|
<br />cm'ID I T IONS OF PERI'II T (~FF 1 DP\'y 1 T ,
<br />A. NOTICE OF DEED REST~ICTION~
<br />The undersigned understands that this per.it 'May be subject to .deed restrictions. which lay be .ore restrictive than City
<br />regulations. The undersigned assules re,ponsibility for cD.pliance with any applicable deed restrictions,
<br />
<br />B. UNLICENSED CONTRACTC~S AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or c:.ntractors to undertake Mork, they lay be required to be licensed in accordance with
<br />state and local regulations. If the'tnntr~ctor 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 :lorK, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Further.ore, if the ONner has hired a contractor or contractors, he is advised to have the contractorls) sign portions of the
<br />.Contractor Sections' of this application for which they will be responsible. If you, as the ONner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work, If the contractor Nishes you to sign
<br />. as contractor that Day be an indication that he is not pr~perly licensed and is not entitled to per.itting privileges in. the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien LaN - Ho.eoNner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />'oNner', I certify that I have obtained a copy of the above described doculent and promise' in good faith to deliver it to the
<br />'oNner' prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work Hill be done in cOlpliance with all
<br />applicable laNs regulating construction, zoning, and land developlent,
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated, I certify that no Nork or
<br />installation has cOllenced prior to issuance of a perlit and that all Nork NiII be perforled to leet standards of all laNs
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actio:ls 1 lust take to be in co.pliance, Such agencies include but are not Iilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/WasteNater Treatlent
<br />f Southwest Florida Water ~anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatelent
<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 .coDpensating volule. will be subaitted Nhich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance, '
<br />
<br />A perlit issued shall be construed to be a license to proceed with the Hork and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations Df any code, Every perlit issued shall beco.e invalid
<br />unless the Nork authorized by such perlit is cOIDenced within six Donths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of SIX Donths after the tile the Nork is co..enced, ' One 90 day extension 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 durin] each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEHENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FIHAIJ::JI1S, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT, JOBS UNDER $2,500 IN VAlU,: DO HOT HEED TO RECORD AND POST A .NOTICE OF COMMENCEMENT',
<br />
<br />~p.-..I K ~.J.~.u.&.P /c;...il-f)
<br />S ATURE: OWNER OR AGENT
<br />
<br />I
<br />
<br />~,Tk 0id...~/6-t+f)
<br />'SIGNATURE: CONTRACTOR t
<br />
<br />, \
<br />
<br />STATE OF FLORIDA LJn ^A-~
<br />COUI( TV OF I... V-"oY '-<...)
<br />The foregoing instrument was acknowledged
<br />before me this 'f'cI/I~ ~lS- , l').2.!:t.. by
<br />
<br />PCUko
<br />
<br />
<br />Dr whc, has
<br />
<br />~ CI-"",. ~ =r l4- C-f<-we I ~
<br />who is<pers on Iy knol'ln t I '1J~::~'or who has
<br />produced
<br />as identification and I'lhc. did/did not
<br />
<br />~at~~
<br />
<br />'(Signature)
<br />
<br />\1lho i persona
<br />produce
<br />as identification an~. d.ii.d/did
<br />
<br />ta~th~ee~
<br />
<br />(Signatu're)
<br />
<br />not
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOT ARY FUBL rc
<br />
<br />. (Name Typed, Printed Coj- Stamped)
<br />NOTARY PUBLIC
<br />
<br />~!'
<br />
<br />Notary Public, State of Florida
<br />KEVI', ROBERTS
<br />My Comm. Exp. 9.17.96
<br />Comm. No. CC 229004
<br />
<br />
<br />Notary Public, State dt FlorId.
<br />KEVIN ROBERTS
<br />My Comm. Exp. 9.17.96
<br />Comm, No. CC 229004
<br />
|