|
<br />CClt'IIJITIO!-.JS OF PERI'llT ('~F'FID{2\'.jlT,
<br />A. NOT I CE OF DEED RES Tf:::"l!=T I ON~
<br />The undersigned understands that this per.it .ay b~ 5ubj!ct to 'dee~ restrictions" yhich ~ay ~e more res~rictive 'ii~n City
<br />regulations. The undersigned assules re5po~sibility for co.plianc~ with any applicabl~ deed re~trictions.
<br />
<br />... . . .
<br />
<br />B. UNLICENSED CONTRACT[~S AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or c~.ntractors to undertake work, they ~ay be required to be licensed in accordance with
<br />state and local regulations. If the.tontractor 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 Dr intendp1 contractor are uncertain a~ to what licensing
<br />requireaents aay app 1 y for the intended :Iork I they are adv i sed to cllntact the Ci t.y of Zephyrh i 11s Bu i Id ing Deparhent I 18131
<br />788-6611. .
<br />
<br />Furth~raore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl 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 />you are indicating that you, rather than the contractor, are respon5ibl~ for the work. If the contractor Nishes you to sign
<br />. as contractor that aay be an indication that he is not pr~perIy 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 - HOI~owner's Protection
<br />Guide' prepared by the Florida Departlent of Agrir.ulture and Consuler Affairs. If th~ applicant is ~o.eone other than the
<br />"owner", I certify that I have obtained a copy of the above described document and promise in good faith tD 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 work will be done in cOlpliance with all
<br />applicable laws regulating constructiDn, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit t~ do Nork and installation as indicated. I certify that no Nork Dr
<br />installation has cOllenced prior to issu3nce of a perlit and that all Nork Nill be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the re~ulatlons of other governaental agencies aay apply to the intended work, and that it is
<br />IY responsibility to identify what actioils I lust take to be in cOlpliance. Such agencies include but are not Iilited tD:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Hater/Hastewater Treataent
<br />t Southwest Florida Water ManaQelent District - Hells, Cypress Bayheads, Wetland Areas, Altering Hatercourses
<br />f ArlY Corps of EnQineers - Seawalls, Do~ks, Navigable waterNays
<br />f Depart.ent of Health ~ Rehabilitative Service~J_Environlent~1 Health Unit - Wells, Wastewater Treataent, Septic Tanks
<br />f US Environlental Protection AQency - A=bestos abateaent
<br />I also certify that, if fill ~aterial i~ to be used in Flood lone "A' Dr 'A,etc.', it 1S understood that a drainage plan
<br />addressing a "coapensating volute" will be sub~itted which is prepared by a professio"al engineer registered in the State of
<br />Florida prior ~o perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not a~ authority to violate, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of 3 perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plan~, construction, Dr violations of any code. Every per~it issued shall becole invalid
<br />unless the Nork authorized by such perAi t is cOlcenced within six months of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of SIX Bonths ".f~er thetillC: the \lork is cOlfler,ced.' One 90 da)' extension of tile, lay be
<br />allowed for the perlit with fee charge of 115.00. The extension shall be requested in writing ~o the Building Official. An
<br />approved inspection lust be logged durili~ each six r.onth period, or the project Hill be considered abandoned.
<br />HARHING TO OWNER: YOUR FAILURE TO RECORIl A NOTICE OF C0l1i1ENCEMENT MAY RESULl IN YOUR PAYING TI/ICE FUR HI?ROVEMEHTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAItl FIHAIJ:;IllS, CONSULT \lITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDINS YOUR HOTICE OF
<br />COI1HENCEHENT. JOBS UNDER $2,500 IN VALUl: DO NOT NEED TO RECORD AND POST A 'NOTICE OF C0I1t1EIlCEIIEIH'.
<br />
<br />/..~ K~
<br />
<br />SIGNATURE: Ol/NER OR AGENT
<br />
<br />~K~
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORI~.
<br />COUNTY OF TO
<br />The foregoing instrument was acknowledged
<br />L,._.r~.__ __ .&.L,;_ 11_ ')1- 100U b"
<br />IJ.... '-'I ~ .n~ 'It I.;;J ~L..:-, .... =L.:.L- f
<br />
<br />,
<br />STATE OF FLDRIDpr) _
<br />COUNTY OF ~ CO .
<br />The foregoing instrument was acknowledged
<br />bef!:'n~ !!!'O' th'!"'. -1.J - 'd-\ - ; t 9~3.~_ by
<br />
<br />f..eV\1l KD'cer+S
<br />
<br />who is personally ~ to me or who has
<br />produced
<br />as identification and ~lho dill/djd not
<br />
<br />t~l1. ~
<br />~I~ rvl.J>rtjaflf-
<br />. (Name Typed, Printed or -
<br />NOTARY PUBL I C OFFICIAL SEAL
<br />PAMELA M. BRYANT
<br />. NOTARY PUBLIC, STATE OF FLORIDA
<br />MY COMM. EXPIRES SEPT. 12, 1997
<br />NO. CC314896
<br />
<br />_~eVI^ R.o~
<br />
<br />~lho i s pel-~ua.lJ y kj)J:!.kll1
<br />produced
<br />as ,tificatio~
<br />k al oa
<br />
<br />to me or whc. has
<br />
<br />
<br />
<br />did/difLnQJ;
<br />
<br />'A,' .~
<br />(SP~et~ m. 6r7-JaITt
<br />Typed, Printed or Stamped)
<br />'" 'pUBLrc OFFICIAL SEAL
<br />PAMELA M. BRYANT
<br />NOTARY PUBLIC, STATE OF FLORIDA
<br />MY COMM. EXPIRES SEPT. 12, 1997
<br />NO. CC314896
<br />
<br />
|