|
<br />CONDl'l'IONS OF PERMIT AFFIDAVIT
<br />A. NUrICE OF DEED RES'l'RIC'rroNS
<br />The undersigned understands th~t this permit may be subject to "deed restrictionsU whicll
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. U1nlcENSED (~ONTRACTORS AND CONTRACTOR RESPONSIBII.I'l'IES
<br />If the <mner has hired a contractor or contractors to undertake work, they n\ay be required
<br />to be licensed in accordance with state and local regulations. If tile contractor is not
<br />licensed as required by law, both the ovmer and contractor may be cited for a Illiademeanor
<br />violation under state lay/. If the ownet. or intended contractor are uncerlain as lo Vlhat
<br />licensing requirement::i may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-768-6611,
<br />Furthermor-e, if 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 wllich they
<br />will be responsible. If you, as the owner signs as the contractor, yay are indicating that
<br />you, l-ather than the contractor, are responsible for the work. If the contractol. Hishes
<br />you to sign al:l cOlltractor that may be an indication that he 1s not properly licensed and is
<br />not entitled to permitting privileges in the City of Zephydl111s,
<br />c. 'l'RANSPORTA'rION IMPAC'l' Ii'EES AND U'l'ILI'I'Y CONNEC'rrON Ii'EES
<br />D. CONS'l'RIIC'l'UION IJIEN LM~ (CHAP'l'ER '713, FLORIDA STATUTES, AS AMENDED)
<br />I 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 Affail.'s. If the appli.cant is someone other that the "ownerH, I cerify that I
<br />Ilave obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "ownerH prior to commencement.
<br />E. cmnRAc'roR' a/OWNER'S AFFIDAVI'l'
<br />I certify that all the information in this application is accurate and tllat all work will
<br />be done in compliance with all applicable laws regulating constt-uction, zoning, and land
<br />development.
<br />Applioation is hereby made to obtain a permit to do work and installation as indicated, I
<br />ce~tify that no "lUrk or installation has conunenced prior to i,ssuanoe of a permit and that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, ~oning regulations, and land development regulations in the jllrisdiction. 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 IlILlSt take to
<br />be in oompliance, Suoh agencies inolude but are not limited tOI *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/WasteHater 'rreatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawall::i, Docks, Navigable Waterways
<br />*Department: of Health Ii< Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wal:ltewater 'rreatment, Septic 'I'anks
<br />*U. S, Envir-onrnental I?rotection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone ~Au or "A,etc,n, it is
<br />understood that a drainage plan address1ng a "compensating volume" 'will be sublni tted "/hieh
<br />is prepared by a professional engineer registered in the State of Florida prior to pennit
<br />j::isuance.
<br />A permit issued shall be oonstrued to be a license to proceed with the work and not as
<br />authority to violate, cancel, alter, or set as1de 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 ill plans, construction, or violations of any code, Every permit
<br />iSf.iUed ahall become invalid unless th@ Hork authorized by such permit is oOllullenced within
<br />six months of issuance, or if work authorized by the permit is suspended or ahandol1ed for a
<br />period of six months after the tilne the work is conunenoed. One 9U day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension ::ihall be requested
<br />in writing to the Building Official. An approved inspection must be logged during each six
<br />month period, or the project Hill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE '1'0 RECORD A No'rICE OF COMMENCEMEN'I' MAY RESULT IN YOUR
<br />PAYING TWICE li'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN'1'END TO oB'rAIN b'IN'AN(:;ING, ~qNl?UI:I'
<br />WITH YOUR LENDER OR AN A'l"fORNEY BEFORE RECORDING YOUR NOTICE OF COMIvlENCEMEN'l'. ,JOBS UNDER
<br />$2,500 IN VALUE: DO NOT NEED '1'0 RECORD AND POS'l' A "NO'l'ICE OF COMMENCft;Mfi~,,!'::'''.
<br />
<br />~Lf~_~. ~
<br />
<br />SIGNA'l'URE: OWNER OR AGENT SIGNA'I'URE: CON'l'RAC'l'OR
<br />
<br />~~~~~Y O~F FLORIDA Rs~________
<br />
<br />The forego.ing instrument HaS acknowledged
<br />Before f.:i. this ~ay of. Ut.t--('1 t kB ~~o'3
<br />b y _-.l:~-.Ct2C('oe.1 A- _.___
<br />1-r1./ (name of person ackrwwledged)
<br />L~o is personally known to mEl, or
<br />
<br />S'fA'l'E OF FLORI DA --;-)
<br />COUNTY OF .t:"tlsCi)
<br />'l'he foregoing instrument was acknoHledged
<br />Before lne this .O?..J.:~t:day of 1..~0 _, _~3
<br />by __B ~- t:C..- Mill~
<br />(name of person acknoHledged)
<br />Dwho is personally known to me, or
<br />
<br />~o has produced)). L..
<br />(type of identification)
<br />Ercfld not take an oath.
<br />
<br />o Hho has produced____._____.__
<br />(type of idellti fiaati.on)
<br /><lid Bl1d no~o.th_._
<br />
<br />
<br />Sign ure<:'tJ:~:::~ing aoknowledgmt=nt
<br />,"""" Suzanne Bahr
<br />,'~...~V.~lJ.&6i." C .. #DD152131
<br />Name t YP~~.~)}lf;t'~~~d\r4~n~ ------------..---
<br />"';;'; OFf~o~~'" BondedThru
<br />",,,,,,, AtlantiC Bonding Co., Inc.
<br />
<br />
<br />
<br />person taking acknowledgement
<br />"'''''' Suzanne Bahr
<br />","'t1-~.~lJ.&"" . . n HUD 1 57131
<br />________.___.___.___.__-:_--'~-'--c,~ _ CommlulO -T)6'-'--
<br />Name typed, pnl~~~~~~'Etx~iNS~Nov 15,20
<br />~'~'" _' 'c,;f,,:O Bondcd,Thru
<br />',~,~~,f;",' Atlantic Bonding Co" Inc.
<br />
|