|
<br />CONDI'rIONS OF P ERIvJI '1' AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perm.it may be subject to "deed restriction8" which
<br />m~y be more restrictive than City regulations. The under8igned a8Sumes responsibility for
<br />compliance with ,any applicable deed restrictions.
<br />B. UNLICENSED C'ONTRACTORS AND CON'l'RAC'I'OR RESPONSIBILITIES
<br />If the owner 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 not
<br />licensed as required by laH, both the oymer and contractor may be cited for a misdemeanor
<br />violation under state laH. If the OHner or intended contractor are uncertain as to Hhat
<br />licensing requirements may apply for the intended wode, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furthermore, if 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 which they
<br />Hill be responsible. If you, as the owner 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 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 Zephyrhills.
<br />C. TRANSPORTA'rION I MPAC'l' FEES AND U'rILITY CONNECTION FEES
<br />D. CONSTRUC'rUION LIEN LAvJ (CHAP'1'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 Guide<< prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone otber that the \'oymer", I cerify that I
<br />have obt~ined a copy of the ~bove described document and promise in good faith to deliver
<br />it to the "owner" prior to conunencement.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'I'
<br />I certify that all the information in this application is accurate and that all work Hill
<br />be done in compliance Hith all applicable laws regulating construction, zoning, and land
<br />dt::velopment.
<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 conunenced 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 ~gencies may ~pply 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 lim~ ted to: '....Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Seniitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Sea~.alls, 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 "cm~ensating 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 Hork and not as
<br />authority to violate, cancel., alte.r., or'set aside any provisions of the technical cOdl::ls,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or viol.ations of any code. Every permit
<br />issued shall become invalid unless the work authorized by such permit is cOlllIllenced withi,n
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of six months after the time the work is conunenced. One 90 day extension 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 dUl:ing e~ch 8ix
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUW' IN YOUR
<br />PAYING TWICE FOR IHPROVEMEN'l'S 'I'O YOUR PROPERTY. IF YOU INTEND TO OB'1'AIN FINANCING, CONSUl:I'
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'I'. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED 'I'O RECORD AND POST A "NOTICE OE' COl-'IMENCEMEN'l"l.
<br />
<br />~'~Vl"v~~
<br />
<br />~CONTRACTOR ,
<br />
<br />Q~~~
<br />SIGNATU"E: OWNER OR AGENT
<br />
<br />STATE OE' nORIDA
<br />COUNTY OF
<br />The foregoing instrument Has
<br />Befon:; me this "7 _ day of
<br />by.
<br />
<br />acknowledged
<br />20C3
<br />, --
<br />
<br />S'l'ATE OF nORIDA
<br />COUNTY OF
<br />'J'he foregoing instrument HiH, acknowleqged
<br />Before me this _day of , ;[0 63
<br />by
<br />(name of person acknoHledged)
<br />[1ho is personally knoHn to me, or
<br />
<br />(name of person acknowledged)
<br />o who is personally knmVD to me, or
<br />
<br />-'
<br />"who has produced
<br />(type
<br />and whoD did Xdid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced
<br />~ (type of identification)
<br />and Hho Ddid JL""id not take an oath
<br />
<br />Signature of person taking acknoHledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed '01.' ticamped
<br />
<br />Name typed, printed or stamped
<br />
|