<br />A. NOTICE OF DEED RESTRICTIONS
<br />'I'ile undet:signed understands that L11113 penni t: !nay be subject to "deed restrictions" tvhich
<br />may be mor:e restrictive than City requlclt:ions. The undersigned assumes responsibility for
<br />compLiance with any applicable dee,d Xl,S t.r:ict:ions.
<br />B. UNLICENSED CON'l'RACTORS AND CONTHACTOR RESPONSIBILI'J'IE:S
<br />If the owner has hired a contractor or c:ontt:actors to undertake work, they may be i'equired
<br />to b. licensed in accordance with state and local regulations. If the contractor is not
<br />licensed as requlred by law, both the owner and contract:or may be cited for a nd.sdemeanor
<br />violation under state law. If the owner or intended contl:actor are uncertain as to Hhat
<br />Licetlsing requirements may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />H'urt.hermore, 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 whicll 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 Hork. If the contractor wishes
<br />you to sign as contractor that may be an indication that he is not properly licellsed and is
<br />not entitled to permitting privileges in the City of Z~phyrhills.
<br />C. 'l'RANSPOR'l'A'l'ION IMPACT FEES AND U'l'ILI'l'Y CONNECTION FEES
<br />D. CONS'l'RUCTUION I,IEN LAW (CHAP'!'ER 713, FLORIDA STA'l'UTES, AS AMENDED)
<br />I certify that I, the applicant, llave been provided wIth a copy of "Florida's Construction
<br />lien LaH - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consl1mer Affairs. If the applicant is someone other that the "oHner", 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. CONTRAC'I'oR' S/OWNER' S AFFIDAVIT
<br />I certify that all the information in this application is accurate and tllat all wor:k will
<br />be done in compliance 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 illdicated. I
<br />certify that no work or installation has commenced prior to issuance 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 jurisdictioll. 1 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 actions I must take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Envirornnental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sens~tive
<br />Lands, Water/Wastewater Treatment
<br />*Soutllwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watel:courses
<br />'Army Corps of Englneers-Seawalls, Docks, Navigable Waterways
<br />*Depart:mellt of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater: Treatment, Septic Tanks
<br />*u.S. Enviromnental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A,ete.", it is
<br />understood that a drainage plan addressing a "compensating vol.ume" 'will be submitted which
<br />Is prepared ~y a professional engineer registered in the State of Florida prior to permit
<br />issuance.
<br />A permit issued sllall 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 tecllnlcal codes,
<br />nor'.llall 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 permit
<br />issued shall become invalid unless the work authorized by such permit is commenced within
<br />si.K months of issuance, or if work authorized by the perrni.t is suspended or abandoned for a
<br />period of six months afte.t: the t1.me the work is commenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The eKtensioll shall be requested
<br />1.n Hri t1 ng to the Building Official. An approved inspection must be logged dur:.ing each si.}{
<br />month peLtod, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RESU.LT IN YOUR
<br />PAYING TWICE H'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND '1'0 OBTAIN FINANCING, CONSULT
<br />WITH YOUR LE:NDER OR AN ATTORNEY BEFORE RECORDING YOUR NO'l'ICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NO'I' NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMEN'!'" .
<br />
<br />CO~';~JITlor\I.S OF PF~PJ.'~J.T l\FFIDAVlrr
<br />
<br />Sl~O~----
<br />
<br />ck /~
<br />SiGi~URi~AC~10R
<br />
<br />S'I'ATE OF nOR
<br />COUNtl'Y OF
<br />The foteg "g instrl ent was acknowledged
<br />Before me this..d3- day of D('C'(,t.\.-~ ~~.J...
<br />by ___.
<br />'rd.., (name of person acknowledged)
<br />~10 is personally known to me, or
<br />
<br />o who has produced
<br />(type
<br />[]did not
<br />
<br />
<br />PUlS(~
<br />
<br />STATE OF FLORIDA ~,. So to
<br />COUNTY OF r c; ___._
<br />The foregoing instrument was ackn~ledged
<br />Be for e me t his ,..:27;. day 0 f _.J~):~:..e:;'IAA (7~ ~ 2Q?.,;)
<br />by _.__
<br />.:x. (name of person acknowledged)
<br />~~ is personally knoHn to me, or
<br />
<br />o who has produced______._________
<br />(type of identi fJcation)
<br />[)Ji.d not~e an oath
<br />
<br />;r(~
<br />- ----
<br />8i person taking acknowledgment
<br />
<br />
<br />Name
<br />
<br />and
<br />
<br />
<br />~-
<br />person taking acknowledgement
<br />Suzanne Bahr
<br />. issiCA #DDIS7131
<br />p r~~ t .::i.tEx,Jr819PN~vi IS, 2006
<br />-"~ip Of "-~,,, Bonded Thro
<br />"""",' Atlantic BondingCo"lnc.
<br />
<br />of identification)
<br />take an oath.
<br />
<br />~~
<br />
<br />s
<br />
<br />
<br />Name l~yped,
<br />
|