|
<br />COrmI'l' J ONS OJ!' FEHMI'l' AE'io~I/JAVIT
<br />A. l'I0~l'ICE <),f' /JEE/J m:STIUCTIONS
<br />'I'he undersigned understands that this permit may be subject to "deed restrictions" which
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicalile deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR HESPONSIDU,I'l'IES
<br />If the owner has hired a contractor or contractors to undertake work, they Inay be required
<br />to be licensed in accordance with sLaLe and local regulaLions. If the contractor is not
<br />licensed as requIred by law, both the owner and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to what
<br />licensing requiremellts may apply for the .Llltended work, they are advised to contact: the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor (s) sign portions of the "Contractor Sectiom;;" of this application for which they.
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating that
<br />you, rather than the contractor, ate responsible for the work. If the contractor wishes
<br />you to sign as contractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER '713, E'LORIlJA ST^,l'UTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to conIDlencement.
<br />E. CON'fRACTOH' S/OWNEH' S AE'FI/JAVIT
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permIt to do work and installation as indit:ated. I
<br />certify that no work or installatioll has commenced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I 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 />Environmental Regulation-Cypress Bayheads, Wetland Areas and Envirorunentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />"'Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, /Jocks, Navigable Waterways
<br />"'Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater 'rreatment, Septic Tanks
<br />"'U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill mated.al Is to be used in E'lood Zone "A" or "A,etc.", it is
<br />understood that a drainage plan addressing a "compensating volwne" will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />authority to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance 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 issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of six months after the time the work is cOlmnenced. 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 Building Official. An approved inspection must be logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING '1'0 OWN En: YOUR FAILURE '1'0 nEconD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR pnOPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER on AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED '1'0 HECOR/J AND POS'I' A "No'rICE OF COMMENCEMENT".
<br />
<br />~~
<br />
<br />SI~'rURE: O~R on AGENT
<br />
<br />STATE OF FLORIDA..-::;>
<br />COUNTY OF 1- asco
<br />The foregoing iristrument was acknowledged
<br />Before me this 3M day of Cltr,-/ , liiI'~
<br />by
<br />- (name of person acknowledged)
<br />~10 is personally known to me, or
<br />
<br />~"'~ ~
<br />SIGN~JRE: CON CTOR
<br />
<br />STATE OF FLORIDA .~
<br />COUNTY OF r asco
<br />The foregoing ins~ent W~.!t,owledged
<br />Before me this.... {. day of I , 14~
<br />by
<br />(name of person acknowledged)
<br />Bho is personally known to me, or
<br />
<br />o who has produced
<br />( type
<br />Ddid not
<br />
<br />o who has produced
<br />(type
<br />and Ddid Odid no
<br />
<br />of identification)
<br />take an oath
<br />~
<br />
<br />
<br />
<br />of person taking acknowledgment
<br />
<br />S
<br />
<br />Name typed,
<br />
<br />,\""'11)' <;
<br />printe~oA-', \~on#CC790817
<br />~;'...~.~l f x~ires, NOV. 15,2002
<br />~:'~iii'f\.~'-" ':I;,n..,ED THRU
<br />'IDHI' \\....., _ :t.,NDING CO., INC.
<br />
<br />Name
<br />
<br />t yit~.fl'~'l> r i htieill1llfr B8lvmped
<br />~?rA-~ri'; Commission # CC 790817
<br />~~,~: Exwes NOV. 15, 200Z
<br />~~ii""'&,~ EONDED THRU
<br />""'~I~""'\. .~,Yt~'..";-!!(;OND!NG COliNe.
<br />
<br />..
<br />..
<br />
|