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<br />:::u~~D::' _;0 . ..-:~-i~ ~:-:- :~:-::. :.~;:i Nt r4FF:'" -L r.i(-\:~, 1 T
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<br />A. NOT I CE OF DEED F,.~~.U:C'-[k..:J~>~:~
<br />The undersigned understands thaI: this p~reit r' DE: suilj.,.t ri.
<br />regulations. The undersigned ;;:;sulles responsjl;J:i ;", ':or l:!., ;1;,
<br />
<br />,!.1 restrirl j~,n5. which lay be lore restrictive than City
<br />"" aili appiicilbL dt!ed restrictions. .
<br />
<br />B. UNL I CENSED CONTRACTOW:.L..~'~:m..., r~m::JL,_.~~",;g RESPONS I B I LIT I ES
<br />If the .,)lIner nos "i~ell a ~:),'tractClr IJr contr",dors to lmdt~rtQk,' 1I0rk!' th"j', ~i2}' ~e rer:uired to b" iicl!llsed in ~cc('rdance wi th.,
<br />s~ate and local regulations. :f the contrac~~ ~s not licEa5EJ ~s required by lall, both the owner and contr~ct~r ~.~ t!
<br />cited for a .i:;de~eanor vi'll,dion '.:1der -;ht )..,'. if th~ o.~r,H ".- irteRded C!lntractor are UI'CHtaj" at; tl. ..\Jdt Ji,u:nsio,.
<br />requirelents laY apply for the i;ltenrie1I1tli'.; t"fY are dlhised ;u cORnct the l.ity of Zephyrhiils Building nE'p,..d"1~I~~; (\~jJi
<br />788-6611.
<br />
<br />Furthereore, if the ollner h;;'5 hired a cc<ntradDf 6!" contractors, he is advised to h<.vP lhl'.! contrac:tor(sl S~,ll' N,;,'~;i~ of t"e
<br />'Contractor Sections" of this ~~plication f~r ~~.:~ th~y lIill be responsible. Ii you, as th~ ollner sign as r~~ [Dntr~~tor,
<br />you are indicating that you, rather than the Ci.- ..actor, are responsible for the worL If the contractor lIishe~ lo,U to sign
<br />as contractor th~; say be an indic~tion that he ,~ not properly licensed and is not entitled to perlitting privileges in.the
<br />City of Zephyrhills.
<br />
<br />c. TB.:."NSPORH'TION IMPACT FEE_~LAND UFiLI.IY CONNECTION FEE2,
<br />
<br />D. CONSTRUCT I ON L::: En L~L {CHAPTER 713, F LOR I DA STATUTES, (is At-1ENDE :)l
<br />I certify that I, the applicant, have been provided lIith a copy ~f "Florida's Construction ,lien lall - HOleoMner's P~0tec~i~n
<br />Guide" prepared b'f the Florida DepartlElIt of Agriculture and Consuler Affairs. If the applicant is so.eone other th:;n tn.~
<br />" o liner " , I certify that I have obtailJed a copy of the above descrIbed doculent and prDmise in good faith tn aeliver it to the
<br />"ollner' prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.atioli ill this applicatIon is accu!'ate rmd ~hat all 1I0rk w.ill be done in cOlpliance with all
<br />appl icable lalls regulating construction, zoning, and land develoJill~d.
<br />
<br />Application is hereby lade to obtain a pPfait to do lIork and instdl!ation as indicat~d. I certify that no 1I0rt or
<br />installation has cO.lenced prior to i5~uance Gf a per.it and t~at al~ Ilork lIill be perforled to .eet standards of all laws
<br />regulating construction, Lity codes, zoning regulations, and iand developlent reg'I'ations in the jurisdiction. I also
<br />certify that I understand that the regulatin~s of other gover'~lental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify IIhat actions I lust tak~ t~ bp. :J cD.pliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental P~ulation - C,press Bayheads, U~tldllu Areas and Environ~entally Sensitive Lands,
<br />"21t.er/P'=tell~,tf'r Tr ;:rtr.!"nt
<br />f Southllest Flo,ida Water NanaQelent,;'~5;rict - Uell.., Cyprei!' p"fheads, Wetlanu Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seallal15, jocks, ~rt~1gable WaterwJYs
<br />f pepart.ent of Health l Rehabilitative Ser~!~~~.'_E~vironiental H~~lth Unit - Wells, Wastellater Treatlene, Septic Tanks
<br />t Ii? Environilll:lltal P:-otection AQency - ASDe57...s ,," ,.!!Ient
<br />I ills;) ;:ertify tn:it, if fiil Iliiiterial i;il" be.r:~;.i in rtr.cd Zc;;, , Of;" ;., ';~,ct;:.', ~t :: ;::;d~;sb!:>!! trat a drainage plan
<br />addr~ssing a 'cogpensating volule" lIill be sub'fi~ted wtiich is prepared by a professional engineer registered in the state of
<br />Florida prior to per.it issuance.
<br />
<br />A per.it is~up.d shall be construed to be a license to proceed lIith the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical ~udps, nor shall issuance of a perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, .'I.:!struction, or violations of a'1Y code. Every per.it issued shall b~cole invalid
<br />unless the lIork authorized, by such per.it is .o.l~nced withil 3;Y ronths of issuance, or if work authorized by the permit is
<br />suspended or abandop~~ for a period of six .~lths after the t:~~ the work is cOJienced. One 90 day extension of tile, lay be
<br />allolled for the perlit with fee charge of $lw,OO. The exten~;on shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR fAILURE TO RECORD A NOTICE OF COHKENlEKENT MAY RESULT IN YOUR PAYING TWICE ~O;' IHPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, C~'~5ULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDi~6 YOUR NOTICE OF
<br />COHKENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT'.
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />x ,-
<br />
<br />I SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNn OF
<br />toe Toregoing lnstrument was aCkn~~leogeQ
<br />before me th is, 19._ by
<br />
<br />STATE Of FLORIDA
<br />;:O!JNTf OF
<br />~he 7oregoing instrument was acknowledged
<br />befcll-e me this , 19_ by
<br />
<br />who is personally known to me or who has
<br />pl-oduced
<br />as identification and who did/did n8t
<br />take an oath.
<br />
<br />who is personally
<br />produced
<br />as identification
<br />ta!::"? an oath.
<br />
<br />knDwn to me or who has
<br />
<br />.-- ----
<br />an( who did/~=d not
<br />
<br />(Signat,!Te) (Si;;?latLn-e)
<br />
<br />(Name Typed, Printed or St3mped\
<br />NOTARY PUBLIC
<br />
<br />!~a~e Type~, Pr~nted or Stamped)
<br />.lf~U :':\R'C.f'YBL I l;
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