|
<br />C:OHDIT iONS OF PE:Rl'lIT AFF'IDAVI'r
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'I'he undeJ:signed understands that till;:; penlli t lllay be subject to "deed restrictions" whi eh
<br />way be mort:! r:estriclive than City r:egul ations. The undtirsigned a;:;Sllll\tiS responsJbJlity for
<br />complicmce with any applicabl e deed 1:estricti ons.
<br />B. UNLICENSED CONTRAC'l'ORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ovmer has hired a contractor or contractors to undertake work, they may be r:equired
<br />to be licensed in accordance with state and local regulations, If the contractor is not
<br />lice:nsed as required by lavl, both the owner and contractor may be cited for a misdellleanor
<br />violation under state law. If the ovmer or intended contractor: are uncertain as to v~hat
<br />licensing requirements may apply for the intended work, they are advised to contact tile
<br />City of Zephyrhills Building Departmt:lnt, 813-788-6611.
<br />Furthermore:, if the owner has hir:ed a contractor or contractors, he is advised to have tbe
<br />contractor(s) sign portions of tbe "Contt'actor Sections" of this application for: vlhich tlll::y
<br />will be respolltiible. If you, ati the owner signs as the contractor, you are indicating that
<br />you, rather than the contractor, are responsible for the Hork. I f the contractor vl1.shes
<br />you to sign as contractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of :!.ephyrhills.
<br />C, 'l'RANSPOR'l'A'rION INPAC'1' IfEES AND UTILITY CONNEC,!'ION FEES
<br />D, CONSTRUCTUION LIEN LAW (CHAP'rER 713, I!'LORIDA S'l'A'rUTES, AS AMENDED)
<br />I certify tllat I, the applicant, have been provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's Pr'otection Guide" prepared by the B'lorida Depar:tment of Agriculture
<br />and Consumer' Atfa1rs. If the applicant is someone other that the "oHner", I cerify that r
<br />have obtained a copy of the above described document and promise 1n good faJth to del1ver
<br />it to the "owner" prior to comnencement.
<br />E. CONTRACTOR' S/OWNER' S Af'FIDAVl'r
<br />I certify that all tIle information in this application is accurate and that all work will
<br />be done in compliance Hith all applicable laws regulating construction, zoning, and land
<br />developmellt.
<br />Applicatioll is hereby made to obtain a permi t to do vwrk and installation as indicated. I
<br />certi fy that no Hork or installation has commenced prior to issuance ot a penni t and that
<br />all work will be performed to meet standards of all laws regulating constrllction, City
<br />codes, zoning regulations, and land develo~llent regulations in the jurisdictioll. 1 also
<br />certify that I understand that the regulations of other governmental agencies Hlay apply to
<br />the intended Vlod;., Cind that it is my responsibility to identify whCit actions I must ti::lkl:: to
<br />be in compliancE:, Such agencies include but are not I imited to: A'Depal'tment of
<br />Environmental Regulation-Cypre::;s Bayheads, Wetland Areas and Environrnelltally St::nsi.tive
<br />Lands, Water/WastevJater 'rrei::ltment
<br />*Southwest Florida WCiter Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Anny Corps of Engilleers-SeaHalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Healtll Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />.xu. S. Environmental Protection Agency-Asbestos abatement
<br />I alo':io certify that, if fill material is to be used in Flood Zone "A" or "A,etc,", it is
<br />unde:rstood that a drainage plan addressing a "compensating volume" will be submitted which
<br />i::; pn::pared by a professional engineer registered in the state of f'lorida prior.' to pelmi t
<br />iSo':illance.
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />authorit.y to violate, cancel, alter, or set aside any provisions of tlie t<::chnical codes,
<br />nor shall itisuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construct1on, or violations of any code. Every permit
<br />i::;sued shall become invalid unless tlie work authorized by.such permit i.6 cOLlunenced wlthin
<br />six montlls of issuance, or if work authorized by the permit is suspended or abandoned tor a
<br />per:iod ot si,K monthl:l after the time the vlOrk is COlTU\1enced, One 90 day extension of time
<br />may be allowed for the permit Vllthfee charge of $15.00. 'rhe extension shall be requested
<br />in vniting to the Building Official. An approved inspection must be logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING '1'0 OWNER: YOUR E'AILURE 'l'0 RECORD A NOTICE OF COMMENCEMENT HAY RESUr,'I' IN YOUR
<br />PAYING TWICE FOR IMPROVEHEN'l'S '1'0 YOUR PROPERTY. IE' YOU IN'I'END '1'0 OB'l'AIN If1NAl'1CING, CONSULT
<br />vHTH YOUR LENDER OR AN AT'l'ORNEY BEI!'ORE RECORDING YOUR NOTICE OF COMME1'lCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NO'l' NEED '1'0 RECORD AND POST A "NO'rICE OF COMMENCElVJEN'r".
<br />
<br />//U~ CU.JJ!Q( :r~
<br />
<br />SIGNATURE: OWNER OR AGEN'!'
<br />
<br />~~~ ~~~~"",Y'
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />S'l'ATE Of' FLORI DA ro
<br />COUNTY Of r a.sc..O
<br />Th~ foregoing instrument was acknowledged
<br />Before me this ~ day of A~IA.~t , .~3
<br />by Wlike Wllka.,""""
<br />(name of person acknowledged)
<br />~o is personally known to me, or
<br />
<br />STA'l'E OF FLORIDA <::)
<br />COUNTY OF t.-~Sc...o
<br />The foregoing instrument was acknowledged
<br />Before me this .~ay of At"":l./"..r, 1;i~3
<br />by YY1 i ~ Lt~)i(( I'a~
<br />_../ (name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />of identification)
<br />ta'- an oath.
<br />
<br />Owho has produced
<br />(type of identi ficati 011)
<br />DUd not take dll oath
<br />
<br />
<br />,,1''''// Suzanne Bahr
<br />:..\:<.~.Y.~IJI/"" . .
<br />_'P~" Comm~slon I#DDI57Bt-
<br />printe~.or . .:~~rr : Noy 15,2006
<br />"'~~oF;jl..- Bonded Thru
<br />""""" Atlantic Bonding Co., Inc.
<br />
<br />
<br />
<br />Name typed,
<br />
<br />person taking acknowledgment
<br />,\1""" Suzanne Bahr
<br />""::\t!':VPiJ&/~
<br />
<br />Name typed, pr{~~:}~~~~~fl~~~JJ~
<br />
<br />'" ~ OF fi.O",-- Bonded Thru
<br />',.,,,,,, \ Atlantic Bonding Co., Inc.
<br />
|