|
<br />A. NO'l',ICl!: OF DEED RESTRICTIONS
<br />The unde~siqned underatands that this pe~t may be subject to ~deed r.st~ictions" which
<br />may be, mOre restrictive than City regulations, The undersigned assumes responsibility for
<br />comp11ance with any applicable deed restrictions.
<br />B, UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITISS
<br />If the owner has hired a contractor or contractors to undertake work, they May be required
<br />to be licensed in accordanoe 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 a. to what
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />City of Zephyrh111s Building Department, 813-798-6611.
<br />Further.more, if the owner has hired a contractor or cont~actors, he is advised to have the
<br />contractor(s) sign portions of the ~Contractor Sections" of th1s application for which they
<br />will be responsible, If you, as the owner signs aathe contractor, you a~e indicating that
<br />you, rather than the contractor, are responsible for the work. If the contraotor wishes
<br />you to sign a$ contractor that may be an indication that he is not properly licensed and ie
<br />not entitled to pe~tting privileges in the City of Zephyrhills.
<br />r: _ 'J''A''-''RPOQ'l'n1l'Tt''\\.) 'T'U"Dn,...-m 'D'1S"~tr "7\..," lTmTT TI'1't'.t 1"lII^"''''''''r.lIn",''T_''' ------
<br />
<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 - Homaowuer'. Protection Guide" prepared by the r1o~ida Department of Agriculture
<br />and ~onsumer Aff~irs, If the app11cant is someone other that the "owner", I cerity that I
<br />'have obtained a-dopy of the above described document 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 1ntormation 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 per.m1t to do work and installation as 1ndlcated. 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 1s 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 Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southw@st Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*~my Corps of Enqineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & R@habilitative Services, Environm@ntal Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*1J.5.- Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in ~lood Zone "Aq or ~A,etc,N, it is
<br />understood that a drainage plan addressing a ~compensating volumeH 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 lssued shall be construed to be a license to proceed with the work and not as
<br />auth9rity to violate, cancel, alter, or set aside any prOVisions of the technical codes,
<br />nor shall issuance o~ a per.mit prevent the Building Official trom therea~ter requlrin9 a
<br />correction of errors in plans, construction, or violations of any code. Every pe~t
<br />issued .hall become inva11d unless the work authorized by such permit is commenced within
<br />six months of issuance, or if work authorized by the p.~t i8 suspended or abandoned tor a
<br />period of six months after the time the work is commenced. one 90 day extension of tLme
<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 F1\ILURE TO RECORD A NOTICE OF COMMENCEMENT ,MAY RESULT IN YOUR
<br />PAYING TWICE i'Oa tHE' S TO YOUR E'ROE'ERTY, IF YOU INTEND TO OBTAIN fINANCING, CONSULT
<br />WITH YOUR LENDER AN AT RNEY' BEFORE RECORDING YOUR NOTICE OF CEMENT, JOBS UNDER
<br />$2,500 IN NOT NEE TO RECORD AND POST A ~NOTICE OF CO TN,
<br />
<br />
<br />
<br />S GNATURE: OWNER OR AGENT
<br />
<br />STATE 01' rLORIDA~
<br />COUNTY OF
<br />The toregoing instrument was~OWledged
<br />Before me this -L2- day of '(7 , ~..LtP /
<br />by ,
<br />~, (name of person acknowledged)
<br />~who is personally knawn to me, or
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STI'TE OF FLoRIDA ~
<br />COUNTY OF
<br />The foregoing instrument was ~~oWledg.ed,-. '
<br />Before me thie: { '2 day of" *',.. ,2UI/
<br />by
<br />(name of person acknowledged)
<br />~o is personally known to me, or
<br />
<br />
<br />o who has
<br />
<br />Name t
<br />
<br />"
<br />
<br />
<br />j .:.;:-'"C:....,.,~.7.'.7'~,.."...;~':7'""~."..-~~,:~Ii(.~..,~~:."ii>W,,;..'-
<br />
<br />Z 'd
<br />
<br />6tLO'ON
<br />
<br />SllIH~AHd3Z jO AllJ
<br />
<br />V~dZv:ZllOI]G '2 'Inr'
<br />
|