|
<br />CON
<br />A. NO'l'lCE OF' DEED RES'I'RICTIONS
<br />'l'he undersigned understands that t lli s penni t !nay be
<br />llIay be mort= restrictive than Cil~j reUuJations. The
<br />compliance Vlith any applici:ibJ e deed restrictions.
<br />B. UNLICENSED COf'iTRAC'l'ORS '1l'iD CONTkACTOR RESPONSIBILI'l'IES
<br />If the OHner has hir'ed a contractor or contractor::! to undertake work, they mi:lY be r'equirt::d
<br />to be licensed in accordance with state and local regulations. If the contractor i::l not
<br />licensed a::l required JJy lavl, both tr.e o~mer and contractor may be cited for. a H1isdelUt::anor
<br />violation under .::;tate laH. If the O\Jner or intended contractor are uncertain 01::1 to ~.hat
<br />licensing requirements may apply for the intended work, they are advised to contact tile
<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 (05) sign portions of the "Contractor Sections" of this application for ".hich they
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating that
<br />you, ratller than the contractor, are responsible for the Hork. I f the contractor "Jish~s
<br />you to sign as contractor that may be an indication tllat he is not properly licensed and is
<br />not entitled to fJermitting privileges in the City of ~ephyrhills.
<br />C. 'l'RANSPOR'I'A'l'ION IMPACT IfEES Al~D lYflLI'I'Y CONNEC'I'ION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAP'fER 713, FLORIDA S'l'A'I'UTES, AS AMENDED)
<br />I certify that 1, the applicant, have been fJrovided with a copy of "Florida's Construction
<br />lien LaH - Homeownt:r's Protection Guide" prepared by the f!'lorida Department of Agriculture
<br />i:lnd 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 AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance Hith all applicable laws regulating constructioll, zoning, and Jand
<br />development.
<br />Application is hereby made to obtain a permit to do Hork and installation as indicated. I
<br />certify that no Hork or installation has cOllunenced prior to issuance of a permit and that
<br />all Hork will be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in tlle jurisdicti on. 1 also
<br />certify that I understand that the regulations of other governmental agencies lllay apply to
<br />the intended vwrk, and that it is my responsibility to identify what actions I lllust take to
<br />be in compliance. Such agencies include but are not limited to: ~.Depar'tment of
<br />~nvironmental Regulation-Cypress Bayheads, Wetland Areas and Environmelltally Sensitive
<br />Lands, Water/WasteHater Treatment
<br />.ASouthviest li'lorida Water Management District-Wells, Cypress Baybeads, Wetland Areas,
<br />Altering Watercourses
<br />*Anny Corps of Engilleer::l-SeaHalls, Docks, Navigable Waterways
<br />*Departlllent of Health & Rehabilitative Service.:;, Environmelltal Health Unit-Wells,
<br />Wa,::;tewater Treatlllt:nt, Septic 'l'an),s
<br />*U.::3. ~nvironmental Protection Agency-Asbestos abatement
<br />I also certify tbat, 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 />1.s pn,pared by a professional engineer registered in the state of F10rida pri.or- to permit
<br />iSl:iuance.
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />authority to violate, cancel, alter, or s~t aside any provisions of tbe technical code.:;,
<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 permit
<br />issued shall become invalid unless the work authorized by such per'mit is COllunenced within
<br />six month", of issuance, or if work authorized by the pennit is suspended or abandoned for a
<br />period of si... mOnUI::l i:lfter the time the work is conunenced. One 90 day extension of time
<br />lIlay be allowed for the permit with fee charge of $15.00. 'l'he e...tension shall be requested
<br />in ~lriting to the Building Official. An approved inspection must be logged during each siii
<br />month period, or the project Hill be considered abandoned.
<br />WARNING TO OWNER: YOUR E'AILURE TO RECORD A NOTICE OF COI'1MENCEMEN'l' MAY RESUI/l' IN YOUR
<br />PAYING TWICE FOR IMPROVEMEN'l'S 'I'O YOUR PROPERTY. Ili' YOU IN'I'END '1'0 OB'PAIN nNANCJNG, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEr'ORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NO'l' NEED TO RECORD AND POST A "NOTICE OF COMMENCElIIJEN'l'''.
<br />
<br />IONS OF PERMIT AFFIDAVIT
<br />
<br />subject to "deed restrictions" wid ell
<br />undersigned a::;sumes responsibility tor
<br />
<br />SIGNATURE: OWNER OR AGEN'I'
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />S'l'A'I'E OF FLORI DA
<br />COUl-J'rY OF
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by
<br />
<br />acknovrledged
<br />, 19_
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before Ill~ this _day of
<br />by _____.__,
<br />(name of person acknowledged)
<br />Dlho is personally known to Ille, or
<br />
<br />acknowledged
<br />19
<br />
<br />(name of person acknowledged)
<br />o Hho is personally krlOHn to me, or
<br />
<br />Dwho has produced
<br />(type
<br />and vlhoD did []did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Dwho has produced
<br />(type of identification)
<br />and vlho Ddid Giid not take an Oi:lUI
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Name typed, pri nted or stamped
<br />
<br />Name typed, printed or stamped
<br />
|