|
<br />A. NOTICE OF ~EED RESTRICTIONS
<br />The undersigned underitana~ \hat this perlitlay be subject tD .deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned aS5utes responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance Mitb
<br />state and local regulations. If tbe contractor is not licensed as required by law, both the owner and contractor .ay be
<br />cited for a lisdeaeanor violation under state law. If tbe owner or intended contractor are uncertain as to what licensing
<br />require.ents lay apply for tbe intended work, they are advised to contact the City of Zephyrhills Building Departlent, (9131
<br />788-6611.
<br />
<br />Furtb.raore, if tbe owner has bired a contractor or contractors, he is advised to have the contractor Is) sign portions of the
<br />"CoAtractor 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 responsible for the work. If the contractor wishes you to sign
<br />as contractor that lay 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 tbat 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 Consu.er 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 pro.ise in good faith to deliver it to the
<br />.owner. prior to COllencetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land develop..nt.
<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 cOlllnced prior to issuance of a per.it and that all work .ill be perfor.ed to .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is
<br />.y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liaited to:
<br />f Departlent of Environaental Reaulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Waste..ter Treatlent
<br />t Southwest Florida Water "anaaelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - SeaNalls, Docks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environaental Protection Aaency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone .A" or "A,elc.", it is understood that a drainage plan
<br />addressing a .colpensating voluae. Nill 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 with the Mork and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official froa thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall becoae invalid
<br />unless the Mork authorized by such perait is cOlaenced Nithin six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tiae the work is co..ented. One 90 day extension of tiae, .ay be
<br />alloNed for the perait .ith 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 />WARNIN6 TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROYEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCIN6, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />~' 1885 UNDER $2,500 JI 'OlUE DO lOT IEED TO RECORD AND PO~ A 'NDTI~ OF CDKKEACE.ENT',
<br />
<br />.v ~~.M% .Y~ --t t11~
<br />
<br />SI6NATURE: OWNER OR AGENT SI6NATURE: CONTRACTOR
<br />
<br />STATE OF flORIDA
<br />COUIITY OF "PAbLv
<br />The fc.regoing instrument was ao:nowledged
<br />before me this Oshs , 19~ by
<br />,
<br />
<br />~~/Q... L~ ~Jvl
<br />who is personally known to me or who ha~
<br />produced N f\
<br />as identific and who did/did not
<br />take at
<br />
<br />STATE OF FLOR~A
<br />COUNTY OF f a oS u::'
<br />The foregoing instrument was acknowledged
<br />before me this OSII'5" ,19~ by
<br />I
<br />~ MY to I lY1l4-DV\
<br />who is personally known to me or who has
<br />produced ~
<br />as ~d~~~~ and who did/did not
<br />
<br />tak~ a.fi:
<br />
<br />(Signature)
<br />
<br />
<br />(Name Typed, Printed Dr stamped)
<br />NOTARY PUBLIC
<br />
<br />DAVID R. ABLA
<br />Notary Public, State of Florida
<br />My Comm. Expires Aug. 23. 1998
<br />Comm. No. CC 402501
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />DAVID R. ABLA
<br />Notary Public. State of Florida
<br />My Comm. Expires Aug. 23, 1998
<br />Gomm. No. CO 402501
<br />
|