Laserfiche WebLink
<br />CONDJlrIONS OF PERMI'f AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />'l'he undersigned understands thqt lhis permit may be subject to "deed restriotions" which <br />mOlY be Illore restriotive than City regulations. The under'signed assumes responsibility for <br />oompliOlnoe with any applicable deed restrictions. <br />B. UNLICENSED 'CON'I'RAC'I'ORS AND CON'l'RAC'I'OR RESPONSIBIJ,I'I'IES <br />If the owner has hired a contractor or contractors to undertake work, they nlay be required <br />to be licensed in accordance with state and local regulations. It the contraotor is not <br />lioensed as required by law, both the owner and contractor IIIay be cited for a mlademeanor <br />violation under state law. If the owner or intended contractor are uncertain as to HhOlt <br />Ii censing requirements Inay apply for the intended wOl.k, ,they are advised to oont.aot the <br />City of Zephyrhills Building Department, 813-768-6611. <br />Furthel.'1110re, 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 appliciation for Wllich they <br />will be ~esponsible. If you, as the owner signs as the contractor, YQij are indicating that <br />you, lather than the contractor, are responsible for the work. If the contractor wishes <br />you to sign as contractor that mf\Y be an indication that he is not properly licensed alld is <br />llot elltitled to permitting privi.leges in the City of ZephyrhUIs. <br />c. 'I'RANSI?OR'l'A'fION IMPAC'l' IfEES AND U'I'ILI'I'Y CONNECTION FEES <br />LJ. CONS'fRlJC'l'UION LIEN LAW (CliAP'l'ER '713, FLORIDA S'l'ATUTES, AS AMENDED) <br />1 cert.ify that I, the appli.cant, have been provi.ded \"lith a copy of "Florida's Construction <br />lien La\"l - Homeo\"lner' 13 Protection Guide" prepared by the Flori.da Department of Agriculture <br />and Consumer Affairs. If the applicant is someone other that the "owner", I eerify that I <br />have obtained a copy of the above descri.bed document and promise in good fai.th to delivl1lr <br />it to the "owner" prior to conunencement. <br />E, CONTRAC'!'OR' S/OWNER' S M'lnDAVI'!' <br />I certify tllat all the information in this application is accurate and that all work will <br />be dOlle in compliance with all applicable laws regulating constnlCtion, zoning, and land <br />devf?lopment. <br />Application is hereby made to obtain a permit to do work and installation as indio~ted. I <br />ce:q:tify that no Hork or installation has commenced prior to issuance qf a permit and that <br />all work will be performed to meet standards of all laws regUlating oonstruotion, City <br />codelil, zoning regulations, and land development regulations in the jurisdictlon. I also <br />certify that I understand that the regulations of other governmental agencie~ may apply to <br />the intended work, and that it is my responsibility to identify what actions I lIl11St take to <br />be in compliance. Such agencies include but are not limited tOI *Departmenl of <br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br />Lands, Water/Wastewater Treatment <br />*Soutllwest rlorida Water Management District-WellS, Cypress Bayheads, Wetland Areas, <br />Altering Watercourses <br />*Army Corps of Engineers-Seawalls, Docks, Navigable WatenJays <br />*LJepartlllent of Health & RehabilitC:ltive Services, Env1romnental 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.", i.t is <br />understood that a dra1nage plan addressing a "compensating volume"'wiLl be submitted whioh <br />is prepared by a professional engineer registered in thEl State of Florida pdo!: to pennit <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 the teohnioal CQQe6, <br />nor shall issuance of a permit prevent the Building Official from thereafter requiting a <br />oprrection of ertors in plans, pon~truotionf or vio~atio~s of any oode. Every p~~mit <br />is!t~ed ahall beoome invalid unll;lsa the Hork authorized by such permit is oOllunenotld within <br />six months of issuance, or if \-Jork authorized by the permi.t is suspended or abanQoqed tor a <br />perio:-t o.f six months after the time the work is conunenced. One 90 day extension of tlllle <br />'m~ybe allowed for the permit with fee charge of $15.00. The extension shall be teques~ed <br />ill writing to the Building Official. An approved inapection must be logged dudng each six <br />month period, or the p:r:oj ect Hill be considered abandoned. <br />WARNING 'fO OWNElRI YOUR FAILURE 'fO RECORD A No'rrcE OF COMMENCEMENT MAY RESUW' IN YOUR <br />PAYING 'rWICE FOR IMPROVEMENTS TO YOUR PROPER'fY. IF YOU IWfEND TO OB'rAIN JjIINANqIN'1,~'~NijUL'I' <br />WITH YOUR LENDER OR AN A'l"rORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'I'. JOBS UNDER <br />$2,500 IN VAWE DO NOT NEED 'I'O RECORD AND POS'l' A "NO'l'ICE OF COMMENCEMEN'11ll, <br /> <br />~G1jATURE' <br /> <br />S'rA'I'JiJ OF FLORI DAn <br />COUN'rY OF _ CC!5LD <br />The foregoing instrument was acknowledged <br />Bdore me this--Lct.. day of DecetAAiJer, ~3 <br />by. Lay..L~..J:-.P..kk~s . <br />(name of person acknowl,dged) <br />Dwho is personally known to me, or <br /> <br />[~Who has produced ]), L. <br />(type of identification) <br />~id not take an oath. <br /> <br /> <br /> <br />(j. <br />ON~RA~ <br /> <br />STA'I'E OF FLORIDA <br />COUNTY OF <br />The foregoing instrument w~ aoknowledged <br />Before me this --'iliJay of~ceNkr, .,,;2~.-)3 <br />by <br />(name of person acknowledged) <br />C1ho is personally known to me, or <br /> <br />Po. 5( 0 <br /> <br /> <br />and <br /> <br /> <br />~Jho has produced VI.- ., <br />(type of identifioation) <br />~:i~ke all oath <br /> <br /> <br />f person taking acknowledgment <br />""""" Suzanne Bahr <br />...,,~~y.~I.J& ~'" . . <br />Name typed, ~~~ ~;i~~~~::~~6;~ <br />-,.,~", '0"'<>"'- Bonded Thru <br />~~, OP:f\': \' <br />It"",' Atlantic Bonding Co" Inc <br /> <br />S of person taking ack~wdgement <br />"'''''1 suzanne <br />::1>.\~Y'~U.".4-__ Commission #DD157131 <br /> <br />J.i~'I~~-ty'p;-i;-.-~FJtt~;i~~~~ 2006 <br /> <br />",~,~\"~~\,, Atlantic Bonding Co., Inc. <br />