|
<br />1\. tJO'l'ICIc: uF IJE:~:IJ RI~:STF Il"[' IIlllS
<br />The undeJ-sir,jned understands 1 hdl Ulis permit IlIay bE" subject to "deed reslriction:," \'I)li(~h
<br />lIIay be 1I1011'~ restrictivE" than eil y requlat.ions. The \JII(IPr:~3iqnc~d assumes resp()I)sil,j lilV f,'1
<br />cOlllpliance lJit.h any app.licahle deed restrictiullS.
<br />B. lJNLJ CENSEU COtITRAC'I'UI<.S 1\11LJ COllTf>,AC"I'OR IU:SPUIISTBJI,l TIES
<br />If the O\'lller has hired d contract_ol or COlltrdclulS to undertake ItlOrk, tlwy mav be .u~qui led
<br />Lo be Jicensed in aCCOrdalJCe \"ith state arId locaI It"'-l\llat.ions. If the contract-ol .is 11<'\
<br />licensed as required by lal-I, borh the Ol'mer allel cOlllri:I<~tol lIlay IHcO ci.Leel Lor a lIIio;delll('ilIIOr
<br />violation under sl_aLe lall. lf the (!I'mer OJ intended (,uIILract()j. ale 11IIcEoltain a~3 1.(, vlhal
<br />licensinq requirements rllay appJ y for the intended vlOLk, they are advised In t'ulIlacl IIIP
<br />CiLy of (,ephyrhills Bllildinq Department, R13-'78()-U020.
<br />Furthermore, if the owner has hil-eel a cOlltrac\:o[ or cOIILrac:tor:s, he is advised to lldVf; Ille
<br />contractor (s) sign porUons of the "Contra('toI Sections" of thi s applicaU on [or villi <:h t:11P-')!
<br />\cJill be responsible. If you, as the Ovlfler signs as tile contracLor, you ale Ind:i(~alinLJ Ihai.-
<br />you, raLher than Lhe contractor:, are responsi)Jle for I.he vJOrk. I f the conLractol I"i slles
<br />you to sign as contractor that !IIay be an .indical;ion that he is not properly licellsed alld is
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C, TRANSPORTATION H1P1\CT FEES 1l,ND UTILITY C01~NEC'l'ION FEES
<br />O. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided witll a copy of "f'lorida' s COIISt:Ilj(.~L.i on
<br />lien Lal"i - Homeowner's ProLection Guide" prepared by the Flod.ela Department of l\LJl icu.l lure
<br />and Consumer Affails. I [ the applicant: is sorlleone other that the "()\vl1er", I c:el-Uy 111C11 J
<br />have obtained a copy of the above described document And promise in qood faith tr) deU ver
<br />it to the "owner" prlor to cornrnellceIllent,
<br />E. CONTRACTOH'S/OWNER'S AfFIDAVIT
<br />J certify that all the information in tllis application is
<br />be done in compliance I"ith all applicable lavls regulatirlCJ
<br />developroenL.
<br />Application is hereby made to obtain a pel.lnit to du lvork and installatioIl as ind1c:ated.
