|
<br />A. NO~ICE OF DEED RESTRlCTIONS
<br />The undersigned understands that thi:1 permit may b.e subject to "deed restrictions" which.
<br />lII!y.be.lD9~e ..J;est,rict.ive .than City regulations. . 'Tite undersigned assumes responsibility for
<br />compliance with. any applicable deed restrictions.
<br />B.''''''UNLICENSED . CONTRACTORS AND CON'fHAC'rOR RESPONSIBILrl'IES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with slate and locnl .regulations. If the contractor is not
<br />licensed'as'required by law, both the owner and contractor may be cit~d'for a misdemeanor
<br />violation'under state law. If the owner or intended contractor are uncertain as to what
<br />",. licensing requirements may apply fOI: the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611,
<br />Furthe.rmore, '.' if the owner has hired a contractor or contractors, he is advised to have. the
<br />co~~ra~~or(8) 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,; 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 certify that I, the applicant, have been provided with a'copy of "Florida's Construction
<br />lie~ Law.:"" Homeowner's Protection 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 document and promise in good faith to deliver
<br />it to the "owner" prior to conunencement.
<br />E. CONTRACTOR' S/OWNER' S AFFIVAVl'l'
<br />Ice~tify that all the information in this application is accurate and that all work will
<br />be don. in compl;ance with all applicable laws regulating construction, zoning, and land
<br />development.' .
<br />Application is hereby made to obtain a perlnit to do work and installation as inqicated. . I
<br />certify that no work or installation has conanenced 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"regu~ations, 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 Sens~tive
<br />Lands, Water/Wastewater Treatment
<br />.Southwest Florida Wkter Management District-Wells, Cypxess Bayheads, Wetland Areas,
<br />. .Altering Waterc<surses..
<br />.Army Corps 'of Engineers-Seawalls, Docks, Navigable Waterways
<br />.Department of lIealth & Rehabilitative Services, Environmental Health Unit-welts,
<br />Wastewater Treatment, Septic Tanks
<br />.U.5. 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.., 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 pe~t issued shall be construed to be a licensp. 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 />c~rr~c~ion .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 conanenced 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, CONSULT
<br />WITJI YOUR LENDER OR 1\N ATTORNEY BEFORE RECORDING YOUR NO'rICE OF COMME EN. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENC ENT'
<br />
<br />LV;.UJ '..'.'.1~U:'<!:...i Vl:' ,l:.I.'~.'J\J~.i.'~' J\:.".\:'.}.!}J\\lJ.'~'
<br />
<br />
<br />............ ;,<',-,
<br />
<br />SIGNATURE a OWNER OR AGENT
<br />.~'..',,~~~;'.\-"S)~~~:.~~t;':~'rc~:. ",'. .
<br />5'1'ATB 01: "I'LORIDA
<br />-. COUNTY"J'Or::"'.' '. . .... "~~.
<br />'1'hey~fore90ing instrument was . acknowledged
<br />Before me this day of 1~
<br />b ~'.
<br />y ....'-
<br />"""~(n8sne'-of-person acknowledged)
<br />Owho'.'!s_personally known to. me, or
<br />
<br />""'''':,,,~ "",~_,;,,~''''.. ~
<br />
<br />o wh~ ha~'p~~uced
<br />. '.' (type of identification)
<br />and whoOdidDdid not take an oath.
<br />
<br />.....~~jV;0' ':" \
<br />'.: ;'....1
<br />
<br />'.'; ~'(;'r...~ ;..
<br />
<br />9~~~1??~.DI
<br />
<br />(name of person acknowledged)
<br />is personally known to me, or
<br />
<br />identification)
<br />take. an'oathf'i'l:l~'~;
<br />
<br />~iWJo.~ J-g-..... ~{.~t':~-.:!yo;-':r-.......l"- -~
<br />
<br />.'.
<br />
<br />,;"~-'t;i~:l._:'. ..
<br />
<br />""'. f"~""~ ~f;~;"~ . "
<br />
<br />'-., ...... --- ".-.....
<br />Si9natu~. ot per.onta~1ng acknowledgement
<br />......~......' tilHTf.-".-" ."~.,,.
<br />
<br />,~\..'.."',;\"'.,t, ,..,.:" ',... ....'~J-...~v \f . I'..
<br />
<br />N~'!"8~it~! pdnted OJ: stamped
<br />
|