|
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to "deed reslriclions" \'Ihi ell
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED COITI'RACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, tlley may be required
<br />to be licensed in accordance \.Jith state and local regulations. If the contractor is not
<br />licensed as required by law, both the owner and contraccor may be cited for a misdemeanor
<br />violation under sLate law. If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply for the intended work, the~ ~re advised to contact tIle
<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 \vhich they
<br />vlill be responsible. If you, as the Clvner 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 indica~ion that he is not properly licerlsed and is
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C. TRANSPORTATIOl1 H1PACT 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 Lalv - Homeowner's Protection Guide" prepared by che Florida Department of Agri culture
<br />and Consumer Affairs. I f the applicant is someone other that the "ovmer", 1 ceri fy that 1
<br />have obtained a copy of the above described document and promise .in good faith Lo deliver
<br />it to the "ovmer" prior to commencement.
<br />E. CONTRACTOR' S/OWNER' S AFFI DAVIT
<br />I certify that all the information in this application is accurate and that all vlOrk 1'11.11
<br />be ~one 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 asinclicated. I
<br />certify that no vlOrk or installation has commenced prior to issuance of a permit and that
<br />all work \.Jill be performed to meet standards of all laws regulating construction, C:i l:y
<br />codes, zoning regulations, and land development regulations in the jurisdiction. [ also
<br />certify that I understand that Lhe regulations of other governmental agencies lnay apply to
<br />the intended work, and that it is my responsibility to identify what actions 1 mllst take to
<br />be in compliance. Such agencies include but are not limited to: *Departmelll of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmerltally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetlalld 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 Treatmenc, 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 />understood that a drainage plan addressing a "compensating volume" vlill be submitted Ilhich
<br />is prepared by a professional engineer registered in the State of Florida prior 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 techllical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter reglliri~g a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become invalid unless the "'Iork authorized by such permit is commenced vlithln
<br />six months of issuance, or if work authorized by the permit is suspended or ahandoned for a
<br />period of six months after the time the Ivork is commenced. One 90 day extensIon of time
<br />may be allol^led for the permit Ilith fee charge of $15.00. The ext_ension shall he 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 />WI'I'H YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF Cm'lMENCEt1E,tJT. ,JOBS UNUER
<br />$2,500 IN VALUE DO NOT NE '0 TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />COtJTR~~ Y
<br />
<br />
<br />
<br />STAT8 OF F~IDA
<br />COUNTY OF' n.sC!.C
<br />The foregoing instrument was acknowledged.... (
<br />Bef~ this ~ay of Y\'IOJcA-. , 20J!.:t
<br />b y "-~ I ~ ,). }( -l'f\-"" \'\A lLV-
<br />(name of person acknowledged)
<br />~ who is personally knClvn to me, or
<br />
<br />STATE: OF FLORIDA 'b~s.<...C>
<br />COUNTY OF r
<br />The foregoing instrument was acknowledged
<br />Before me this _day of----, 20
<br />by
<br />(name of person acknowledged)
<br />Qho is personally known to me, or
<br />
<br />Dwho has produced
<br />(type
<br />did not
<br />
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced_______._______
<br />(type of identification)
<br />and \'1110 0 did Qiid not ta ke an Od L 11
<br />
<br />Signature of person taking ackno\vledgmenl
<br />
<br />Name typed, printed or stamped
<br />
|