|
<br />CONDITIONS OF' PERI'lJI'I' AFFIDAVIT
<br />h. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to "deed restrictions" 11'1hich
<br />may be more restrictiv~ than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED dONTRACTORS AND CONTRACTOR 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 ovmer and contractor may be cited for a misdemeanor
<br />violation under state law. I f the owner or intended contractor are llncertain as to what
<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 />Furthermore, if 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 />will be responsible. If you, as the OHner signs as the contractor, you are indicating that
<br />you, rather than the contractor, are responsible for the Hork. If the contractor Hishes
<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. 'rAANSPOR'l'A'rION Il>1PAC'l' FEES AND UTILI'I'Y CONNECTION FEES
<br />D. CONS'I'RUC'rUION LIEN LAv~ (CHAP'I'ER 713, FLORIDA STA'I'U'rES, AS AMENDED)
<br />r certify that I, the applicant, have been provided Hith a copy of "Florida's Construction
<br />lien LaH - Homeowner's Protection Guide'! prepared by the Iflorida 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 "oHner" prior to co~nencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in cw~liance with 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 Hork or installation has cornmenced prior to issuance of a permit and that
<br />all work Hill 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 agencies may apply to
<br />the intended work, and that it is my responsibility to identify what actions I Inust 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 Sensitive
<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 "compensating volume" will be submitted v,hich
<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 Hark and not as
<br />authority to violate, cancel, alter, or set aside any provisions of the technical cod(:ls,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requir-ing a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />i::;sued shall become invalid unless the work authorized by such permi t is cOllunenced Hithin
<br />six months of issuance, or if Hork authorized by the permit is suspended or abandoned for a
<br />period of six months after the time the work is corrunenced. One 90 day extension of tillle
<br />may be allowed for the pecnit with fee charge of $15.00. . The extension shall be requested
<br />in writing to the Building Official. An approved inspection must be logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUW' IN YOUR
<br />PAYING TWICE FOR IMPROVEMEN'l'S 'I'O YOUR PROPERTY. IF YOU INTEND TO OB'l'AIN FINhNCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$ 2, 500 IN VALUE DO NOT NEED '1'0 RECORD AND pos'r A "NO'fI CE OF COMMENCEMEN'I'It.
<br />
<br />
<br />~~~ ~~;~~
<br />
<br />
<br />STATE OE' InORIDA STA'fE OF FLORIDA
<br />COUNTY OF COUNTY OF
<br />The foregoing instrument was acknowledged '1'he foregoing instrument was acknowle~ed
<br />Before me this __ day of 2Q_ Before me this _day of , )_
<br />by, by
<br />
<br />(name of person acknowledged)
<br />o who is personally known to me, or
<br />
<br />(name of person acknoHledged)
<br />Olho is personally known to me, or
<br />
<br />Owho has produced
<br />\(,.j (type
<br />and HhoD did ~id not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Owho has produced
<br />~(type of identification)
<br />and Hho Ddid Toid not take an oath
<br />
<br />Signature of person taking acknoHledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
|