|
CONDITIONS OF PERMIT AFFIDAVIT
<br /> A. NOTICE OF DEED RESTRICTIONS
<br /> The undersigned understands that this permit may be subject to "deed restrictions" which way be more restrictive than City
<br /> regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions.
<br /> B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br /> If the owner has hired a contractor or contractors to undertake work, they may 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 may be
<br /> cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br /> requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813)
<br /> 788 -6611.
<br /> Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br /> "Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br /> you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br /> as contractor that say be an indication that he is not properly licensed and is not entitled to permitting privileges in the
<br /> City of Zepbyrhills.
<br /> C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br /> D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br /> I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Homeowner's Protection
<br /> Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the
<br /> "owner ", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
<br /> "owner" prior to commencement.
<br /> E. CONTRACTOR'S /OWNER'S AFFIDAVIT
<br /> I certify that all the information in this application is accurate and that all work will be done in compliance with all
<br /> applicable laws regulating construction, zoning, and land development.
<br /> Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or
<br /> installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws
<br /> regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> * Department of Environmental Regulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br /> Water /Wastewater Treatment
<br /> * Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br /> * Army Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br /> * Department of Health & Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks
<br /> * US Environmental Protection Agency - Asbestos abatement
<br /> I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc. ", it is understood that a drainage plan
<br /> addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of
<br /> Florida prior to permit issuance.
<br /> A permit 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 permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is
<br /> suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of time, may be
<br /> alloyed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br /> approved inspection must be logged during each six month period, or the project will be considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CI*RNCRIONT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br /> PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br /> COMNENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CmRMENCENENT ".
<br /> X1-i t A>adY-- l� .�� l c � may )/..\4/1\6-4_, 1.J -W.c an t
<br /> SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
<br /> STATE OF FLORIDA STATE OF FLORIDA
<br /> COUNTY OF 1 COUNTY OF yo l -
<br /> The foregoing instrument was acknowledged The foregoing inst t was ackno edged
<br /> before me this 2)0 , 3 )Cf by before me this , � r� } by
<br /> .S__:).SC)-( Lk D u 01 So3CW,
<br /> who is personally known to me or who has who is personally known to me or who has
<br /> pro uce produced — —
<br /> as identification and who did /did not as identification and who did did not
<br /> t ( n f aa .f t.ils .ci.
<br /> r&e)'.! ('3-1c .2KPA
<br /> (ffra ure)
<br /> (Name T . , :,' Pint -' o (N . nr.S
<br /> NOTARY P
<br /> NOT j
<br /> ZEl MICHELLE JACKSON Mw;ntULS JACKSON
<br /> /Ma v MAIN • us* N IMM �► V Notary hells • M Raids
<br /> s f , ' kVCMII�QUsrft F NI IfticamiasislomilmiANN2
<br /> f. C NM+ • DO 711115 . 4. a. Cswri(M 000 WON
<br /> ,,t,,,,,
<br />
|