|
<br />CO/WITJO/'IS Ol!' FEHMIT ^'i'I!'IIJ^Vl'1'
<br />1\. r NQ'1'l~CE OP' IJEEIJ HF:STIUC'l'10NS
<br />'I'he undersigned understallds that I:ILls permit may be !luhJect to "deed restrictions" which
<br />may be more restrictive than Cily regulatiolls. The ulldersigned assumes responsibility for
<br />compliance with any applicalhe deed ~estrictiolls.
<br />B. UNLICENSED CONTRACTORS J\NIJ CONTIU\CTOH HESl'ONSlIH r,I'I'lES
<br />If the owner has hired a cOlltractor or cOlltractors to t1ntlertake work, they Inay be required
<br />to be licensetl in accor.tlance wll:ll slale illltl local regulalions. If the contractor is not
<br />licensetl as requIred by law, bolh the owner arid corltractor may be cited for a misdemeanor
<br />violation under state law. If the oWller or intended contractor are uncertain as to what
<br />licensing requIrements may apply for the llltellded Work, they are advised to contact'the
<br />City of Zephyrhills Building Department, 013-700-6611.
<br />Furthermore, if the owner has hired a contractor or COli tractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor flectionR" of this application for which they.
<br />will be responsible. If you, as the OWller signs as the contractor, you are indicatin9 that
<br />you, rather than the contractor, are respollsible 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 ill the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES ANIJ U'l'IIJITY CONNECTION FEES
<br />D. CONSTRUC'rUION LIEN LAW (CIIAPTEH '113, F'LOIU/J/\ ST1\'l'U'l'ES, AS /\MENDED)
<br />I certify that I, the applicallt, 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 someolle other that the "owner", I cerify that I
<br />have obtained a copy of the above descrIbed document alld promise in good faith to deliver
<br />it to the "owner" prior to COIIUl1enCemellt.
<br />E. CON'1'RAC'I'OH' S/OWNEH' S AF'FI/J/\VI'l'
<br />I certify that all the Illfo.l:ll1atlon ill thIs applicatioll 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 penn! t to do work and installation as indit:ated. I
<br />certify that 110 work or i1l51:a11atioll has cOllunenced prior to issuance of a permit and that
<br />all work will be performed to ",eel: standards of all laws regulating construction, City
<br />codes, zonillg regulatioll5, alld land development regulations in the jurisdiction. I also
<br />certify that I ullderstand that the regulations of other governmental agencies may apply to
<br />the intended work, alld that it is my respollsibilit:y to identify what actions I must take to
<br />be in compliance. Such agencies illclude but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetlalld /\reas and EnvirolUUentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management lJistrict-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engilleers-Seawalls, /Jocks, Navigable Waterways
<br />*Department of Health & RehabIlitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatmellt, Septic 'ranks
<br />*U.S. Envirolimelltal Protection /\gellcy-/\sbestos abatement
<br />I also certify that, if fIll maler:Jal .Ls to be used in /i'lood Zone "A" or "A, etc.", it is
<br />understood that a draillage plan addressing a "co,"pellsa-l::ing volwlle" will be submitted which
<br />is prepared by a professional ellg.ineer regIstered 111 the State of Florida prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a licellse to proceed with the work and not as
<br />authority to violate, cancel, alter, or set aside ally provisions of the technical codes,
<br />nor shall issuance of a permit prevent the Buildiny Official from thereafter requiring a
<br />correction of errors in plaiis, 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 mOllths after the time the work is cPIlunellced. 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 OWNER: voun FAILURE '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE~l'Y. IF YOU INTEND TO OBTAIN FINANCING, CONSULT'
<br />WITII YOUR LENDER OR J\N ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE 00 NO'I' NEEO '1'0 HECOIW ANO POS'I' /\ "NOTICE OF COMMENCEMENT".
<br />
<br />, ,
<br />
<br />~~U1
<br />S G AT RE: OWNER OR AGENT
<br />
<br />
<br />STATE OF FLORIIJA.-o
<br />COUNTY OF r asc 0
<br />The foregoiny instrument was ackllowledyed
<br />Before me this ~ day of 1Y1~ ' ~~
<br />by M 0 ( if VV1 !ll:l.!K:L.cC~
<br />~./ (name of person acknowledged)
<br />Y""who is personally known to lIIe, or
<br />
<br />o who has produced
<br />(type
<br />Odid not
<br />
<br />STATE OF FLOIUVA
<br />COUNTY OF
<br />The foregoing instrument wa~cknowledged.. ,
<br />Beforir7.le this i;J day of I~I , J:t ~t%J
<br />by arhj rr On ha.rret-----. .
<br />(name of person acknowledged)
<br />EJ;ho is personally known, to me, or
<br />
<br />PUlSeO
<br />
<br />o who has produced
<br />(type of identification)
<br />~ not take an oath
<br />
<br />
<br />
<br />s
<br />
<br />Name typed,
<br />
<br />~""~ ~UliHlIH~ 13ahr
<br />~ ' . :T\ , ., ~ ClJrfrmi~I"(l{q90817
<br />;;J,.A,~E Expires NOV. 15, 2002
<br />~~~',.....'~,~ BONDED THRU
<br />"',R~,W,'" ATLANTIC BONDING CO" INC.
<br />
<br />Name
<br />
<br />"'1"!",;. ~~~ne Bahr
<br />t~~~S:~ClM'~18fC i!lfliiij>ed
<br />~~:'.A~~ Expires NOV, 15, 2002
<br />~~1''''''''~,,'' BONDED THRU
<br />""fl',.W,," ATLANTIC BONDING co., INC.
<br />
<br />..
<br />..
<br />
|