|
<br />A. NOTICE or DEED RESTRICTIONS
<br />The undersiqn9<f understanclll that this pe:rait _y be subject to "deed reatrictionsH which
<br />may be more restrictive than City regulation.. The unde%sl0ned assumes responsibIlity tor
<br />coaplianee with any applicable <feed restrictions.
<br />B. UNLICi:NSEO CON1'RACTORS AND CONTRACTOR RESPOl'lSIBILI'I';J:ES
<br />If the owner has hired a contractor or contractors to undertake work, they 81ay be required
<br />to be licensed in accordance with state and local r09ulatione_ If the contractor ill not
<br />lic.n.ed a. re~ired by law. both the owner and contractor may be cited for a ad.demeanor
<br />viotatian under state law. If the owner or intended contractor are uncertain a8 to what
<br />licensing requirements may apply tOr the intended work, they are advised to contact the
<br />Clty of zephyrhills Building Department, 813-780-0020.
<br />Furthermore, if the owner has hired a contrector or contractors, h. is advieed to haVe ~he
<br />contraeeor(s' d.qu po!=tion" of the "Contractor Seceions" ot this application for which they
<br />wi1.1, be responsible. If you, as the owner 8igne as the contractor, you are indicating that
<br />you, rather than the contractor, a~ responsible fpr the work. If the contractor wishes
<br />you to 819n as contractor that IllaY be an Il)dioa1;ion that he is not properly licensed and is
<br />not entitled to permitt1n<j pdvlleqec in the City of ~eph~'J:h111s.
<br />C; TI\ANSPOI\.TATION IMPACT FEES ~D OTtLITY COWNECTION RES
<br />D. CONSTROCTOION LIEN LlUf (CIlAPTD. 713. FLORIDA. STATU'l&S, AS AMENDED)
<br />I certify that I, the applicant, ha~ been provided with a copy of ~~lorida's Construction
<br />lien Law - Hameowner', Protection Guide" prepared by the Florida Oepartment of Agriculture
<br />anet CcmllUlller Affaira. If the applicant. is s<naeone otber that toe ~o_r~, ;r cerify that I
<br />have obtained a copy ot the above described dOClUllKllnt and prcal11e in good fa.ith to deliver
<br />it to the "owner" prior to COMDencement_
<br />B. CON'1'aJ\CTOEt' S!ONNE1' S AFFIDAVIT
<br />I certify that all the Inforaation in this app1ieatlon 111 accurate and that all '~rk will
<br />ba dOne in compliance with all appllcable laws regulating construction, ~oning. and land
<br />dev4tloplRlmt.
<br />llpplic;etion 18 hereby made to obtain a pem1t to do work and instaUation as indicated. I
<br />certify that no work or installation has ~enced prior to i88uance of a permit and that
<br />all work w1.11 be perfoZlled to _et .tanclards of all laws requlating construction, City
<br />codes, zoninq requlaUons. and land developlllent regulations in tbe jurisdiction. I aho
<br />certify that I understand that tbe regulations ot other gove~ntal agenCies may apply to
<br />the intended work, and that it i. .,.y responsibility to identify what actioM I must take to
<br />be in cCIIllpllan".... SUch ageneles include but ara not limJ.ted to: *oepartment of
<br />Environmental Requletion-Cyprell. Baybeads, Wetland ~.as and 2nv1ro~t.lly Sensitive
<br />Lands, Water/Wastewater Treatllent
<br />.Southwest Florida Water Management District-Melle, cypress Bayheade, Wetland Areas,
<br />Alter~n9 Watercourses .
<br />+Anay Co1.-pS Of Engineers-Seawalls, Docks, Naviglabl4t Waterways
<br />*Oepar~nt of Health ~ Rehabilitative Service., Environmental Health Unit-Wells,
<br />Wastewater 'l'reatmant, Septio 'tanka
<br />.U.8, Envlrollll\8ntal Protection l\Qenc:y-A8belltOIl abateaent ~
<br />I al~o C.~~ify that. if fill mat.ri.~ is ~o be used in Flood Zone ~A. ar ~A,etc.d. it 1.
<br />understood that a dra.inage plan addressing- a "cOIIIplinsatinq volUIH" will bit subJllitted which
<br />1s preparsd by a professional engineer registered in the State of Florida prior to permit
<br />issuance.
<br />A perlllit issued shaH be construed to be It license to proceecl with the work and not. as
<br />authority to d,elate, cancel. alter, or set aside any provid.ons of. the technical codes,
<br />nor shall issuance of a pe~t prevent the 8uilding Official froll thereafter requiring a
<br />corractlon of errots in plan., construction. or vIolations of any code. Every permit
<br />issued IIhall beoaae invalid unle8~ the work authorized by such permit 1s commenced witoln
<br />six II\Onths at issuanCe, or if work authorized by the pem1t ill suspended or abandoned for'a
<br />period of six IIlOnl:hll arter the t1lle the lf01!:k 15 o_need. One 90 day extension of t1llle
<br />may be allowed for the permit with fe. charge of $15.00_ The extension ahall be requested
<br />in wrlting to the BuUdin9 Official. An approved Inapection must be logqed during each six
<br />Ilonth period, or the project w.i.ll b6 considered abandoned.
<br />WARNING TO 0IftlER: YOtJ8. FAILllRIil fO It.I:OOltl) A NOTICE or COMMEtlCEMDn' HAY BESOL'l' I.N YOtlll
<br />PAYING TWICE FOR IMPROV!MDlTS 'l'O YOUll ~ROP"RTY. IF YOU nrrENO 'l'O OB'I'AIN FINANcINQ. CONSl1LT
<br />WItH YOUll L1mDER OR Al'I A'I'TORNEY BEFORE RECORDING YOUR NOTrCl: OF COMMENCEMENT. .1088 ONDER
<br />...... to ~ "'" .... '" ......., .0. ""'. . """'lCl! O' ~".
<br />
<br />~~ ---~~ 2
<br />SIGNATmu:! 0IfNER OR J\Gli:NT SIGNATURE: CON'I'RACTOR
<br />/-1
<br />~ o~FFLOaIDA ~. I ~cc,
<br />
<br />The f~ing i,~.r~U)aent ~o"ledgedO'3
<br />:fo-~_j)l)20_
<br />Iname of person a~kn~ledged)
<br />- eLho i. pe~sonally known to me, or
<br />~'-has produced f:' L 7J L 1'3fV - (.. t:. D" 71, --1/69- 0
<br />- ----~ '!I.J.lt of identifical:1on)
<br />and who [J9Ld ~i.cl ot k.. a a
<br />
<br />STATE OF FLORIDA
<br />COUNty OF
<br />The foregoinq inst~nt was .c~wlBdge~
<br />Befor. me this _ day o~ , 2lt-
<br />by
<br />(name of person aoknowledqed.)
<br />Qwho is personally known to me, or.
<br />
<br />O..ho has produe&<;l
<br />(type of identification)
<br />and ..noD did Odid not take.n oath.
<br />
<br />Siqnature of person taking acknowledqement
<br />
<br />
<br />.~~
<br />. '" February 22, 2004
<br />~'(;:.' ,,-'>'i-" lONOED tHRU TROY FAIN INSURANCE, INC
<br />Na~.. typed, pxinted or stamped
<br />
<br />Name typed, printed or stamped
<br />
|