<br />~u".:)] '.~'J~u:,\';,j (J.':,:,' ,\.',!.'~,':J~,rv:;.' ',I".' I\.\~'l~.' t ,l}/\V ~\.'..f:
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that thi:J permi'l: may b.e sli.lb}ect to "deed restrictions" ,which
<br />~y..b~,.III.9~e ,~est:rict,ive .than City requlatioltlS. 'Tite uiIldersigned assumes responsibility for
<br />compliance., with. any applicable deed ~estricU.:>n.s.
<br />B........-UHLICENSED' CONTRACTORS AND CON'rIU\C'rOR RES.E'ONSIBILI'l'Ie:S
<br />If the owner has hired a contractor or cont.l:a.:::t':>I'S to li.lndertake work, they may be requi.!=ed
<br />to be licensed in accordance with slille and local reguliltions. If the contractor is not
<br />licensed' .S' required by law, both thE~ owner and contractor may be cit~d' for a misd~eanor
<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, 81:3-788-661l.
<br />FUrther,more, if the owner has hired a contractor or contractors, he is advised to have the
<br />co~tra~~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,; 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 lisensed 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,RUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certlfy 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 obt.ined a copy 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'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 roade 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" .regu],ations, and land development regulations in the jurisdiction. I also
<br />certify th.t 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 />Environment.l Regulation-Cypress Bayheads, Wetland Areas and En~ironmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />. .Altering Waterc~urses:.
<br />*Army Corps 'of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Dep.rtment of lIealth & Rehabilitative Services, Environmental Health Unit-Welfs,
<br />W.stew.ter 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 />iasuance. .
<br />A permit issued shall be construed to be a licensp. to proceed with the work and not .s
<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 />~~rr~c~ion .of errors in plans, construction, or violations of any code. Everypermit
<br />'issuedish.ll, 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. o.ne 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 />mouth period, or the project 'will be considered abandoned.
<br />WARNING TO OWNER: yo.UR FAILURE '1'0. RECORD A NOTICE OF Co.MMENCEMENT MAY RESULT IN Yo.UR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF Yo.U INTEND TO. o.BTAIN FINANCING, Co.NSULT
<br />WITII YOUR LENDER OR AN ATTORNEY BEFORE RECORDING OUR NO'rICE OF COMMEN E JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO. RECORD AND POST A NOTICE OF COMMENCEM NT'
<br />
<br />~.,' . . ~.. .
<br />
<br />
<br />~~'~I\J~~' . ~ . ~
<br />
<br />S~.~REI OWNER OR AGENT
<br />~", ~:'J\-__''''':~' _ f:),_.-~./t:,:.i',"'_ ..'
<br />"S'1'ATIS .O~ . FLORIDA .
<br />1" . , '.~,i;;;'~., :..;.... .
<br />.:~COUN'lTlO~..,"""" ....."",,:
<br />. '1'he....foregoing instrument..w~~. acknowledged
<br />Before methi,~, day of , 1L
<br />b "
<br />",y-,-,~,;- ""... .. "- -
<br />. '....(n~. ofperaon .cknowledged)
<br />IJ wbo-~s""peraon.lly known to, me, or
<br />
<br />_..l"-,......"..-~..~.N..,..~>_..." .<
<br />
<br />D wh~ h.~.p~~uced
<br />. ,,' (type of identification)
<br />.nd whoD did Ddid not take an oa th.
<br />
<br />
<br />n9~~~~~~{)(
<br />
<br />(name of person acknowledged)
<br />is personally known to me, or'
<br />
<br />,',
<br />
<br />"\1;:\;':1'.,:., .'
<br />
<br />
<br />has produced
<br />(type of identification)
<br />O1id not take. .n:o.thfli'\>!~',~
<br />
<br />~.....,'.,~~}... "..~:~~~'l":...!"",),...~....."" ,.." ".
<br />!:". '
<br />
<br />'~d" ~ ..~.".' h,"'j~~ .. ';'
<br />
<br />... ._,- ...... .-
<br />Signature o~ person taking acknowledgement
<br />".,....~L u .It&1llI'', ~__........ _.~. '~'.""': .-' .
<br />,'"''':-..:''"f~;''' ."- ..,. -:.' "'J.:....'.;:t" ....
<br />
<br />H_~;typed, pl:1nted 01: stamped
<br />>{,~. ,.f' " .
<br />
<br />
<br />':...-.
<br />
<br /><t.',
<br />\1"" ;';';':~'''~
<br />
|