|
<br />CONe I T I ..,:,,8 OF F'ERI'1 I T AFF I Ni'v I T
<br />A. NOTICE OF DEED RESTRICTIC~S
<br />The undersigned understands that this perlit 'Iay be subject to "deed restrictions' which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlplianc! with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESF'ON~IBILITIE$.
<br />If the owner has hired a contractor or [ontractor~ 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 lay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, [813)
<br />7BB-bb 11.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsJ sign portions of the
<br />'Contractor Sections' of this application f~; which they will be responsible. If YOUr 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 lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of ZephyrhilIs.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES.
<br />
<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 - HOleowger's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. if the applicant is SOleone other than the
<br />'owner', I certify that I have obtained a copy of the aboY~ desCLibed document and promise in good faith to deliver it to the
<br />'owner' prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work Hill be done in coapliance with .all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is herebyaade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a pertit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regula~ions of other governmental agencies aay apply to the intended.work, .and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Departaent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />t Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways .
<br />t Departlent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abateaent
<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 plan
<br />addressing a 'colpensating volule' will be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
<br />
<br />A perlit 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 pertit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such per.it is cOltenced within six Donths of issuance, or if work authorized by the per.it is
<br />suspended Dr abandoned for a period of six aonths after the tiee the lIork' is comaenced. One 90 day extension of tile, lay be
<br />allowed f~r 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 Donth period, or the project Hill be considered abandoned.
<br />WARNING TO OWNER: YdUR FAILURE TO RECORD A MMENCEMENT HAY RESULT IN YOUR PAYING THICE FOR IMPROYEMENTS 10 YOUR
<br />PROPERTY. IF YOU AIM FINAN ,CONSULT WIT YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COHHENCEHEN JOB $2,500 IN VALU NOT NEED TO CORD AND POST A "NOTICE OF COMMENCEMENT'.
<br />
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />Il/UL
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF ~LORI~.
<br />COUNTY OF 0
<br />The foregoing instrument was acknowledged
<br />before me thisR----ZQ~_., 19'1):. by
<br />
<br />STATE OF FLO~DA
<br />COUNTY OF 'lKu:> ' _
<br />The foregoing instrument was acknowledged
<br />before me this R:_z-Q.~, 19!f2_ by
<br />
<br />
<br />has
<br />
<br />
<br />known to me Dr who has
<br />
<br />who is personally
<br />pl-oduced
<br />as idel i fi at iClJl
<br />take a clath;lt
<br />
<br />(Sign UTe)
<br />-r r-tC...(..~/ .J./ 114u>1r::.r T~~
<br />(Name Typed,'Printed or St~mped)
<br />NOTARY PUBLIC
<br />
<br />)IOTNl! pUBLIC STATE r:E FLOftI~~
<br />Mr C()ttUSSIOH up. JULY 106,1
<br />~ !iIlW GIIIBUL D1S. UIID. ...
<br />
<br />(Si tu e)
<br />-S €.L'-:r 1-1. MtJ't-Tt.T J'1l...
<br />(Name Typed, Prlnted Dr StBmp~dJ
<br />NOTARY PUBLIC
<br />
<br />IK>TARY PUBLIC STATE OF FLORIDA
<br />MX' cotMISSION EXP. JULY 106,1995
<br />BClCIJW %HiW GIIIBlW. DI&. WID.
<br />
<br />-"
<br />
|