|
<br />APR-22-2004 07:44 PM
<br />'. I J
<br />I CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF nRR ~'t'RtC'J'tONS
<br />Th. under.iqned u standa that this pe~t may be subject to ~deed restrictions" which
<br />may be more restrve than City regulations. The undersigned as.ume. responsibility for
<br />eomplianc. with applicable deed restrictions.
<br />B. UNLICENSED CO CTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ownef has~ d a contractor or contractprs to u~dertake wo~k.theymay be required
<br />to be licensed. In. ardance with state and local regulations. If the contractor 1s not
<br />licensed as requi by 1,.,.." both the owner and contractor may be cited fOIr 'a misdemeanor
<br />violation under s .,\ 'law. If the owner or intended contractor are uncertain as to what
<br />licensing requir . may apply for the intended work, they are advised to contact the
<br />City of Zephyrhil : uilding Department, 813-788-6611. ,
<br />Furthermore, if t I wner ha.'hired a cont~.ctor or contracto~.,he 1s advised to have the
<br />eontraetor(s) s1g : rtions of the ~Contract~r SectionsM of this application for which they
<br />will be responsib~i If you, asth. owner signs 8S the contractor, you are indicating that
<br />yuu, c.l.heu: LInin 1 .; l;UUl.LUl;!.;O.a:, Cl.a:e .r:elllpona1.bl.e fOI: the wOl:k. If the contJ:actoJ: wi_hilUS
<br />you to 81gn as .co '.' ~etor ,.tl}.at may be an indication that he 1s not properly licensed and is
<br />not entitled top . "tting privileges 1n the City of Zephyrhills.. .
<br />C. TRANSPORTATIO PACT FEES ~D UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION IN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, :~ applicant, have been provided with a copy of -Florida's Construction
<br />lien Law - Homeew ' ':' s Protection GuideN prepared by the Florida Department of Agriculture
<br />and Consumer Afta k: .:. If the app1.1cant 1s 8omeone' other that the "owner", I cer1.ry that I
<br />have obtained a c i t of the above described document and promise in good faith to deliver
<br />it to the ~ownerN .j or to commencement. .
<br />E. CONTJUl..CTOR' 51 R' 9 AFrIPAVIT
<br />I ..
<br />I certify that a1 ! ~e infor~tiQn ~~ this application 1s accurate and that all work will
<br />be done in compli Pi' with all applicable laws regulating construction, zoning, and land
<br />developmen t. i i.
<br />Application i. he~' made to 9btain a permit to do work and installation a. indicated. I
<br />certify that no ~ ~ ' or installation has commenced prior, to issuance of a permit and that
<br />all work will be . ~ I .formed to meet standards of all law. regulating eon.truct1on, City
<br />codes, zoning reg ~.tions, and land development ~egulMtions in tho juri3diction. I alao
<br />certify that I un ~ :.stand that the regulations of other governmental agencies may apply to
<br />the intended work I nd that it i8 my responsibility to identify what actions I must take to
<br />be in compliance. j '\lch agencies include but are not limited to: .*Department of
<br />Environmental Reg ~'tion-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wast w:'ter Treatment
<br />"'Southwest Florid: . .atar Manaqement District-Wells, Cypress Bayheads, Wetland AJ:eas,
<br />A!.telo:J.l1g Wcltl1:J:COU :s \ III .
<br />, "
<br />*Army Corps of En ,i.::eers-Seawalls, Docks, Navigable Waterways
<br />*Department ot He :1 'h , Rehabilitative SerVices, Environmental Health Unit-Wells,
<br />Wastewater Treat' ., Septic Tank.
<br />*U.s. Environment ili:Protection Aqency-Asbestos abatement
<br />, ,.
<br />I also certify .th ,tiff fill material is to be used in Flood Zone "A" or "A,etc.", it is
<br />understood that a ~: ainage plan addressing a "compe~~atinq volume" will be submitted which
<br />1S prepared by a :r;:fess1onal eng1neer registered ~h the State o~ Florida prior to permit
<br />issuance. , I .
<br />A permit is.ued . ia'l be cons~.rued to be a license to proceed with the work and not as
<br />Au~hority to ViOl~::, cancel, alter. or set aside any provisions o~ the technioal oodes,
<br />nor shall issuanc, 'f a permit prevent the Building Official from thereafter requiring a
<br />correction of err.:r in plans, construction, or violations of any code. Every pennit
<br />issued shall beco : i,invalid unle.. the work authorized by such permit 1s commenced within
<br />six months of i... '.,ee, or if work authorized by the permit is suspended or abandoned for a
<br />period of six mon . after the time the work is commenced. One 90 day extension of t~e
<br />may be allowed fo' :he permit with tee charge of $15.00. The extension shall be ~equest.d
<br />ilt wl:i.~!n9 to the' :8: :ild.ing O:ff.iciDl. An QPp.roved inspection D\Uat be logged du:a:1.ng each llI1.x
<br />month period, or :h' project will be considered abandoned.
<br />WARNING TO OWNER: i . OUR FAILU~E TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICI!: FOR H ROVEHENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDIR : :R:', ATTORNEY BEFORE RECORJ}ING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE '" T NEED TO RtCORD AND POST A "NOTICE MM_, ENTM.
<br />
<br />L.,;L.. ..,'....,....-....,,'. ., ......... .- .,',," .. ..~_. ...,.
<br />
<br />P.03
<br />
<br />. \
<br />
<br />
<br />.;0 ABLA
<br />. ;
<br />I
<br />STATE or FLORlnA. .~. :,
<br />COUNTY OF . . CO
<br />The foregoing in.. r" ent was acknowledged
<br />8erore me this I . : :day ot ~r'" , ~~
<br />by ".
<br />'laf (name of per. '0: acknowledged)
<br />JA'- who i R (lfi'lr5l0hJl h". knnwn t-.n mA, nr
<br />[ '1
<br />CJ who has produc 'd~ i
<br />.! ' type of 1d!Bntification)
<br />d Idi!not take an oath. -
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The:tore~oing instrument w~knowledged
<br />8etore me thJ.1!J ...z....L..day of , n4lVr
<br />by DAVID R~
<br />
<br />~ (name of person acknowledqed)
<br />~ho 18 p~r8onally known to me, or
<br />
<br />PASCO
<br />
<br />acknowledg_nt
<br />
<br />Owho has produced
<br />(type of identification)
<br />and who Dd~:., ~id ~~t.,.take an oath
<br />
<br />~..."-.
<br />
<br />3ignatu~e of peJ:~on taking acknowledgment
<br />
<br />Name
<br />
<br />
<br />:'.1;,.
<br />
<br />OLIVIA A. Lov\':n
<br />! b~rSt't
<br />n My COmml&9lon eXplffll JU ze, :!OO-l
<br />Commission No. C0954594 .
<br />
<br />" Mtm..-d
<br />'. n EllplrQs July 28, 2604
<br />n: 0.OCH4H4
<br />.! :i
<br />
<br />Name tvp~'_
<br />
|