|
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles respoJlsibility Cor cOlpliance with any applicable deed restrictions.
<br />
<br />.
<br />"
<br />
<br />B. UNLICENSED CONTRAC'l'ORS AND CON'l'RAC'!'OH RESPONSIBILITIES
<br />If the owner has hired 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 laY be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />require.ents lay apply (or the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which they ~ill be responsible. If you, as the OlDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If tbe contractor wisbes 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. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES II
<br />
<br />D. CONSTRUC'!'ION LIEN {,1\W (CHAPTER "13, FLOIUDA STA'l'UTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOIDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone otber than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and prOlise in good faith to deliver it to the
<br />"owner" prior to co..ence.ent.
<br />
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'1'
<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 developlent.
<br />,
<br />
<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to Jeet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of otber goverJllental agencies lay apply to tbe intended wort, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not Iilited to:
<br />· Departlent of EnviroJllental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />· Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Departlent of Healtb , Rehabilitative Services, BnvirODlental Health Unit - Wells, Wastewater 'reablent, Septic ranis
<br />t US BnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fIll laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan
<br />addressing a "colpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
<br />
<br />. A perlit issued sball be construed to be a license to proceed with tbe work and not as autbority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official lrOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball becOIe invalid
<br />uftless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eatenaion of tile, laY be
<br />allowed for the perlit 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 will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RICaRD A NOTICR OF COHHENCKHBNT HAY RESULT IN YOUR PAYING fNlCE FOR IHPROYEKBIIS TO YOUR
<br />PROPERTY. IF YOU IHTRND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICK OF
<br />COHMBNCKHENT. JOBS UNDBR $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHENCEMIHT".
<br />
<br />W~Vy~
<br />SIGNAtURH: OIIlIHR Off AGENT
<br />
<br />~,___~ Ur
<br />SIGNATURE: CONTRACTOR
<br />
<br />v~
<br />
<br />(
<br />
<br />. I
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF t.:lSc.o
<br />The foregOing ~nstrument
<br />before me thilp"- 0l7'f".
<br />
<br />was acknowledged
<br />, l.9~ by
<br />
<br />STATR OF FLORIDA ~
<br />COUNTY OF I a.5co
<br />The foregoing instrument was acknowledged
<br />before me this 1-.:17 , a.,;:7o()5 by
<br />
<br />~r4 ~ev~
<br />who is rsonally kn to me or who bas
<br />produced
<br />as identification and who did/did not
<br />take an ~ ?t3~
<br />
<br />(Signat6re)~
<br />
<br />Deb
<br />who is personally
<br />produced
<br />8S iden 'fication
<br />take a oath.
<br />
<br />~
<br />know 0 me or who has
<br />
<br />and who did/did not
<br />
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />";.5""/' Suzanne Baht'
<br />"~~(\~':. Commission #00157131
<br />:*: ~:*= Expires: Noy 15,2006
<br />":.:%"" . . . 'c~"'~:- . Bonded Thru
<br />"'",~F.~\,,' ^-Uantie Bonding Co, Inc
<br />
<br />
<br />J!1zanne Barn
<br />Commission #00157131
<br />.. Expires: Noy 15,2006
<br />Bonded Thru
<br />"'Rntic Bonding Co" in,
<br />
|