, or set aside any provi.!:lions of the technical codes,
<br />nor sllall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors ill plans, construction, or violations of any code. Every permit
<br />is/jued shall become invalid unless the work authorized by such permit is cOllullenced within
<br />six montl1s of issnance, or if work authorized by the permit is suspended or abandolled for a
<br />period of alx months after the time the work is oonunenced. 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 />In writing to the Buildlng Official. An approved lnspection must be logged during each'/ilix
<br />month period, or the pt'oject vdll be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE 'fO RECORD A NOTICE OF COMMENCEMENT MAY RESUW' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN'fEND TO Ofj'I'AIN !i'INANqINq,~()N~UI/I'
<br />WITH YOUR LENDER OR AN A'l"I'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'I'. ,JOBS UNDER
<br />$2,500 IN VALUli: DO NO'!' NEED 'I'O RECORD AND POS'1' A "NOTICE OF COMMENCh-;MEN'jlll.
<br />
<br />~(\lcJ (\ 0 -r-f ___ s~~c.'oJhdNTRA('T()R r'VJ ++___
<br />
<br />SIGNA'l'URE: OWNER OR ~~ _ ~~
<br />
<br />S'I'A'I'EJ OF FLOR.. IDA ~
<br />COUNTY DE' _____.L_ctSLO
<br />The foregoing lnstrument was acknowledged
<br />Betore me t~is ~ d~ of M~ ' m.;ulO3
<br />by Deb\o.t" ~err..
<br />(name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />STA'I'E OF nORIDA
<br />COUNTY OF Pa.. 5C..Q.
<br />The forego.ing instrument W~SvJ'~11OWledged
<br />Before me this I :st jay of . , ~ ;;!Qo3
<br />by De bb,"e I l:Ld.~ett-
<br />~../ (name of person ackrwwledged)
<br />LYJho is personally kllO\'ll1 to me, or
<br />
<br />
<br />
<br />
<br />D who has produced__.__._________.______
<br />(type of identifioation)
<br />BUd no~_
<br />
<br />
<br />nature 0 person taking aQknowledgment
<br />,,'~~::t.'I, Suzanne Banr
<br />2~~<:-~''':;. Commission #DD157131
<br />I-lame t'llp~..~p.~iPf~airt?oti~J\~J22P _.n_ -- ..n_ __.n
<br />',~OF'f\.O "
<br />"""1'" Atlantic Bonding Co., Inc.
<br />
<br />Owho has produced
<br />(type
<br />@did not
<br />
<br />S
<br />
<br />person taking acknowledgement
<br />",,,,,,,, Suzanne Bahr
<br />...' tJ';YP{J8.' .
<br />~l~~ ~::~t~:~~~~Jk----.-.-
<br />~. ;1-
<br />-:";;~OFf~C",'" ~onded.ThN
<br />"""1" Atlanl1c Bondmg Co.. Inc.
<br />
<br />s
<br />
<br />Hame typed,
<br />
|