<br />A. tlOTIO~ OF DEE:U RESTfUCTIOI,IS
<br />The undersi'd'ned understands I:hal: this pennit may be subject. to "deed restrictio/ls" vllIic:l1
<br />may be lIIore restricl.ive than Ci,ty regulations. The llndelsiqned assumes respollsild 1 it.V h)1
<br />compliance \'lith any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AI'll) CONTRACTOR RESPOIJST 81 L l.TU:S
<br />If the OI,mer has hired a contractor or contractors to undertake vlork, they may be requi reel
<br />to be 1 icensed in accordance ,-lith state and local reguLations. If tile cord'rac:tor is /101
<br />1 icensed as required by Jaw, both tile ol'iner alld conl:lactor may l,e cited lor a lIIisdellleallor
<br />violation under stale 10.,,1. If the o"mer or intended c:olllracl'.or are uncertain as to I"hat
<br />licensing requirements lIIay apply for tile intended vlark, they are advised to cU/ltacl, the
<br />City of Zephyrhills Bui ldi nq Department, RJ 3-'/HO-(j020.
<br />Furthermore, if the owner has hired a cOlltract:or or cO/ltractors, he .i s advised to have I.lip
<br />contractor(s) sign portions of the "Contractor Sectio!ls" of this appliL;alion for vJhich tllt;V
<br />vJi]l be responsible. If you, as tile owner signs as tile contractor, you ale illd.icaLinq l.lial
<br />you, raLher than the contractor, are responsible for the \-Iork. If the conLI:ac:tor wishes
<br />you to siyn as contractor that may be an indical;ion that he is not properly licellsed dlld is
<br />not entitled to permitting privileges in the City of ZephyrhilJs.
<br />C. TRl\NSPORTI\TlON J[v1PI\C'I' FEES AND UTILITY cot'mEC'l'Iot-l FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORJDA STATUTES, AS AMENDED)
<br />I certify that I, the appLicant, have been provided \-IHh a copy of "f'lorida's CO!lstrur:I,ion
<br />l.ien Law - Homeowner's Protection Guide" prepared by the FluriJa Department of l\qr icuJl.uJf"
<br />and Consumer Affairs. If the applicant is someone other that the "owner", r ceriiy 1 hat I
<br />have obtained a copy of the above described ducument and promLse in (Juod faith I(l deliver
<br />it to the "owner" prior to commencement.
<br />E. CONTRACTOR' S/OWt'JER' S AE'E'J DA\l1 '1'
<br />J certify that all the information in this application is accurate and that all \'lork Ivitl
<br />be done in compliance with all applicable 1a,'ls requlating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a pennit to do \"cnk andi.nstal.lali.oll as indicated.
<br />certify that no vlork or instal Lation has commenced prior to issuance of a penni I dlld Lila!
<br />0.1] work v1ill be performed to meet standards of al L la\-ls regulaUnq construcl:.iun, Cily
<br />codes, zoning regulations, and land development reguJaLiuns in the jurLsdictio/l. I al~3o
<br />certify that I understand that: Ule regulatjons of other governmental agencies IlIdY apply 10
<br />the intended 1'lOrk, and thaI, it is my responsibility to identify vlhat: actions I mllst: tal:e 10
<br />be in compliance. Such agencies include but are not limited to: "Department of'
<br />Environmental Regulation-Cypress Bayl1eads, Wet land Areas and E:nvirolllnental Ly Sens i Li ve
<br />Lands, Water/Waste\"ater Treatment
<br />.Southwest Florida Water Managemerlt District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Deparl:mellt of Heallh & Rehabilitative Services, EllvironmenLal lIeaLth 11IdL-\rvelJs,
<br />WasteHater Treatmelll:., Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood ZOlle "II" or "/\,etc.", il is
<br />understood that a drainage plan addressing a "compensaling vol IllTle" will be submi tted ,lid cll
<br />is prepared by a professional engineer registered ill Lhe State of l"lorida prior tu pellld t
<br />issuance.
<br />A pennit issued shall be construed to be a license to proceed Hith the Hark and not as
<br />authority to violate, cancel, alter, or set aside any provisions of the techn.ical codes,
<br />nor sl1all issuance of a permil prevent the Building Official frolll tllereafter reqllirinq a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become invaliJ unless the vlurk authorized by such penni\: is commenced HiLhi/l
<br />six months of issuance, or .if Hork authoriz.ed by the permit is suspended or abandoned for a
<br />period of six IlIonths after the Lime the vlork is commenced. One 90 day extellsion of tillle
<br />may be alLo\-led for the pennit v-lith fee charqe of $15.00. The extensioll sl1al I be requested
<br />in vlriLinq to the Building Official. An approved inspection HIIISt be loqqed during each six
<br />month period, or [,he proj eeL \'Iill be considered abande,ned.
<br />WARNING 1'0 OWNER: YOUR FAILURE TO RECOI~[J A lJOTTCE OF' C:OHlvJENCEHENT ~11\Y RESULT III YOUR
<br />PAYING TWICE FOR lt1PROVEMENTS TO YOUR PROPERTY. 1 f' YOU INTEND TU OBTAIN F (IJl\IK:UW;, (:()IJ~~IILT
<br />WITH YOUR LEl'lDER OR l\tl 1\TTORtJF;Y BEFORE RECORDHJG YOUR l'lO'I'JCE OF COHME:t'lCE:t'1Etn'. ,JOBS UIIIIEI{
<br />$2,500 H1 VA E DO NOT NEED TO RECORD ANi) POST A "NOTICE UF' COt1MEN ,'HEI1T".
<br />
<br />
<br />
<br />STATE UF FI,()Rl~
<br />COUNTY Of' Ya..oC 0
<br />The foregoing instrument wa~~"ledge~ J
<br />Before ~e this~ day ~ __, 2C2_~
<br />by <... VQ\ ~ ~
<br />__ ~ of person acknowledqed)
<br />~o is personally known La me, or
<br />
<br />STATE OF Fl.ORI lJI\ ~
<br />COUIJTY OF a.a..c 6 _____'_'___
<br />T. he foregoing instrument \.-Ias aCk..nyvJledge.d ({
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