|
<br />CUIJJ)j TJuloJ:; OV L'EHH1T AJ:'VJlJAV 1'1'
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may l;Ie subject to "deed restrictions" which
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR 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 slale and loc<ll 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 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 />contractor(s) sign portions of the "Contractor Sections" of this application for which they
<br />will be responsible. If you, as the owner slgns 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"a's cbntractor that may be an indication that he is not properly lic.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. .cONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA S'l'ATUTES, 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 "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 commencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify 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 cOlmnenced prior to issuance of a permit and that
<br />all w~rk 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 Iny 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 Envi~onmentally 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,ls,
<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 wi~h the work and not as
<br />authority to ~iolate, 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. Every per.mit
<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'beallowed for the permit with fee charge of $15.00. The extension shall be requested
<br />in writifng 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 ~WICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POST A "N TICE OF COMMENCEMEN "
<br />
<br />of identification)
<br />take an oath.
<br />
<br />
<br />SIGNATURE:
<br />~ '.. ... ~i'
<br />,.,",,/ .
<br />
<br />OWNER OR AGENT
<br />
<br />r
<br />STATE()F':~'lUiOrIDA .
<br />.COUNTY'OF-L .
<br />The foregoing 'instrument was acknowledged
<br />Before me this_ day of , 1!L-
<br />by .
<br />. (name of person acknowledged)
<br />[Jwho is personally known to me, or
<br />
<br />(name of person acknowledged)
<br />is personally known to me, or
<br />
<br />[Jwho h~~ produced
<br />( type
<br />and who[J did [Jdid not
<br />
<br />of identification)
<br />take an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Name typed, printed or stamped
<br />
<br />-
<br />
<br />4:';
<br />
|