|
<br />A. MOTIes OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to "deed restricUons" v;!,icll
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED COUTRJI,CTORS AND CONTRACTOR RES PONS IBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance \\lith state and local regulations. If the contractor is nol
<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 contractor are uncertain as to what
<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 owner has hired a contractor or contractors, he is advised to llave 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 the contractor, are responsible for the work. If the contractor wishes
<br />you to sign as contractor that may be an indicat;ion that he is not properly licensed and is
<br />not entitled to permitting privileges ~n the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION I.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 Agricl)lture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that: L
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "ovlller" prior to commencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the informatioll in this application is accurate and that all ,'Iork 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 irldicated. I
<br />certify that no v;ark 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 corlstructioll, Cjty
<br />codes, zoning regulations, and land development regulations in the jurisdic;tioll. I 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 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 Environmentally 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-Sea\\lalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Healtll 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.", it is
<br />under stood that a drainage plan addressing a "compensati ng volume" v;ill be submit Led Vlhich
<br />is prepared by a professional engineer registered in the State of Florida prj.or to permit
<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 thereafter requiring a
<br />correction of errors in pl ans, construction, or violations of any code. E:very permit
<br />issued shall become invalid unless the work authorized by such permit is conIrllenced within
<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 vwrk is commenced. One 90 day extellsion of time
<br />may be allO\\led for the permit \.;ith fee charge of $15.00. The extension shall be requested
<br />in writing to the Building Official. An approved inspection must be logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE 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 Al\j ATTORNEY BEFORE RECORDING YOUR 110TICE OF Cm/1MENCEt1JENT. .JOBS [JNLJER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Rpfc're 1:1'.:: t.hic _ day of , 2lL-
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument \\las
<br />Betore me this _day of-
<br />by
<br />
<br />acknO\^lledqed
<br />20
<br />
<br />by
<br />
<br />(name of person acknowledged)
<br />Owho is personally known to me, or
<br />
<br />(name of persall acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />Owho has produced
<br />(type
<br />and whoO did 0 did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has prodllced____________
<br />(type of idellLifj ca tion)
<br />and \^I h 0 [J did [kli d not t a ked 11 0 d t h
<br />
<br />Signature of person taking acknO\\lledgement
<br />
<br />Signature of person taking acknovlledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Uame typed, printed or stamped
<br />
|