|
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to ~deed restrictions" ,which.
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with 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 state law. If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply for the intende~ work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, h, is advised to have 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 indication that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN 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 Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify that I
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />it to the ~owner" prior to commencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tha~ all the information 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 indicated. I
<br />certify that no work 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 construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. 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 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, Wetland 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-A8be.to.~q.t~ent
<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" will be submitted which
<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 technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any'code. Every permit
<br />issued shall become invalid unless the wo~k autho~i~ed by such permit is commenced within
<br />six months of issuance, or if work author1;edbythe permit is suspended .or abandoned for a
<br />period of six months after the time the work 'is' commenced. One 90 day extension of time
<br />may be allowed for the permit with 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 oonsidered ~bandoned.
<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 "NOTICE OF COMMENCEMENT".
<br />
<br />)1~ 12k ~ 7J--te
<br />
<br />SIGNATURE: ER'OR AGENT SIGNAT RE: C CTOR
<br />
<br />--..----.....,..... '-'.... ...a...o..\4.......4 .6lr.J...l....J..I~v.J.,.J.
<br />
<br />STATE OF FLORIDA 1/ ~ ( 0
<br />COUNTY OF f,
<br />The foregoing instrument was acknOWledg~~
<br />Before me this ~ day oflJf'/l" , 20
<br />by, Gflfr; r?F;;/?F .
<br />_ ~name of person acknowledged)
<br />OhWho is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and whoD did 9'<ffd not take an oath.
<br />
<br />(1AAd il . /1U2
<br />
<br />Signature ~f person taking acknowledgement
<br />
<br />STATE OF FLORIDA "DA Sc. 0
<br />COUNTY OF L.
<br />The foregoing instrument wa~knowle~ed
<br />Before me t.9j.s 20 day of /-/MaL , ~
<br />by allEC W8F
<br />~~(name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />Owho has produced
<br />~pe of identification)
<br />and who Ddid EJfid not take an oath
<br />
<br />1k II- ~
<br />
<br />Signature of person taking acknowledgment
<br />
<br />B{2ucE /I, 4SBEL
<br />typed, ~~~~Rk>e~tamped
<br />!~ .; My Commission 00116710
<br />~ 0,,..'.1' Expires June 22, 2006
<br />
<br />Name
<br />
<br />Bf?vcE tJ, 4SrJf L
<br />typed, printed or stamped
<br />.,P a\. Bruce A A6be1
<br />!~ .; My Commission 00116710
<br />~o,,..df Expires June 22. 2006
<br />
<br />Name
<br />
|