|
<br />COJIIII.'I' I Ull:: UF J'EHM1'1' A,..FJlJrIVI'1'
<br />1\- I/O'l'ICE UI;' IJF:J;;IJ m;:;'1'IUC'I'lOJ~:;
<br />The unders.igned Ullderstilllds I:hal: Lhls penult lIIay be subject to "deed restrictions" which
<br />may be more restrictive thall City tf'!qulat.iolls. The ulldersiglled assumes responsibility for
<br />cOlllpllf1I1Ce with any appl.ical~l.e deed r.esl:r'lcl.lollr;.
<br />B. UNl,JCENSli;lJ CUN'J'H1\C'1'I)Hr; 1\t1/J CU/I'I'H1\CTOH H1;;:H'O"~HBI/d'l'H:S
<br />lf the owner has hlted fI cuntractot 01: COlIl:ulctors to 1I11dertake work, they may be required
<br />to he .I. i.censed ill aecol.dallce witll nLat.e and local reyulflLiolls. If the contractor is not
<br />l~eells~d as required by .Law, boUI the OWllel: find contl.actor may be cited for a misdemeanor
<br />VJ.o.LatJ.on under state .Law. If the owner or .intellded contractor are uncertain as to what
<br />.LicellsJng requiremellLs milY f1pply for. Lhe inl:{~lIded wUI:k, LIley are advised to contact' the
<br />Ci ty of Zephyrhills Building Vepa rtment, 013-'/00-6611.
<br />Furthermore, if the owner has hired a contrflctor or COil tractors, he is advised to have the
<br />contractor(s) sigll port10119 of the "Colltl.<1cl:or ::ecl:J,oll!'!" of this application for which they,
<br />wiil be respollsibie. .If you, as Ule owner signs as the contractor, you are indicating that
<br />YOll, rather than the contrilct.or, an! respollSJvJe for Lhe work. If the contractor wishes
<br />you to sigll as cOlltracLor thilt may be all illd.lCill:ioll that he is not properly licensed and is
<br />not elltitled to penuitting privileges in Lhe City of Zephyrhills.
<br />C. TH1\NSPOH'l'1\TION IMPACT FEE:S AND UTH,.lTY CONNECTiON FEES
<br />D. CONSTRUCTUION LIEN Ll\W (C"1\P'I'E:R '/13, E'J,ORlIJ1\ STATUTES, AS /\MENDED)
<br />I certify that 1, the applicallt, have beell provided w1th a copy of "Florida's Construction
<br />lien Law - Homeowner's Protectioll Guide" I)j:epared by the Florida Department of Agriculture
<br />and Consumer Affairs. If Lhe applicanL is someolle oLher that the "owner", I cerify that I
<br />have obtained a copy of Lhe above described document alld promise in good faith to deliver
<br />it to the "owner" prior to COllllnencemellt.
<br />E. CON'!'HACTOH' S/OWNEH' S AE'F'IIJAVIT
<br />I certify thaL all Lhe .lllfonllaLion in thIs applicatioll Is aCC\ItC>' , '.hat all work will
<br />be dOlle in compliallce wiLh all applicavle laws regulating construction, zOIlIIlY, i,u:d land
<br />development.
<br />Application is hereby made to obtain a permit Lo do work and installation as indit:ated. I
<br />certify that no work or installation has cOllunenced prior to issuance of a permit and that
<br />all work will be performed Lo meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land developmenL regula Lions in the jurisdiction. I also
<br />certify that 1 understand that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is my responsibility to identify what actions I must take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environmentai RegUlation-Cypress l3ayheads, Wetland Areas and EnvirolUlIentally Sensitive
<br />Lands, Water/Wastewater TreaLment
<br />*Southwest F'lorida Water Management IJistr:icL-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />"'Army Corps of EngineerS-Seawalls, JJocks, Navigable WaLerways
<br />"'Department of HealLh & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />"'U.S. Envirollmental Protectlon Agellcy-Asvestos abatement
<br />I also certl[y lIlat, if [111 mater.!fll .Is to be IIsed In E'lood Zone "A" or "A,etc...., it is
<br />understood that a dralnage plan addressing a "compensating volume" will be submitted which
<br />is prepared by a professlonal engineer registered 111 the State of Florida prior to permit
<br />issuance.
<br />A permit issued shall be consLrued Lo be a licellse to proceed with the work and not as
<br />auLhority Lo violate, cancel, alLer, or seL aside any provisions of the technical codes,
<br />nor shall issuallce of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become invalid unless the work authorized by such permit is commenced within
<br />six months of issuallce, or .if work authorIzed by the permit is suspended or abandoned for a
<br />period of six months after the tIme the work is cOllunenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />in writing to the Buildillg Official. An approved inspectIon must be logged during each six
<br />monLh pel:lod, or the pl:oject will ve consldeJ'('r! rtbandoned.
<br />WAHN.lNG TO OWNER: YOUR E'All,UHI;; '1'0 H1;;CORD A NOTICE OF' COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FUH IMPHOVEMENTS TO YOUR PHOPEHTY. I F YOU INTEND TO OBTAIN FINANCING, CONSUL'!,
<br />Wl'l'1l YOUR LENDER OR AN J\'l"l'ORNE'i BEFORE I\ECORIJ1HG YOUR NO'i'ICE OF' COMMENCEMENT. JOBS UNDBR
<br />$2,500 IN VALUE DO NOT NEED '1'0 HECORU AND POST A "NOTICE OF COMMENCEMEN'l'''.
<br />
<br />~~cu~~
<br />
<br />SIGNATUm-:: OWNER OH AG/!:NT
<br />
<br />?/kJb {~.:J2~~
<br />
<br />~llGNATUHE: CONTHAC'rOR
<br />
<br />STATE Of' FLOIUIJA '-0
<br />COUNTY 01" T o....5(!O
<br />The foregoing instrumenL was acknowledged
<br />Before /lie this ~ day of Febr~lj , 14~
<br />by M .ke. \AI i 1\ ial'n5
<br />_/ (name of person acknowledged)
<br />Iffwho is personally known Lo me, or
<br />
<br />STATE OF' FLOIUVA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Before /lie this ~day of FebrWlrj , W~ori
<br />by Mike.. ~aj,(.oLs
<br />_/ (name of person acknowledged)
<br />ll6iho is personally known to me, or
<br />
<br />PascCJ
<br />
<br />
<br />D who has produced
<br />(type of identification)
<br />Ddid 1I0t take an oath.
<br />
<br />t?J't.h./
<br />
<br />f person tflking acknowledgement
<br />
<br />o who has produced
<br />(type of
<br />DUd not
<br />
<br />S1gn
<br />
<br />
<br />amped
<br />
<br />Name typed,
<br />
<br />pr~~ otSt?)fm!'fef'!@ahr
<br />~~(6'f~; CornmissiOl; # CC 790817
<br />~'!!o\A~~ Expire~ N,N, 15, 2002
<br />-:":'~iii'f\.&>'~' BONDEi) THAU
<br />"""n'\\.' ,t~-f. ;':\?', :1Pi,: ,'ING co.. INC
<br />
<br />..
<br />III
<br />
|