|
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to "deed resl:rictJons" vlhlch
<br />may be more restrictive than City regulations. The undersigned assumes resporlsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED COln'RACTORS AND CONTRll.CTOR RESPONSIBIL TTIES
<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 not
<br />licensed as required by law, both the owner and contractor may be cited for a misdemeanor
<br />violation under slate law. If the owner or Jntended 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 ovmer has hired a contractor or contractors, he is advised to have the
<br />contractor (s) sign portions of the "Contractor Sections" of this application for \-Ihi ch 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 properl y Ii censed arId is
<br />not entitled to permitting privileges in 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 Lavl - Homeowner' s Protection Guide" prepared by the Florida Department of Agrl culture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", T cerify that l
<br />have obtained a copy of the above described document and promise Jrl good failh to deliver
<br />it to the "ovmer" prior to corrunencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the informatioll in this application is accurate and that all work 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 illdicated. I
<br />certify that no work or installation has commenced prior to issuance of a perloit 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, I also
<br />certify that I understand that Ule regulations of other governmental agencies may apply l.o
<br />the intended \-IOrk, and that it is my responsibility to identify what acLions 1 must 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, WetIarld Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, 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,ete,", it is
<br />understood that a drainage plan addressing a "compensating volume" will be submi t led vlhich
<br />is prepared by a professional engineer registered in the State of Florida pric)r 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 technical codes,
<br />nor shall issuance of a permi.t prevent the Building Official from thereafter reglliring a
<br />correction of errors in plans, construction, or violations of any code. Every Ilermit
<br />issued shall become invalid unless the work authorized by such permit is cOIllmenced v,ithin
<br />six months of issuance, or if work authorized by the permit is suspended or ahandolled for a
<br />period of six months after the time the work is commenced. One 90 day extensioll of time
<br />may be allo\^led for the permit \dth 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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "lIOTICE OF COMMENCEMENT".
<br />
<br />SIGNATURE:
<br />
<br />OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF'
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by
<br />
<br />acknowledged
<br />2CL-
<br />
<br />STP.TE OF FLORIDA
<br />COUl'I,['Y OF
<br />The foregoing instrument was
<br />Before me this _day of-
<br />by
<br />
<br />acknovd edged
<br />, 2 ()
<br />
<br />(name of person acknowledged)
<br />Owho is personally known to me, or
<br />
<br />(name of persoll acknowledged)
<br />C1ho is personally known to me, or
<br />
<br />Owho has produced
<br />(type
<br />and vlhoO did 0 did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced________
<br />(type of iclenLifjcaj~Lon)
<br />and I'vho Odid CkJid not take all oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknoviledgmenl:
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
|