|
<br />cor'! nIT I01\JS OF PER!'1l T (~FF I D ('I 'y I T
<br />A. NOTICE OF DEED REST~ TION~
<br />The undersigned understands that this perllt .ay be subject to 'deed restrictions' which ,ay be lore restrictive than City
<br />regulations. The undersigned assule~ re;ponsibility for cOlplianc~ with any applicahle deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTC~S AND CONTRACTOR RESPQNSI8ILITIES
<br />If the owner has hired a contractor or c~ntractors to undertake work, they may be required to be licensed in accordance with
<br />state and local regulations. If the "contractor i~ not licensed as required by law, both the ollner and contractor IiY be
<br />cited for a lisdeleanor violation under state law. If t~e ollner or intended contractor are uncertain as to lIhat licensing
<br />require.ents lay apply for the intended :lork, they are advised to contact the Ci~y of Zephyrhills Building Departlent, 18131
<br />788-6611.
<br />
<br />Furtherlore, if the OHner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the
<br />'Contractor Sections' of this application for which they will be respohsible. If you, 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 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 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 sOleone other than the
<br />'ollner', I certify that I have obtained a copy of the above described document and pro~ise in good faith to deliver it to the
<br />'owner' prior to cOIDencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'e AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all HorK will be done in cOlpliance with all
<br />applicable Ialls regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do 1I0rK and installation as indicated.. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforaed 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 governaental agencies aay apply to the intended work, and that it is
<br />IY responsibility to identify what actie,:;s I lust take to be in cOlpliance. Such agencies include but are not lilited te.:
<br />f Deoartlent of Environlenta1 ReQulatie'n - Cypress Bayheads, Wetland Areas and Environzenlally Sensitive Lands,
<br />Water/Wastewater Treataent
<br />t Southwest Florida Water Manaoe!ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Coros of EnQineers - Seawalls, DD~ks, Navigable Uaterways .
<br />t Departlent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Hells, ~astewater Treatlent, Septic Tanks
<br />t US Environ!ental Protection AQency - A:bestos 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 'coapensating volule' Mill be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perait 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 aperlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plan~, construction, or violations of any code. ~very perlit issued shall becole inval~d
<br />unless the Mork authorized by such permit is cOleenced within six months of issuance, Dr if work authorized by the perlit is
<br />suspended or abandoned for a period of SIX lonths after the 'tiDe the Hork is cO.!lllenced.' One 90 day extension of tile, uy be
<br />allowed for the perlit Hith fee charge of tI5.00. The ex1ension shall be requested in writing to the Building Official. An
<br />approved inspection Gust be logged durin~ each six month period, or the project will be considered abandoned.
<br />WARHIN6 TO OWNER: YOUR FAILURE TO RECORIl A NOTICE OF COMMENCEMENT HAY RESULT III YOUR PAYING TUICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU JlnEND TO OBTAIN FIHAll,:JHG, COIISULT HITH YOUR LEHDER OR AN ATTORtlEY BEFOHE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UHDE~ $2,500 III VALU~ DO HOT HEED TO RECORD AtlD POST A 'NOTICE OF COMMElltEMEIIT'.
<br />
<br />~G-.:r-~
<br />NATURE: OUNER OR AGENT
<br />
<br />I
<br />
<br />
<br />~O
<br />S' ATURE: CONTRACTOR
<br />
<br />...~. :,)
<br />
<br />STATE OF F~
<br />COUIITY OF tl.S c..o
<br />The foregoing instrument
<br />before me this Oc:.t. ,"'-
<br />
<br />STI\TE OF FLORIOA P
<br />COUIHY OF CLS~D
<br />The foregoing instrument
<br />befc,,-e me th i s (3 CJ\ \~
<br />
<br />was acknowledged
<br />, 11}..iJ: by
<br />
<br />was acknowledged
<br />, 19~ by
<br />
<br />~ie...1" l<. ~ la..c. ~ We-I,,(...
<br />who ~rsc'nall y Imo\'ln to m~ Cl)- who has
<br />produced
<br />as identification and I'lhc, did/did not
<br />
<br />take an~~~. aPc&dil
<br />(signaf~r;)
<br />
<br />t \ a ,^t...'- K~ E LCLL.Kw ,LL
<br />~ho is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an 0
<br />
<br />(Name Typed,
<br />NOTARY PUBL
<br />
<br />
<br />~
<br />
<br />. (Name Type
<br />NOTARY PUB
<br />
<br />
<br />(Signat
<br />
<br />nt ~~~~~::'~1i~",~.g Orld.
<br />. Cxp. '03.215.98
<br />omm. No. CO 311811040
<br />
<br />.... ~AA.-^lILiSON
<br />,...fllry~HB;lliHii'~ 6f FlorId.
<br />My Comm. Exp. 03.26.98
<br />Comm. No. CC 358940
<br />
|