|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />ThJt 'lndersigned understands that this pertit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />re9dlations~ The undersigned assUJes responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNI.ICENSED CONTRACTORS AND CONTRACTOR R.ESPONSIBILITIES
<br />If the owner-has hired -acoiliractor orcoiihacLOIs to undertake IfOrk, they lIilY be required to be .lIcensed in acconfilnce tlHIt
<br />state and local regulations. If the contractor is not licensed as required by law, bulh the owner ilnd cOlllr:,r:!oJ.' ,.~}' ""
<br />cited for a lisdeleanor violiltion under stale law. If the owner or intended contractor arc unccrla;n as to ~hat licensing
<br />rcgulrellents '''y apply for the intl'nded !fork, they are advised to contact the City of ZephyrhiIls Building Dl'rartlllent, (813)
<br />78R .6611.
<br />
<br />further!ore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions oC the
<br />"Contractor Sections" of this application for which they Ifill be responsible. If yon, as the mmer sign as the contractor,
<br />yryU ~re indiCilting that you, rather than the contractor, are responsible for lhe work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. 1:.RANSPOllTAl'IOliJ}1PACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTIOn LIEN LAW (ClrnPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certHy.th"t j~iie "rplican~-have been provided witb a copy of wFlorida's Construction Lien Law - lIoweowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture.and Consuler ACCairs. If the applicant is SOJeone other than the
<br />"olffll'r", I certify that I have obtained a copy of the above described docu_ent and pIOl,ise in good faith to deliver it to the
<br />"mmer" prior to cO'''l'nCI!"ent.
<br />
<br />F.. _COJ!:!'JtA~~'OR' SjOWNER' S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in co.pliance with all
<br />applicable Jaws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby ,ade to obtain a pet_it to do work and installation as indicated. I certify that no work or
<br />installation hag cotlenced prior to issuance of a perlit and that all work will be perfor.ed to leet standards of all lalfs
<br />regulating construction, City code~, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveInlental agencies lay apply to the intended work, and that it is
<br />'y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* Y!P~[~~!~!~VJl~~~~~al_~gulatio~ - Cypress Bayheads, Wetland Areas and HnvironJentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />· ~outhwest Flo~ida Water Hana~~~~ District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps o!~!~~~~ - Seawalls, Docts, Navigable Waterways
<br />* Dep~rta~t of Heal~~~abi!Jtative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tants
<br />· YS Enviro~~ta~Q!~~~!on Agen!! - Asbestos abatelent
<br />I also certify that, if fIll laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plall
<br />addresRillg a "co~pensating volu'e" will be sublitted which is prepared by a professional engineer registered ill the State of
<br />Florida prior to pertit issuance.
<br />
<br />A peI!it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or vIolations of any code. Every perlit issued shall beco~p. invalid
<br />unless the work authorized by such per_it is conenced within six IOnths of issuance, or if work authorized by the perfit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOIIenced. One 90 day extension of ti,p., .31 be
<br />allowed for lhe perfit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six IOnth period, or the project .ill be considered abandoned.
<br />WlIRHIHG TO OWNIiR: YOUR fAUURK TO RKCORD A NOTlCH OF COHHRNCKHENT KAY RESULT IN YOUR PAYING TineR FOR IHPROVl\llRHTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WIIH YOUR LENDER OR AN ATtORNEY BEFORE RECORDING YOUR HOTICH OF
<br />COOEHCF.1fRHT. JOBS UH[)!\R $7.,500 IN VALUK DO NOT NERD 10 RKCORD AND POST A "NOTICK OF COHMEHCRHENr".
<br />
<br />
<br />ER~:v-L ..SIG~
<br />
<br />
<br />STATR OF FLORIDA ~
<br />COUNTY OF ~U~
<br />The foregoing ~. nstr nt!)fas a~owledged
<br />before me this . : ,:ri 290 .. by , ,
<br />. ....,.. T' ....,<,..- .
<br />, '7. .
<br />t-... "k i'i' Co
<br />a ko w' , .me or llho has
<br />
<br />STArE OF F~O~DA
<br />COUNTY OF. -\-AQ ~J ~J> D
<br />Th{> foregOing h-;trumel't.was acJt~ledged
<br />
<br />:::O~~:~o' m~~o b:..
<br />
<br />produced
<br />as identification and who did/did not
<br />take oa
<br />
<br />o is
<br />produced
<br />~s identification
<br />take an Oil. h. '~',-..
<br />
<br />
<br />.. ~:
<br />
<br />1Sig~ure) ------:-c-~-~_.
<br />
<br />(H.... Typ.d Print.d ",;';'~i.-
<br />NOTARY PUOL C
<br />
<br />
<br />(Sig
<br />
<br />
<br />(Name Typed Printed
<br />t" JTARY PU LIe
<br />
<br />R~ ~ RusseU 5 Muli
<br />." ~ ;. My Commission 00043649
<br />... or...d' EXPfres July 22, 2005
<br />
<br />R~ ~ Russeu 5 Muli.
<br />;~ ; My Commission 00043649
<br />... or...-" Expires July 22. 2005
<br />
|