|
<br />CUNJJJ 'l'.I.UH~ ()J:' l.'L;;H.MJ.'l' AI:'I:'J.l.lAV.l.','.'
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may b.e subject to "deed restrictionsH. which.
<br />may ,be, ~re .~estrict.ive .than City regulations. The undersi9ned assumes responsibility for
<br />compliance with.. any applicable deed restrictions.
<br />B,'wUHLICENSED' CONTRACTORS AND CON'rAACTOR RESPONSIBILI1'IES
<br />If the owner has hired a contractor or contractors to undert;clke work, they may be required
<br />to be licensed in accordance wilh stale and local regulations. If the contractor is not
<br />l.icensed 'as required by law, both the owner and contractor may be cit~d for a misdemeanor
<br />violation'under sta~e 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 />co~~ra~~or(s) sign portions of the "Contractor Sections" of this. application for whichthe~
<br />. will' be responsible. 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 contractor that may be an indication that he is not properly li~ensed and is
<br />not entitled to'permitting privileges in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />.D.;.. .CON~T~UCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I ce.rtlfy 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 "okner", I cerify that I
<br />have obtained a copy of the above described document and promise in good faith to del~ver
<br />it to the "owner" prior to commencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I ce~tify that all the information in lhis application is accurate and that all work will
<br />be done in compl;ance 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 in4icated. ,I
<br />certify that no work or installation has commenced prior to iss.uance 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~ctions 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 />"'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 Ilealth & Rehabilitative Services, Environmental Health Unit-Welts,
<br />Wastewater Treatment, Septic Tanks
<br />"'U.S. Environmental Protection 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 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. Everypermit
<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 '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RESULT.IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, COHSULT
<br />WITIl YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO'rICE OF COMM ENT. JOBS UNDER
<br />$2,500 IN VALUE DO NO'!' NEED '1'0 RECORD AND pos'r A "NOTICE OF COMMENC
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />
<br />"STNrlf"'OF';"FtORIDA' .
<br />'COUNTY1"O!'
<br />The..foregoing instrument was acknowledged
<br />Before me thi,~ day o~ ' 1 L..
<br />by .
<br />-- ~"'(name' of" person acknowledged)
<br />Owho i. personally known tome, or
<br />
<br />.'-'
<br />'....
<br />
<br />STATE OF FLORIDA {) ~W
<br />COUNTY OF (t
<br />The fOregOing. l~~t W~..W..led9.. e..~. 0.' I
<br />:;fore~~ ;~~ a~ ~ .....T..',~?'~
<br />
<br />~ (name of person acknowledged) .
<br />~ho is personally known to me, or' I;..... '.1
<br />
<br />",jI~~,\O',l", '. i
<br />-........... ........,
<br />
<br />o wh~ has pr~duced
<br />. (type
<br />and whoCldidOdid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />.' 0 who has produced
<br />(type of identification)
<br />and O:lid not take .an ,:oath1lJ'Y..~:";'
<br />
<br />I:;......
<br />
<br />
<br />",'~" p .r,~ ~"..'\,...~ 'f' ;
<br />
<br />_....~.""..,.:'Itr~t';''''"...._=...r':.-.;: ~~.,._. .
<br />
<br />S~9n.ture of person .taking acknowledgement
<br />.I'..-..........-"""~U...-...II/;"'.' .,
<br />
<br />acknowledgment
<br />
<br />Hame"; typed~ printed or stamped
<br />
<br />1liiMMISION, ~
<br />!XPIItES. AUG 01 _ .
<br />IIONIlED 1NlClUGH .'. .'
<br />RU 1NSUtNG~. '.
<br />
<br />
<br />1 4.:',-\". .,. " ...... ,- .....w-..,.... \: ' . .
<br />
|