|
<br />CONDI'rIONS OF PERl',lIT AF'F'!Jl!WlT
<br />A, NO'l'1CE OF DEED RES'I'RIC'fIONS
<br />The \mderslgned understands thqt t.his p~r:Il\it may b." subject to "deed rest.ri.otions" vlhich
<br />m~y be more restrictive tllan City reguldtions. ~he undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions..
<br />B. UNLICENSED CON'I'RAC'l'ORS AND CONTRACTOR RESPONSIBILI'l'IE:S
<br />.1. f the O\.;IH::r has hired a contractor or contractors to undertake Hark, they way be required
<br />to be l1censed in accordance with state and local regll1at10ns. 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 cont.ractor are uncertain as t.o vlhCit
<br />Ii censing requirements may apply for the intended WOl.k, they are advised to contact the
<br />city of Zephyrhills Building Department, 813-.'188-6611.
<br />ll'llr:thennon=, if the owner: has hired a contractDr or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor: SectiansN of this application for which they
<br />vdll be .responsible. If you, as the ovmer s1gns as the contractor, you are indicatlng that
<br />you, LCithar than the contractor, au:: responsible for the vlOrk, If the contractor wishes
<br />you to siyn ae contractor that ms.y be an indicatiun that he 1s not properly licensed and is
<br />not entitled to ptHmitting privlleges in the city of Zephyrhills.
<br />c. 'l'RANtlI::'OR'l'ATION IMPACT Ii'EES AND UTII.ITY CONNECTION ~~EES
<br />1). CONS'I'RIIC'l'UION LIEN LAW (CliAPTER '713, FLORIDA STATUTES, AS AMENDED)
<br />J certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />lien Law _ Homeowner's Protection Guidelf prepared by the Flori.da 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" pri.or to commencement.
<br />E, cON'rRAC'l'OR' S/m,mER' S AFFIDAVI'r
<br />I certify that all the infor:mation in thls application 1s accurate and that all work will
<br />be done in compliance with all applicable laws regulatlng construction, zoning, and land
<br />development.
<br />Applioation is hereby made to obtain a permit to do work and installation as indicated. 1
<br />ce-!=tify that no Hork or installation has commenced prior to issuance of a permit and that
<br />all work will be perfonned to meet standards of all laws regulating construotion, City
<br />codes, zoning regulations, and land development regulations 1n the j\lrisdiotion. I also
<br />certify that I understand that the regulations of other governmental agencies Inay apply to
<br />the intended wOLk, and that it is my responsibility to identify what. actions I Hlust take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />EnviLOllH\ental Regulation-CYP1:ess Bayheads, Wetland Areas and Environmentally Sensltive
<br />Lands, Water/Wastewat.er 'freatment
<br />* Southwest Ii'lorlda Water Hanagement Distrlct-Wells, Cypress Bayheads, WeU and Areas,
<br />Altering Watercourses
<br />~Army COLpS of Engineers-seaHalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<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.lf, it is
<br />understood that a dralnage plan addressing a "compensating volume" 'will be subrnltted wh.h:h
<br />is prepared by a professional engineer registered in tile State of Florida prior to permit.
<br />issuance.
<br />A pennit issued shall 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 technical codes,
<br />nor shall issuance of a permit prevent the Building Of(icial from thereafter requiring a
<br />correction of errors in plans, con~truction, or violations of any oode, Every permit
<br />issued lOhall become invalid unless the \.;ork authori:z;ed by such permit is cOl\unenaed Hithin
<br />six months of issuance, or if Hork authorized by the permit is suspended or abandoqed for a
<br />period of sUt 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 \.;ri ting to the Buil ding official. An approved i.nspection must be logged during each si x
<br />month period, or the project \/ill be considered abandoned,
<br />WARNING 'fO OWNER: YOUR FAILURE 'fO RECORD A NOTICE OF COMMENCEMENT MAY RESUL'l' IN YOUR
<br />PAYING TWICE FOR H1l?ROVEMEN'l'S 'I'D YOUR PROPERTY. IF you IN'rEND TO OB'fAIN FIHANC;'ING, ~qN@UW
<br />WITH YOUR LE1WER OR AN A'i"roRNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'r, JOBS UNDER
<br />$2,500 TN VALUE: DO HO'l' NEED '1'0 RECORD AND POS'1' A "NOTICE OF COMMENCEMEH'J1/(.
<br />
<br />~..__.._--,._-_.." ----------.------------------
<br />
<br />S 1 GHA'tURE; OWNER OR AGEN'l'
<br />
<br />S I GNA'l'URE : CONTRAC'l'OR
<br />
<br />acknowledged
<br />., 1!1-
<br />
<br />STA'J'E OF E'LORIDA
<br />COUNTY OF
<br />Thf' foregoing jl)strument. was aoknowledged
<br />Before me this -------ijay of-------, 19 -:..-
<br />by
<br />(name of person acknoHledged)
<br />C1ho is personally knovlO to me, or
<br />
<br />8TA'I'ID OF FLORIDA
<br />COUNTY OF-
<br />The foregoing instrument was
<br />Before me this __ day of
<br />by
<br />
<br />(name of per:son acknowl,dgedl
<br />Owho is personally known to me, or
<br />
<br />o who has produced
<br />(type
<br />and whoLJ did [J did not
<br />
<br />of identification)
<br />t.ake an oath,
<br />
<br />o who has produced__________.____
<br />(type of identificatiol
<br />and \-/ho Ddid DUd not tal;e an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />----..-------------
<br />
<br />_._----~,_.._-~..._.._.._._----~-------
<br />
<br />-------
<br />
<br />Name typed, printed or stampt:ld
<br />
<br />~_._-.~.,_.~.-""-"_... -~_.._'-
<br />
<br />Neoma typed, printed or: stamped
<br />
|