|
<br />, COt'l!) I T I ONSOF PERI''ll T (~FF I DAo"ll T \
<br />A. NOTICE OF DEED RESTGICTION~
<br />The undersigned understands that this per.it ~ay be subject to "deed restrictions" which lay be lore restrictive than ei(y'
<br />regulations. The undersigned aSSUle5 re5po~sibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACT(~S AND CONTRACTOR RESPONSIBILITIES
<br />If the ONner has hired a contractor Dr c~ntractors to undertake Nork, they may be required to be licensed in accordance Nith
<br />state and local regulations. If the 'contractor is not licensed as required by laN, both the owner and contractor uy be
<br />cited for a .isde.eanor violation under state la~. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents .ay apply for the intended :Iork, they are advised to contact the City of'Zephyrhills Building Depart.ent, (8131
<br />788-6611.
<br />
<br />Further.ore, if the OHner has hired a COD tractor 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 ONner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the Nork. If the contractor Nishes you to sign
<br />, as contractor that lay 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 laN - Ho.eowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is so.eone other than the
<br />"oNner", I certify that I have obtained a copy of the above described docu.ent and prollse in good faith to deliver it to the
<br />'oNner' prior to co..ence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all Hork Hill be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is hereby .ade to obtain a perlit to do work and installation as indicated. I certify that no Nork or
<br />installation has co..enced prior to issuJnce of a per.it and that all work Nill be perfor.ed to .eet standards of all laNs
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in th~ jurisdiction. I also
<br />certify that I und~rstand that th~ regulations of Dth~r gDv~rnl~ntal agencies lay apply to the intend~d work, and that it is
<br />.y responsibility to identify what actiD:iS I lust take to be in cOlplianre. Such agencies include but are not li.ited to:
<br />I D~part.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entaIly Sensitive lands,
<br />Water/Wastewater Treat.ent
<br />I Southwest Florida Water ManaQeaent District - Wells, Cypress Bayheads, Wetland Areasl Altering Watercourses
<br />f ArtY Corps of EnQineers - Seawalls, DDCls, Navigable Waterways
<br />I Depart.ent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, WasteHater Treataent, Septic Tanks
<br />f US Environ.ental Protection AQency - A=bestos abatelent
<br />[ also certify thatl if fill .aterial is to be used in Flood Zone "A" or "A,etc.', it is understood that a drainage plan
<br />addressing a "colpensating volule" Kill be sublitted which 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 Nith the Hork and not as authority to violate, cancel alter, Dr
<br />set aside any provisions of the technical rodesl nor shall issuance of a perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, constructionl or violations of any code. Every per.it issued shall beco.e invalid
<br />unless the Nork authorized by such permit is co..enced within six Donths of issuance, or if Hork authorized by the perlit is
<br />suspended Dr abandoned for a period of SIX lonths after the'ti.e the Nork is co..eored. . One 90 day extension of ti.e, .ay be
<br />allowed for the per.it 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 tonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECOR!! A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINAI1::WG, CONSULT IIlTH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEHENT. JOBS UNDER $2,500 IN VALU:: DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEHENT".
<br />
<br />
<br />~~~~
<br />I ATURE: CONTRACTOR
<br />
<br />~~~
<br />SIGN E: OWNER OR AGENT
<br />
<br />was acknowledged
<br />, 1(/_ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregDing instrument
<br />befcl\-e me th i s
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />~ho is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />take an~.6tu...t '>? ~lIL "
<br />
<br />( SignatUl-l})
<br />Qt;t ,..-t;t:R./(J... A. 6i.. c (( So1..-
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and whD did/did not
<br />take an~~ q ~
<br />
<br />(Signa~r~ /
<br />J::;a. ~r'1 ~ A:, ~I (/..sdl.--
<br />,<Name Typed, Pr i nted (11- Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />. BARBARA A. ALLISON
<br />Notary Public. State of flOrida
<br />My Comm. Exp. 03.26-98
<br />Comm. No. CC 31181140
<br />
<br />
<br />BARBARA A. ALLISON
<br />Notary Public, State o~ Florlda
<br />My Comm, ExP. 03.26.98
<br />Celli"'. Ne. gg 368940
<br />
|