|
<br />CONDITIONS OF PERl'UT AF'FIDAVI'r
<br />A. NO'l'ICE OF' DEED RES'I'RIC'l'IONS
<br />'J'he undel:'.:ligned understands that lhi:> permit may be subject to "deed restrictions" which
<br />ruay be mord l:estrictive than City n:gul ations. The undersigned a::>::>umes re::>pon::>lbility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED COi~TRAC'l'ORS AND CONTAAC'l'OR RESPONSIBILI'l'IES
<br />If the OHl1eJ:: Ila::; hired a contractor or contractors to undertake work, they may be l:equired
<br />to be licensed in accordance with state and local regulations. If the contractor 1s not
<br />licensed as r.:quired by lavl, boUi the ovmer and contl.'actor may be cited for a misdellh::anor
<br />violation under state law. If the owner or intended contractor are uncertaill as to what
<br />licensing requirements may apply for the intended work, they are advised to contact tile
<br />City of Zephydlills Building Department, 813-788-6611.
<br />Furthermore, 1f the ovmer 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 whicll they
<br />will be respon8ible. If you, as the omler signs as the contractor, you are indicating that
<br />you, rather than the contractor, are responsible for the Hark. If the contractor wishes
<br />you to sign as contractor that may be an indication that he is not properly licellsed and is
<br />not entitled to percni tting privileges in the City of t';ephyrhi.lls.
<br />C. 'l'RANSPOR'l'A'rION IMPACT' fEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAP'rER '713, FLORIDA STA'fUTES, AS AMENDED)
<br />I certify that 1, the applicant, have been provided with a copy of "Florida's Construction
<br />lien LaH - Homeowner's Protection Guide" prepared by the l!'lorida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to corronencement.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'f
<br />I certify that all tile information in this application is accurate and that all work will
<br />be done in compliance Hilh all applicable laws regulating construction, zoning, and land
<br />devt;;lopmellt.
<br />Application is hereby made to obtain a permit to do Hork and installation as indicated. I
<br />certify that no work or installation has connenced 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 regulati.ons of other governmental agencies Illay apply to
<br />the intended v<ad.., and that it is my responsibility to identify what action8 I must t.ake to
<br />be in compliance. Such agencies include but are not limited to: kDepal.-tmt;;nt of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmelltally S~nsitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cyp~ess Bayheads, Wetl~nd Areas,
<br />Altering Watercourses
<br />*Army Corps of Ellgineers-Sea\falls, DOcks, Navigable Waterways
<br />.Vepartment of Health & Rehabilitative Service::>, Environmental Healtll Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.9. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used ill Flood Zone "A" or "A/etc.", it is
<br />understood that a drainage plan addressing a "compensating volume" Hill 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 and not as
<br />authority to violate, cancel, alter, or St;;t aside any provisions of tile technical codes,
<br />nor shall issuance of C:l permi t prevent the Building Official from thereafter reqlliring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued .:Ihall become invalid unless the work authorized by such permit is cOllunenced within
<br />six montlls of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of six months after the time the Hark is commenced. One 90 day extension of time
<br />may be alloHed for the permit with fee charge of $15.00. '1'he extension shall be requested
<br />in Hriting to the Building Official. An approved inspection must be logged during each six
<br />month period, or t.he project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COI'1MENCEMEN'l' MAY RESUW' IN YOUR
<br />PAYING TWICE FOR IMPROVEMEN'l'S '1'0 YOUR PROPERTY. lJi' YOU INTEND '1'0 OB'l'AIN v'INANCING, CONSUL'1'
<br />WITH YOUR LENDER OR AN ATTOro~EY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMEN'1'''.
<br />
<br />SIGNATURE: OWNER OR AG EN 'I'
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />S'I'ATE OF FLORIDA
<br />COUNtrY OF
<br />'l'he foregoing instrument was acknovlledged
<br />Before me this ______. day of ___, 19__
<br />by
<br />(name of person acknowledged)
<br />o who is personally known to me, or
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />'I'he foregoing instrument was
<br />Before m.. this ._day of
<br />by
<br />
<br />acknowledged
<br />19
<br />
<br />(name of person acknowledged)
<br />Dlho is personally known to me, or
<br />
<br />o who has produced
<br />(type
<br />and vfhoD did Ddid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Dwho has produced
<br />(type of identification)
<br />and Hho Ddid DUd not take an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Namt:: typed, pri nted or stamped
<br />
<br />Name typed, printed or stamp<::d
<br />
|