|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perllt laY be subject to 'deed restrictions" wbich laY be lOre restrictive tban City
<br />regulations. Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, they laY be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lilY be
<br />cited for a lisd_anor violation under state law. If the mmer or Intended contractor are uncertain as to wbat licensing
<br />requireaents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections- of this application for wbicb they will be responsible. If you, as the OIRler sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbell you to sign
<br />as contractor that lilY be an indication that be is not properly licensed and is not entitled to peraitting privileges in the
<br />City of Zepbyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of 'plorida's Construction Lien Law - lkIIeolmer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is SOMOne other than the
<br />'owner", I certify that I bave obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the
<br />"owner" prior to cOlleDceaent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land develo.-ent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas ~ced prior to issuance of a perait and that all work lill be perf OM to teet standards of all laws
<br />regulating construction, City codes, loning regulations, and land deyelopnnt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goyerntentBl agencies lilY apply to the intended work, and that it is
<br />If responsibility to identify wbat actions I lUst take to be in COIpliance. Such agencies include but are not lilited to:
<br />* Departlent of EnyiroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AIly Corps of Engineers - Sealalls, Docks, Navigable Waterways
<br />t Departlent of Health , Rebabilitative Services, BnvirODleDtal Health Unit - Wells, Wastewater !reatlent, Septic !anks
<br />* US EnviIODleDtal Protection Agency - Asbestos abatl!leDt
<br />I also certify that, if fill Iilterial is to be used in Flood Zone "A' or "A,etc.", it is understood that a drainage plan
<br />addressing a 'coapensating volUlle' lill be subtitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perllt issuance.
<br />
<br />A p~it issued sball be construed to be a license to proceed lith the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball becOle invalid
<br />unless the work authoriled by sucb perlit is cOBellced lithin sillODtbs of issuance, or if work autboriled by the peIlit is
<br />suspended or abandoned for a period of sillOntbs after the tile the work is coaenced. One 90 day utension of tile, lilY be
<br />allowed for the perait with fee charge of $15.00. Tbe utension sball be requested in lriting to the Building Official. An
<br />approved inspection lUSt be logged during eacb sil IOnth period, or the project will be considered abandoned.
<br />WARNING TO OIlIER: YOUR FAILURE TO RECORD A NOTICE OF WDlDCllllII! MAY RESULT IN YOUR PAYING TWICE FOR IIIl'ROVEIImS TO YOUR
<br />PROPER'fY. IF YOU IJIDND TO OBTIIN FIIUCING, CONSUL! wlm YOUR LDDIR OR 11 InoRIIY BEFORE RECORDING YOUR IO'I'ICB OF
<br />Cl>>ttfENCEMEII!. JOBS UNDER $2,500 IN VALUE DO lOT mm TO RECORD lID POST A "DICE OF C(JIMDCEMm".
<br />
<br />
<br />[VLcJ1ei& ~oclslJGn-- C~
<br />SIGMA!URB: (MIIR OR ~
<br />
<br />
<br />~~ O~FFLORI~ /){
<br />The foregoing in,tI'WIent was acknowledged
<br />before me thi.yb ~ ~ ,~Q.4/by
<br />(
<br />hlrc t-f>lI~ JA-cl<<6A.J
<br />who is personally kD~to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />~;'~V2 4.1dt~
<br />( i.9lla'y:re.) ~ LV / I ~ I
<br />j---e ICY' L I . f2q
<br />(Name Typed, Printed or St ed)
<br />NOTARY PUB
<br />
<br />~~ O~F FLORljg / J<
<br />The foregoing ins~7:t was acknowledged
<br />before me this I h, 1'9.. -<2,Q: by
<br />m/~i ~//e0-/fLKstJ,;J
<br />!!!Io is personally kno~ to me or who has
<br />producea
<br />as identification and who did/did not
<br />~::1;~._~A.l.l/~
<br />( ignat/j) ~ J J /& ~ /&/
<br />re c e J VUf ,#-. 0
<br />(Nue Typed, Printed or Stamped)
<br />NOTARY P
<br />
<br />"'1iA~:""",,, FEUCE I. W1lLAFORO
<br />t.~ fIi.f;1~ MY COMMISSION j/ DO 121407
<br />~'" EXPIRES; September 18.2006
<br />"~ .. "., Bonded Thru No1aly PubIlc Undinwritelll
<br />
<br />
<br />, '. FEUCE I. W1UAFOAO
<br />[..: ~~ MY COMMISSION II DO 121407
<br />~" ?!Hi EXPIRES: September 18, 2006
<br />"'~iif.~~" Bonded ThnJ Notary PublIc u~
<br />
|