|
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pennit may be subject to "deed resLric;Ljons" vlhich
<br />may be more restrictive than City regulations, The undersiyned assumes responsibillty for
<br />compliance \'Il th artY applicable deed restrictions.
<br />B. UNLICENSED COl1TRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, tlley may be required
<br />to be 1 icensed in accordance with state and local regulations. I f the contracl:or is not
<br />licensed as required by law, both the owner and contractor may be cited for a misdemeanor
<br />violation under state lall. If the OWler or intended contractor are uncertain as to \"Ihat
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-780-0020.
<br />Furthermore, if the ovmer has hired a contractor or contractors, he is advi sed 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 signs as the contractor, you are indicating that
<br />you, rather than tile contractor, are responsible for the work. If the contractor wishes
<br />you to sign as contractor that may be an indica~ion that he is not properly licerlsed 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 J,IEN LAW (CHAPTER 713, FLORIDA STATUTES, 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", T cerify that J
<br />have obtained a copy of the above described document and promise in good faith tu deliver
<br />it to the "ovlller" prior to conunencement.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that a 11 \'lork \'Ii 11
<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 indicated. 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 jurisdiction. [a.lso
<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 mllst take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and EnvironmerltalJy Sensitive
<br />Lands, Water/Wastewater Treatment
<br />~Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetlarld Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Departm~nt 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,et.c.", it is
<br />understood that a drainage plan addressing a "compensating volume" lJill be submitted \"Ihich
<br />is prepared by a professional engineer registered in the State of Florida pei.or' to perlnit
<br />issuance.
<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 set aside any provisions of the lechllical codes,
<br />nor shall issuance of a permit prevent the Building Official from tllereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become invalid unless the \'lOrk authorized by such permit is cOIllmenced v~ithin
<br />six months of issuance, or if work authorized by the permit is suspended or abarldoned for a
<br />period of six months after the time the vlOrk is commenced. One 90 day extension of Lime
<br />may be allOl-led for the pennit Il1th fee charge of $15.00. The extension shaLL be requested
<br />in writing to the Building Official. An approved inspection must be logged duriny each six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A [10TICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE 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 00 NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />u~/A~d~
<br />SIGNAT E: OWNER....OR;. GEI1T
<br />
<br />6/~~ ~d4';
<br />SIGN RE: CONi'.. lR
<br />
<br />STATE OF FLORIDA
<br />COUl~TY OF
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by
<br />
<br />STATE OF FLORIDA
<br />
<br />COUHTY OF
<br />
<br />acknowledged
<br />2CL
<br />
<br />The foregoing instrument was
<br />Before me this _day of
<br />by
<br />
<br />ackno\"IJ edged
<br />20
<br />
<br />(name of person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />(name of person acknowledged)
<br />Olho is personally known to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced ________
<br />(type of identification)
<br />and \'1110 0 did [:kEd not: Lake an oa t:l1
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknovlledglllent:
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
|