|
<br />l,xmul'l'J. ons OF PERMIT AFI!'IDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands t~at tlds permit may be subJect.to "deed rest:rictions" which
<br />may be more restrictive than City regulations. 'I'he undersigned assumes resporisibility for
<br />compliance with any applicable dee'd rElstrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRAC'I'OR RESPONBIBII.ITIES
<br />If the owner has hired a contractor or contractors to undertake work. they lIIay be required
<br />to be licensed in accordance with state and local reg\118tlons. If the contractor is not
<br />licensed as required by law, both the owner and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />City ~f Zephyrhills BUilding Department, 813-788-6611.
<br />Furthermore. if the owner has hired a contractor or contractors. he is advised to have the
<br />contractor(s) sign portions of the "Contractor Sections" of this application for which they
<br />will be responsible. If you, as the owher signs as the contractor, you are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign Ill!! 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. TRANSPORTA'rION IMPACT FEES AND UTII.ITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, F~ORIDA S'fATtJTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's ProteotJ.on Guide" prepared by the Florida Department of AgrJ.culture
<br />and Consumer Affairs. If theapplioant is someone other that the "owner", I cerify that I
<br />have obtained a copy of the above described dooument and promise in good faith to deliver
<br />it to the "owner" prior to commencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIUAVIT
<br />I oertify that all the information in this applJ.cation is accurate 811d that all work will
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no work or installation has commenced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating construction. City
<br />codes, zoning regulations. and land development regulations in the jurIsdiction. I also
<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 />Environmental RegUlation-Cypress Bayheads, Wetland Areas and EnVironmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells. Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of EngineerS-Seawalls. Docks, Navigable Waterways
<br />*Department 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 "A" or "A.etc.". it Is
<br />understood that a drainage plan addressing a "compensating volume" will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with the work find not as
<br />authority to violate. cancel, alter, or set aside any provisions of the technical 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 code. Every permit
<br />issued shall become invalid unless the work authorized by such permit is corlUnenced within
<br />six months of issuance, or if work authorized by the permi.t is suspended or abandoned for a
<br />period of six months aftet the time the work is commenced. One 90 day extenslon of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />in writing to the Building Official. An approved inspection must be logged durJ.ng each six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER I YOUR FAIl.URE 'fO RECORD A NO'l'ICE OF COMMENCEMEN'f MAY RESUI.T IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER oR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE Do T NEED To RECORD AND POST A "NOTICE OF COMMENCEME
<br />
<br />
<br />SIGNATURE:
<br />
<br />
<br />~, "
<br />
<br />STATE OF FLORID~
<br />COUNTY OF . I c:u2.-C ()
<br />The foregoing instrument was Bcknowledged
<br />Before me this~dBY of (L.J)...... ,;}.f1Q3.
<br />by ,j..ADty Schrr-
<br />(name of person acknowledged),
<br />.~ is personally known to me, or
<br />
<br />o who has produced
<br />.--J.t;yp e
<br />Qd'fd not
<br />
<br />STA'l'E OF FLORIDA ~
<br />COUNTY OF ~~O
<br />'l'he foregoing instrument WBS a7knowl edged
<br />Before me thi" _, 7 ~day ?~ j , :tI1~
<br />by " 'un{ 'j c<)C ~.~
<br />(name of person ac~nowledged)
<br />~ is personally known to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />
<br />
<br />Signature of p r80n taking acknowledgment
<br />
<br />Name
<br />
<br />type~'...~D~pS~'itn~ed
<br />U"~ My Commission CC8742
<br />* * ,
<br />~. , Expires October 25, 2003
<br />'I"f\<If'
<br />
<br />... Suzanne Douglas-Allen
<br />Name t y *",dfl1tr1lirdiOro<iC88't?~ed
<br />-""''''01'' Expires October 25, 2003 .
<br />
|