|
<br />\::Cjr',IDI-r:rOI'JS (Jr:- i::J21~r"1I-r j~I:::'FI[;("".'j-.;-
<br />
<br />A . t:JO-;- I CE OF ~?r:TJ2___i.JI'J-,;Tr~ r C-r IONS
<br />
<br />The undersigned undersbnds ~f,. t lI.i;; permH (Aay bl! subje~t to 'deed restricti(,ns' tlhi~h ~ay be ;)c,re re,tridivc than Cily
<br />regulations. The undersi9nd ~:cSl::es rr.sponsibllitf.'for ~ol\plian~e Hith any aprli~"ble deed restrictions,
<br />
<br />B.
<br />
<br />UNL I Cr-:~'!S.f::_I? CQLiI.G.QCTORS AND CONTRACTOR RESPQf,IS I n I I I T I ~S
<br />
<br />If the owner has hired a ~onlr~c\or or ~ontra~tors to undertakl! Hork, 'they n~y be required to be li~en5ed in a~cordan~e Hilh
<br />,tate and local re9uliltic'n~.. If the t(,ntrador Is not licensed as required by 1;,lI, be,th the e'IIner and contracte,r nay be
<br />cite~ for a ~isdeBeanor violaliDn under statl! la>>., If thl! Dlinl!r Dr intl!ndl!d contraclor are un~ertain as to Hhal licensing
<br />requHe:ents lI"Y <Jpply fe,r ',he intended Hork, they ilre ildvised te. ce,ntact the City e,f Zephyrhills Building DepartHr,l, (813)
<br />788-bbl! .
<br />
<br />Further:ore, if the OHner h~s hirrd a cDntractor or contrilctors, he is advised to hil\'1! the contractor(s) sign portiDns of the
<br />'Contractor Sections' of l~js ~~plicitiDn fDr "hich they Hill be responsibll!. If you, ~s the OHner sign as ~he conlrilclcr,
<br />ye,u are indicating thilt I'll'., rai.kr U.,JIl the contractor, are 'respe,nsible for the He,rk. If th0 [(,ntrccte,r l1i"hes y,.u to sign
<br />as cc,ntracle,r thil ~ay be ,,:1 iodiutioll that he is not propl!rly licensed ~nd is not entitled Ie, pu!::iltif,g privile~r:s h the
<br />City (,f Zephyrhills.
<br />
<br />C. TRAN~PC';.FnGJ:J~J10.l:1c.0CT FEES A!\ID UT I L I TY CONNECT I g.tLS:S:E~i
<br />
<br />D.
<br />
<br />CONSTRUS;::T J ClLL__.L-Jfl:LJ-AVl.
<br />
<br />(CHAPTER 713~ FLORIDn STATUTES, AS AMENDED)
<br />
<br />I crrtify t~lat I, lhe ,;ppliufll, ha'lc been provi'ded tJith a copy of 'Florida's C(,nstructie,n Lien L,,)! - H[,.~":,wner's piC,tection
<br />Guide' prepared by the FlcriJ~ Drparl~ent of ngri~ulturl! and Con5u~er nffairs. If thr applicanl is so:c6ne other lhan the
<br />'oHner', I certify Ir,;]! ] :,,"!" [,!;\;,i:lI!O a. celpy of the ilbove described de'CUrr,E:nt "ntl pr('~,i,C' in ~:,od faith to dcliyer it te, the
<br />'oNner' prior to cDlnence~~~t,
<br />
<br />~ I '.. .:; '.
<br />
<br />E. CONTRACTOR'S l.illlJ'.l~_R 'S AFFIDAV I T
<br />
<br />I certify that all the infsrDation in this application is ilccurate and that all Hork Hill be done in c05pliance wilh all
<br />ilpplicable I~MS regul~linJ construction, zOlling, and land devl!lop~E:nL.
<br />
<br />Application is hereby ~ade t" oblain a permit to'do Hork and installction as indicated. ! certify Ihal no wor~ or
<br />installation has cO~lenc(d prior to issuance Df il per~it ano that all Hork Hill be perror~ed to ~ect standards of all !a~5
<br />regulating construction, Cily codes, zoning rcgulati~nsf and land development regulations in Ihe jurisdiction, J also
<br />certify that I undE:rsland thai the regulations of other govl!rn~ental agE:nciC's a"y apply. to the intended Hork, and that it is
<br />r.y fespor,sibility Ie, identify \ihat adions I,~ust ta!:e to be in compliance. Suc!' ilg!:ncies include [,11\ ,,\e ne,l li~it(d 10:
<br />
<br />. ~. ~...
