|
<br />cvrWJ 'l'.lVW; VJ:' l'l-:HM.lT ^Vl:'lIJ^Vl'1.'
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may b.e subject to "deed restrictions" which
<br />~y,b.e~ ~J:'e ,.t;estrict,ive ,than City rngulations. The undersigned assumes responsibility for
<br />compliance with., any applicable deed restrictions.
<br />B.,'-.UNLICENSED' CONTRACTORS AND CON'rIU\CTOR RESPONSIBILITIES
<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 locol regulations. If the contractor is not
<br />J: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 cowner or intended contractor are uncertain as tcf 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 which they
<br />'will be responsible. If you, as the owner signs as the contractor, you are indicating that
<br />you,. ra.ther 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.;...~ON~T~UCTUION 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 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 conunencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I ce~tify that all the information in this 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 inqicated. . I
<br />certify that no work or installation has conunenced 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 Dayheads, 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-wel.}.s,
<br />Wastewater Treatment, Sep~ic Tanks
<br />.U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill mat~rial is to be used in Flood Zone "A" or "A,etc.N, it 1s
<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 notas
<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 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 />WITII YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO'rICE OF COMMEN N. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEM
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />
<br />,.,"_1'
<br />
<br />GNATURE: CONTRACTOR
<br />
<br />STATE OF FLORID~\eJ).
<br />COUNTY OF ·
<br />The foregoing ~s~ument ~~~~.w. .1ed..~~..OOI
<br />:;fore ..!R ~~s~ \~~y r:h;t;RA,"1""~f,!;-;-:
<br />~ (name of person acknowledged) .
<br />~ho is personally known to me, or j ,)'.',.1
<br />
<br />~.~~~.~,:,:~"
<br />
<br />~I:' """"~-'~"~' _.... :'''~ ..
<br />STATB OF' FLORIDA
<br />..COUHTY1f.OF.....
<br />The,.foregoinginstrument was' acknowledged
<br />Before me th~~ day o~ , 1~
<br />by
<br />.- cC:'(name' ot person acknowledged)
<br />Owho1spersonally known to .me, or
<br />
<br />.','"
<br />. ',.,'0
<br />
<br />, ."..
<br />
<br />o wh~ has pr~duced
<br />(type
<br />and whoD did Ddid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />.' 0 who has produced
<br />(type of identification)
<br />~dnot take.an~oath~~:~}
<br />
<br />S19natu're ot person .taking acknowledgement
<br />.,.... '-).............~.,....-... 4..^"- . .
<br />
<br />.'.
<br />
<br />I::',.
<br />
<br />
<br />.:~~.~. ~... 'r,--: ~,:'".,"\ or ,;
<br />
<br />'..........,~~.<:-t'~t';'~.....~...r':'.;:""!.~.
<br />
<br />\' .,.;'.-l ....,l- " ..."" " ...... y \:- . . '..
<br />
<br />Na..~typed~ printed or stamped
<br />
<br />,"
<br />>;'
<br />
<br />..
<br />,.
<br />
<br />"".'
<br />
|