|
<br />"'.v................... VoL J..I~J.;,,~ ."\.LJ,;)J,.,C\J.,.\...oJ.J.VJ.'4..J
<br />
<br />The undersigned understands that this permit may be subject to "deed restrictions" wh~ch.
<br />may be'more restrictive than city regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED ~ONTRACTORS AND CONTRACTOR RESFONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with state and local regulations. 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 requirements may apply for the intended 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 Sections" of this application for whic':1 they
<br />w111,be re~ponsible...,If;YOu, as the owner. signs as the contractor, you are indicating that
<br />you/rather than., 'the' contractor, are' responsible for 'the work: 'If the contractor wishes
<br />you to sign as cont~actor 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. TRANSFORTATION IMFACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) ,
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />lien Law _ Homeowner's Frotection 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 aocument and promise in good faith to deliver
<br />it to the "owner" prior to commencement.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVIT
<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 indicated. I
<br />certify that no work or installation 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 incl~de but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally 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, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Frotection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is
<br />understood that a drainage plan addressing a "compensating volume" will be sub~tted which
<br />is prepared by a professional engineer registered in the State of Florida pripr 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 commenced. 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 TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND FOST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />~~T ~: ~~RA~
<br />~~:~y O~F FLORIDlY Me D ~~:~y O~F FLORIDA ~
<br />
<br />The foregoing i strument was aCknowle,~~~~rf\() The fOregOing.. in~7~entw .' a~
<br />Befor m this of . . ~ Before t is ~day 0
<br />by by } .
<br /><vr.:;:/, (name of person .,-,/) {n.... of p.rson "ekn 1edqodJ
<br />~...o is personally ~ is personally known to me, or
<br />
<br />o who has produced
<br />(~ (type
<br />and ~fd not
<br />Q
<br />
<br />II
<br />
<br />
<br />~t
<br />
<br />and
<br />
<br />
<br />
<br />/~/
<br />
<br />Si
<br />
<br />Name typed, ~~~::~~a f.>R~tamped
<br />
<br />,.;~'f:MY Commission CC800247
<br />'.. n'" ExpIres January 3. 2003
<br />
<br />Name typed, print?~~~n~t~~
<br />.. ~ *My Commission CC800247
<br />'~"" ....(0. Expires January 3, 2003
<br />
<br /><.._..~~..<--,_.,,---_.__......_--"..._....~-"---_..,~_.,,---~-'~'-"'-
<br />
|