<br />certify that no 1'lOrk or instal lation has commenced prior t:(Jissuanr~e ot' a perm! t and I.ilat
<br />all Itlork ItJill be perfonned tu meet sLalldalds of al I la\"s regulatinq construct:iun, l:jt y
<br />codes, zoning regulations, and land c1eveloprnellt regulations in llle jur.iscliction. 12Ll,i()
<br />certify tllat I undersLand tllat the regulations of oLher govP.lnmental aqencies may appl \' to
<br />the intended 1'lOrk, and tllal. it is lilY responsibility to identify what: act: ions 1 1i111S! tal:e 10
<br />be in compliance. Such agencies include buL ale not ]lm1 led to: 'Departllleli\ of
<br />Environmental Regulation-Cypress l3aylleacJs, Wet land l\rei1s and F~nvironment:al.1 y SeilS I I i.ve
<br />Lands, Water/Wastel"iater Treatment
<br />~Southltlest Flor.ida Water t1anagement District-vJells, Cypress 8ayheads, Weiland ^.leas,
<br />Altering Watercourses
<br />'Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />'Department of Health & Rehab.ilitaUve Services, Envilonmenl.al lIeaLtll llnit-vJells,
<br />Wastel'iater Treatment, Septic Tanks
<br />'U. s, E:nvirorrrnental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is Lo be used in Flood Zone ")\" or "I\,etc,", il is
<br />understood tllat a drainage plan adclJ:essi ng a "compellsaLi rllJ vol ume" \"i11 be subml tted \ilLi ell
<br />is prepared by a professional engineer regisLered ill I.lle State of FLorida prioJ to permit
<br />issuance,
<br />A permit issued shall be cOIJstrued to be a ll.cense to proceed l"iUl the \'Iork and not as
<br />authority to violate, cancel, alter, or set aside any provisions of the techn:ica.l codes,
<br />nor shall issuance of a peulliL prevent the Buildin',j Official from thereafLer requiring a
<br />correction of errors i_n plans, construction, or via] at ions of any code, Every pelHli t
<br />issued shall become inva] .iel un] ess the work authorized by sllcll permit is cOllllllenced I"ith i II
<br />six months of issuance, or if work authorized by the permit is suspended or abandonee! fOj' a
<br />pedod of six months after: the Lime the vlork is cOlmnencecJ. One 90 day extension of Lillie
<br />may be allo\Ved for the permit l"iith fee charqe of $15,00. The extension sha]l be requested
<br />in Itlriting to the Building Official, An approved inspection must be 10CJLJed dud ng each si x
<br />month period, or Lhe project vlill be considered abandoned,
<br />WARNING TO OWNER: YOUR FAILURE TO HECorW A tloTrCE UF' CO[>1I'1ENCEHEN'I' l-11\Y RESULT III YOUH
<br />PAYING TWICE FOR Il'1PROVEt1ENTS TO YOUR PROI:'Ef<.TY. If' YOU Hl'l'Etlll T() OBTAIN F'[IJAHCIllC~, CClll::;"I,'!'
<br />WITH YOUR LEl'IDER OR JIll ATTORNEY BEFORE RECORDIt~G YOUR NO'I'ICF, OF COfvlMF,HCE1'1EN'I'. ,J<>BS UllLJEP.
<br />$2,500 IN VALUE D NOT NEED '1'0 RECOHD AND POST A "NOTICE OF COMMENC ''1ENT''.
<br />
<br />accurate and that al]
<br />construcLlon, zoning,
<br />
<br />\'10 r:K IV III
<br />and .Land
<br />
<br />
<br />S 1 GNll,'I'UEE:
<br />
<br />
<br />STATE OF FLORI 011, ~
<br />COUNTY OF IQ.aLO
<br />The foregoing instrumen. twas ~ledgecll ,
<br />BP._fore me -hiS~~~~ , 2o.Q't
<br />by '-
<br />~e of erson acknowledged)
<br />19'Who is personally known Lo me, or
<br />
<br />STATE OF' FLORIDA ~\
<br />COUNTY UF' \.JQ....-u. 0____
<br />
<br />The [(JIegoing instrument 1."asr:'lCkn~JvJleclge(\(/
<br />Befol.e me t,\li s J3'Ct....daii of (~AAa , LOCI.+-
<br />by <.. JA<r\ p"-kGJ<- ...-_
<br />(name of person ackllo\"ledqed)
<br />~ personally known to Ille, OJ:
<br />
<br />[J vlha has producecl~____
<br />( type
<br />D(11d Ilot_
<br />
<br />LJ vlho has producecJ_______________
<br />(type uf iclelllificati"ll)
<br />OJi.d llot take an (laLII
<br />
<br />
<br />of ident5.f.i cali 011)
<br />Lake an oat:h,
<br />
<br />
<br />~ Pl..ltilllescstate:GIf~ c; k 1J 0\" led g 1\1 ell L
<br />Elq:i8IOct26.2m1
<br />commllllan # DD2a97O
<br />
<br />IJallle
<br />
<br />J
<br />
<br />ped
<br />:~
<br />
|