|
<br />CONDI'l'IONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands thqt this perroi t may be subject to "deed restrictions" \^lhich
<br />m~y be more restrictive than City regulations. The undersigned assumes res~onsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED (~ON'l'RAC'l'ORS AND CON'l'RACTOR RESPONSIBILITIES
<br />If the Ownel- has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with state and local regulations. If the contractor is Ilut
<br />l.icensed as required by law, both the ovmer and contractor may be cited for a misdemeanor
<br />violation under state laH. If the owner or intended contractor are uncertain 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 />Furtbennon" it 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 />vdll be responsible. If you, as the owner signs as the contractor, yQLi are indicating that
<br />you, t'ather than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign as contractor that ms.y be an indics.tion that he 1s not properly lioensed and is
<br />not entitled to permitting privileges in the City of Zephyrhllls.
<br />C. 'l'RANSPOk'l'ATIOH IMPACT !fEES AND UTILITY CONNECTION FEES
<br />D. CONS'rRIIC'l'UIOH LIEN LAW (CHAP'rER 713, FLORIDA STATUTES, AS AMENDED)
<br />1 certify that I, the appllcant, have been provided with a copy of "Florida's Construction
<br />li.en Law -- Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affainl. If the applicant is someone other that the "owner", I cerliy that I
<br />have obtained a copy of the above described document and promise in good falth to deliver
<br />it to the "owner" prior to cOllUTlencement.
<br />E:. CON'rRACToR' S/OWNER' S AFFIDAVI'l'
<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 constt'uction, zoning, and land
<br />development.
<br />Applioation is hereby made to obtain a permj t to do work and installation as indicated. 1
<br />certify that no Hork or installation has cOllUTlenced 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 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 IIlllSt 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 Bensttive
<br />Lands, Water/Wastewater 'rreatment
<br />*Southwest Wlorida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Vepartment of Health IX Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*u.S. Environmental Protection Agency-Asbe~tos abatement
<br />I also certify that, if fill material is to be used in Flood Zone ~A" or "A,ete.", 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 and not as
<br />authority to violate, cancel, alter, or set aside any provisions of tile technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, oon~tructionr or violations of any oode. Ev&ry p~rmit
<br />iSfju(:ld shall become invalid unless th~ work authorized by such permit is oOllunenced within
<br />slx months of issuance, or if work authorized by the perrolt is suspended or abandol!Cid for a
<br />period of sl.. months after the time the work is cOllUTlenced. One 90 day eKtension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />ill writing to the Building Official. An approved inspection must be logged during each siK
<br />month period, or the pr'oject Vlill be considered abandoned.
<br />WARNING TO OWNER; YOUR FAILURE TO RECORD A NO'rICE OF COMMENCEMENT MAY RESUL'l' IN YOUR
<br />PAYING TWICE li'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANqINq,CQN~UL'r
<br />WITH YOUR LENDER OR AN A'I"rORNEY BEH'ORE RECORDING YOUR NOTICE OF COMMENCEMEN'r. JOBS UNDER
<br />$2,500 IN VALUE DO NO'l' NEED TO RECORD AND POS'l' A "NO'l'ICE OF COMMENCEMEN'r/.
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNA'l'URE: OWNER OR AGENT
<br />
<br />S'rA'l'E OF FLORIDA
<br />COUNTY OE' _____.
<br />The foregoing instrument was acknowledged
<br />Before lIle this _.__ day of __, 19_
<br />
<br />by__..__.. ______.
<br />(wame of person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />STA'I'E OF FLORIDA
<br />COUN'ry OF
<br />'I'he foregoing instrument w~s acknovlledged
<br />Before me this ..---J'jay of-----, 19...:..._
<br />by __
<br />(name of person acknowledg~d)
<br />[1ho is personally known to me, or
<br />
<br />o who has produoed
<br />(type
<br />and whoL] did Ddid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Dwho has produced .
<br />(type of identifioation)
<br />and Vlho Ddid [}Ud not t,ake an oiilth
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Harne typed, printed or stamped
<br />
<br />Harne typed, printed or stamped
<br />
|