|
<br />LC>iD I T I CiNS OF ',~c:~:'Y;:: T ;'c - ,
<br />A . tl OT. ICE 9 F DEE D F: E ~:;T.-:::)..r~I...J:..Q.i~L:~
<br />The undersigned understands that this r2flit .ay be subject to "deed restri:ti[n~' which lay bE more restrictive
<br />regulations. The undersigned assumes responsibility for co~pliance ~ith any applicahle deed restrictions.
<br />
<br />than City
<br />
<br />B. UNL I CENSED CmHRACT hLRSi....i:lt!D Cq)\ITRAC..TjJIU:s.9.eC:U~I~I..!~lLJ..I) ~fi
<br />If the owner has hired a contractor or contractors to undertake ~ork, they may be required to be licensed in accordance with
<br />state and local regulations. If the cr~tractor is not licensed as required by law, both the owner and contractor may be
<br />cited for a misdeeeanor violation under state latl. If the owner or intended contractor are uncertain as to what licensing
<br />requirements may apply for the intendEI1 KDrk, they are advised to contact the City of Zephyrhills Building Depart~ent, IB131
<br />788-billl.
<br />
<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 Hill be responsible. If you~ as the own~r sign as the contractor,
<br />you are indicating that you, rather then the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that ~ay be an indication that h~ is not properly lic~nsed and is not entitled to permitting privileges in the
<br />City of Zephyrhills.
<br />
<br />c. TF:ANSPORT AT I ON Il'lPPCT FEES AND UT I L I TY CONitECI.LQN,......FEF.:,[?,
<br />
<br />D. CONSTRUCT I ON L I EN L 2"}!, (CHAPTER 713, FLOF: I D{~ SnHUTES ~ AS AI'IP,WED)
<br />I certify that I, the applicant, have Leen provided with a copy of "Florida's Construction Lien Law - Homeowner's Prot~ction
<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 obtainell a copy of the above described document and promise in good faith to deliver it to the
<br />"owner" prior to commencement.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT.
<br />I certify that all the information in 'his application is accurate and that all work will be done In compliance with all
<br />applicable laws regulating constructic"'j .oning, and land development.
<br />
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work Dr
<br />installation has cOllenced prior to issuance of a permit and that all work will be performed to meet standards of all laws
<br />regulating construction, City codes, z~ning regulations, and land developleot regulations in the jurisdiction. I also
<br />certify that I understand that the reg.'lations of other governmental agencies may apply to the intended work, and that it is
<br />my responsibility to identify what actlons I lust take to be in compliance. Such agencies include but are not limited to:
<br />I Department of Environmental ReQulati:,n - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/~astewater Treatment
<br />I Southwest Florida Water ManaQement Dlstrict - Wells, Cypress Bayheads, Hetland Areas~ Altering Watercourses
<br />I ArlY Corps of Enoineers - Seawalls, 00cks, Navigable Waterways
<br />t Department of Health ~ RehabilitatiVe Services, Environmental Health Unit - Hells, Wastewater Treatment, Septic TanKS
<br />I US Environmental Protection Aqencv - Asbestos abatement
<br />I also certify that, if fill material \s to be used in Flood Zone "AU or "A,etc'"j it is understood that a drainage plan
<br />addressiTI~ a "coDpenslting yoluL2' .i;l bE 5ub~itt~d which is prep~rEd by a prof(s~ional engIneer regIstered in the State of
<br />Florida prior to permit issuance.
<br />
<br />A permit issued shall be construed to .'e a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the techni,~al codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />requiring a correction of errors in pi Jns, construction! or violations of any code. Every permit issued shall becole invalid
<br />unless the work authori.ed by such per1it is comeenced within six Bonths of issuance, or if work authDrized by the permit is
<br />suspended Dr abandoned for a period of six lonths after the time the work is commenced. One 90 day extension of ti~e, lay be
<br />allowed for the permit Hith fee chargE of 115.00. The extension shall be reqUEsted in writing to the Building Official. An
<br />approved inspection must be logged dUl'lng each six month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECJRD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN Flh~NCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN vt"UE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />1f!~I/J 4Jk~
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />
<br />STATE OF FLOR~
<br />COUNTY OF 11 S c 0
<br />The foregoing instrument
<br />before me th is /114'1 7
<br />/) j
<br />/~tJ . C j, / ~~ fJ 6-
<br />who is personally known
<br />pn)duc~d 1i21J,L-i1 r---
<br />as identifY~ation and
<br />take an oath.
<br />
<br />STATE OF FLORjpA
<br />COUNTY OF YIf 5 CO
<br />
<br />The foregoing instrument was acknowledqed
<br />befcq-e me th i 5 r7;1/r- 'I 7 , 19 93 by"
<br />f
<br />/? / /J
<br />Ie r: It ;i-1L{j ( /vd.A-IUOA-/- t--
<br />who is personallY known t I
<br />p.r:r.rll \ C 'iii d
<br />as identif catiori
<br />take an oath.
<br />
<br />
<br />/J-~
<br />
<br />was acknowledged
<br />19 93 by
<br />
<br />me Clj- ~lh(o hi\.S.
<br />
<br />
<br />
<br />~---/h----'t--,-------
<br />cmped)
<br />
<br />(Signay~SZ~) :L~/,--
<br />
<br />(name I ypf0d, !-'r l)'11:ed/or Stamped)
<br />NQJ.B.f;,:LE.L.J_~1-JI. ~'
<br />
<br />
<br />ROBERT L. JOHNSON
<br />My State of Florida
<br />Comm. Exp, May 8. 1995
<br />
<br />~~,."".<..,',~
<br />~. ~
<br />g ,';". 1;
<br />
<br />ROBERT L. JOHNSON
<br />State of Florida
<br />My Comm, Exp, May 8.1995
<br />
|