|
<br />~UI-lU.i. I .i. Llr'ol~ Llt- r.i::.j-{~l.t., ,:-;t-!-.L Ut-... j, i
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The uRdersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assUles responsibility for cD.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESP()NSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />s~ate and IDcal regulatiDns. If the contractDr is not licensed as required by law, both the owner and contractor lay be
<br />clte~ for a lisdeleanor violati~n under state law. If the owner Dr intended contractor are uncertain as to what licensing
<br />requlre.ents lay apply for the lntended work, they are advised to contact the City of Zephyrhills Building Departlent 1813J
<br />788-6611. '
<br />
<br />Furtherlore, if the owner 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 owner sign as the contractor,
<br />YDU are indicating that you, rather than the contractor, are responsible for the wori. If the contractor wishes you to sign
<br />IS contractor that .ay be an indication that he is not properly licensed and is not 'entitled to perlitting privileges in the
<br />City of Zephyrhills.
<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 - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is so.eone other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and prolise 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 inforlation in this application is accurate and that all Nork Nill be done in cOlpliance with all
<br />applicable laws 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 work or
<br />installation has cDllenced prior to issuance of a perlit and that all work will be perfor.ed 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 regulations of other governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility tD identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />I DeDartlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Yastewater Treatlent
<br />I Southwest FIDrida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Yatercourses
<br />I ArlY CorDS of Enqineers - Seawalls, Docks, Navigable Waterways
<br />I DeDartlent of Health' Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnvirDn.entil PrDtectiDn Aqency - AsbestDs abatelent
<br />I also certify that, if fill laterial is to be used in FIDod Zone "A" Dr "A,ete,', it is understood that a drainage plan
<br />addressing a "co.pensating vDlule" _ill be sublitted which is prepared by a professiDnal engineer registered in the State of
<br />Florida priDr to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the wDrk and nDt as authDrity tD violate, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fro I thereaft.r
<br />requiring a correction Df errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such perlit is cOllented within six lonths of issuance, Dr if work authorized by the perlit it
<br />suspended Dr abandoned for a period of six 'Dnths after the tile the work is cOllenced. 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 during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"~NCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CDftlENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO"~NCE"ENT".
<br />
<br />~~u.~
<br />SIGNATURE: DIDIER ORA6EHT
<br />
<br />~ v. t.L'I-u>><- I&.-LiTcYc
<br />SIGNATURE: CONTRACT R .
<br />
<br />(2 C);t.;JS-
<br />
<br />STATE Of FLORI~ '
<br />COUIITY Of \ -< 14-::>0
<br />The foregoing instru~t was ack~owledged
<br />before me thi!i6- hl'l , 19 '1...., by
<br />
<br />U ~ R f'4 lu, ~ t-..e.U----
<br />(Who is personally known 1;D ~or who has
<br />produced
<br />~s identification
<br />tAke
<br />
<br />STATE OF flORIDA -j ^ c- ..I' ."'
<br />COUHTY Of 1. I-) ;> VV
<br />. The foregcdng instrument was ack';ll~wledged
<br />before me this [tr J1 ,19~ by
<br />
<br />U ~b ~ .~ Cu. <; t~--....>-
<br />known !P-me or who has
<br />
<br />
<br />and who did/~)
<br />
<br />G~ub
<br />b ~.\.o
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />..,~\'ti:::.r.. BONITA G. JONES
<br />I~ . ''"f.\ MY COMMISSION' CC 368355
<br />!I} EXPIRES: March 22,1998
<br />..,~ Bonded Thtu NoIaIY PuIllIc UnderMIIM
<br />
<br />.....~"..... BONITA G. JONES
<br />l~>!'l.~\ MY COMMISSION' CC S58355
<br />~~~ ..: EXPIRES: March 22. 1998
<br />...~ Bonded lhru NolalY PubliC \lIUlelWlltIIa
<br />II .. .......
<br />
<br />..'
<br />
|