<br />I Depar\~ent e,f EnviroMental Reo\llation - Cypress Dayheads, Helland nrl:as and EiI'lire,n;;,cnl;'!ly Sensi lii~ L:lf:<1Sr
<br />~ater/Hastewater Treatment
<br />I SDuthwest Florida Hater Manaqelcnt District - Hells; Cypress Dayheads, Hetland nreas, Altefing Y2!crCDUCses
<br />I nr~y CorDS ,of Enqineer~ - SeaMalls, Docks, Navigable Hateru"ys
<br />f Dep"rIHr,1 e.f I\c"ltJ0-.E~::..~~.ilit"tiv[' Services. EnviroM,entallle;,l\h Unit - Iklls, \Ii,steliater TrE:it,~,,~.I, Septic
<br />I US En'li~n\"l Pre1tE-,:tir,n !incocr - nsbestos abate~ent
<br />
<br />Tanks
<br />
<br />also certify Ihilt, if fill ~"\E:rial is to bl! used in ae.od Ze,ne 'n' e'f '1I,e1C.', it is unduste,[.d \l,.\( "dlainage plan
<br />addressing a 'co~pensating YDlu~e' Hill be submitted Hhich is preparl!d by a profEssional engineer r0gj=l~r0J in thE st"te of
<br />FIDrida prior to per~il icsuancE.
<br />
<br />Ii perbi\ issued shall bE lConstrued to be a license to proceed with the Hork and not as J\llhorily to yioj~te, cancel alter, or
<br />set aside any provisions Df the technical codes, nor shall issuancl! of a permit prevenl the Building 0fflciil fro~ thereafter
<br />requiring a ce,rreclie,n e,f errors in plans; ce,nstruction, Dr violations of any er,de:. Every pl'f~it iSSIII'J oh,ll bEce.:e in'lalid
<br />unless the )I(.rk aulh(,ri;d hy such pe:rf.Jit is ce'luencl!d Hithin six months Df issu.1nc!:, (,r if 1"'11: "llll"" );00 b)' the perlit is
<br />suspended or "bar,oe,nd f(,r a peri('rl e,f six tJonths after thl! ti.ll! the Hod: is c(,[,mencul. Di,l:: ~I(; dat (..;1,,;,51(1\, of tiH. !lay be
<br />all('Hed for the perillit Hilh fee chiir~e of ~15.00. Thl! extl!nsion shall be reqllested in Hri\in0 Ie, the 811jlJir.~ Official. (\n
<br />approved ins[Jl::c1i(,n rous! be le,glJed during eilch six month periDd) (,r Uw pr(.il~d Hill be ctor,sit!,'red dbe,I,d,'ild,
<br />
<br />WARN I f\IG TO m.n.IEf'l: YOUR FA I LURE TO RECORD A [\IOT I Cl:: or~ Cm1~\Er'ICEi"1ENT ['lAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER.:.Y. IF YOU
<br />INT~ND TO OBTAIN FINANCING, CONSULT WITH YOUR LEND~R OR AN Al.TORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOGS UNDER $2,500 IN VALUE
<br />
<br />
<br />:~ G:::R:_EE ~1~?~;:~~:)i~:Z_~~_~:~~T I cs: G::Tl:i:!i:~ '~~_________
<br />
<br />J'~" ~f'&R&WJ/u.y j(tJ-WAi cmITR~~ONA<-<-Y j(/.NLJN
<br />
<br />OAT E _ __ _'__ __1.2:.:: ~ = 9..:i ------;.~------.-------
<br />
<br />DATE_________J~~~-~~ti--------------
<br />
<br />NOTARY AS TO ~ J)
<br />OWNER Oft r.GErH __ __ : '::iJ_-Qr75:D?.~
<br />KA71-ILE. J.7$,,'OWAJ'
<br />MY COMMISSION EXP!nES___________________~_~
<br />~.t,..'f '~ KATHLEEN J BROWN
<br />~ .6 1> MVCcJrnrnlNlOn ~
<br />* ~ * e....... 02. t9llQ
<br />"''''~A~. BondedbyNFNU
<br />'#J'# o. ....... 800-224....
<br />
<br />NOTARY AS TO ~f} L)
<br />CONTRf'\CTOn____ ~ - -~ ~~~
<br />K A TH u.= t= -..Ii:r..L:>R l> IN IV
<br />"
<br />MY COMMISSION EXrIRES__________________
<br />
<br />~t1i''f ''''''
<br />~.610
<br />*W*
<br />"~J'. _..#
<br />.. Of ."",-
<br />
<br />KATHLEEN J BROWN
<br />My Cornn'IIlnIon C0449029
<br />E.......02.1999
<br />Bonded by NFNU
<br />800-224-6368
<br />
|