|
<br />A. NOTIC~ OF DEED RESTRICTIONS
<br />The undersi',:jned understands thai: U)is permit may be subject to "deed restrictions" villi Cll
<br />lllay be mOle restrictive than Ci.ty regulations. The undersigned assumes responsibi lily Fot
<br />compliance l'Ii th any appJ icah 1 e deed restr icU ons.
<br />B. Ul~LICENSED CONTRACTORS AND CONT8.ACTOR RESP01~SIBIL,lTIE:S
<br />If the OI'l11er has hired a contractor or contractors to undertake work, they may be requi led
<br />to be licensed in accordance with state and local reguLations, If the contracl:ol~ is nol
<br />I icensed as required by lal'), both the OI-Iner and contractor may be cited for a misdelllealHH
<br />violation under staLe lavI. If the ovlfler or intended COI1Lracl:or are uncertain as to I-Ihat
<br />licensing requirements lliay appl y for the intended vlOrk, they are advised to cOlll:acL the
<br />City of Zephyrhill s Bui Id; ng Department, 8] ]-)80-0020,
<br />Furthermore, if the ownel has kLred a cOlltracl:or or cOIILractors, he is advised to IIClve 111'"
<br />contract.ol-(S) sign portions of the "Contractor Sections" of this applicatioll for vlhich l-he)'
<br />vlill be responsible. If you, as the owner signs as tlle contractor, you are illdicatinCJ thar.
<br />you, rather than the contr.actor, are responsible for the work, J f the contractor w Lshes
<br />you to sign as contractor that may be an indi cation that he is not properly Jj censed alld is
<br />not entitled to permitting privileges in the City of ZephyrhilJs.
<br />C. TRANSPORTl\TlON JMPl\C'I' n:ES l\ND UTILITY CONNEC'l'Iml FEES
<br />lJ. CONSTRUCTUION LIEN LA\v (CHl\PTER 713, FLORIDA STATUTES, AS AMEllDED)
<br />I certify that I, the appLicant, have been provided with a copy of "Florida's Consl.nwtion
<br />Jj en Law - Homeowner's Protection Guide" prepared by the Florida Department or l\gri cultun~
<br />and Consumer Affairs. If the applicant is someone aLlIer Lhat the "mvner", [ (:er1Jy Illill I
<br />have obtained a copy of the above described document and promise in good fai th to deli vel
<br />it to the "owner" prior to commencement.
<br />E.. CONTRACTOR' S/OWNER' S AE'E'lDAVIT
<br />I certify that all the information in this application is accurate and that a] 1 I-Iork I-ILll
<br />be done in compliance with all applicable la\-Is regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installatioll as indi cated,
<br />certify that no vlOrk or installation has commenced prior to issuance of a penni t and I.hal.
<br />all work \Iill be performed to meet standards of all la\-Is regulat:i ng construction, City
<br />codes, zoning regulations, and land development regulaLions 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 vlhat actions I must take 1.0
<br />be in compliance. Such agencies include but are not lim.i ted to: ~.Depa1tment or
<br />Environmental Regulation-Cypress Baylleads, Wet land Areas and F:nvironmental ly Sens i t i ve
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, We~]and Areas,
<br />Altering Watercourses
<br />*Army Corps of ~ngi.neers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabililat.ive Services, Environmental lIealth {JniL-\l~ells,
<br />Waste\-Iater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is Lo be used in Flood Zone "1\" 01 "1\,elc.", 11 is
<br />understood that a dl-ainage plan addressiny a "compensaLing vO.!llme" will. be sllt.nni\:ted \IIJich
<br />is prepared by a professiona I engineer regi st.ered ill the State of Florida prio] to pelJlli I
<br />issuance.
<br />A permit issued shall be construed to be a 1 Lcense to proceed loJil:l1 t.he \Iork and not as
<br />authority to violate, cance.!, aLter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a permit prevent the Buildiny Official from thereafter requirinCJ a
<br />correction of errors in plans, construction, or violations of allY code. Every permit.
<br />issued shall become invalid unless the work authorized by such permit is commenced wit.l1in
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />ped od of six months aft.er: the time the vlOrk is commellced. One 90 day extellsi on 0 f t Lllle
<br />may be allov/ed for the permit I-lith fee charqe of $15.00. The extension shall be requested
<br />in \Iriting Lo the Building Official. An approved Inspecl:ion nl\lsl: be Ioqged during each "i x
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YUUR Fl\ILURE TO RECORD A tJOTTCE OF COHMENCE~1ENT W\Y HESlJLT IN YOUH
<br />Pl\YING TWICE FOR H1PROVEMENTS TO YOUR PROPERTY. IF YOU HJ'l'END TO OBTAIN FLlJANCIIIG, C:()ll~;UI,'I'
<br />WITII YOUR LENDER OR AI.I ATTORtlEY BEFORE RECORDING YOUR tJOTICE OF COt'lMEHCEt1ENT. ,JOBS UIlllEF
<br />$2,500 IN VALUE DO 0'1' NEED TO RECORD AND POST A "NOTICE OF COM~1Et-J Et"lF:IJT".
<br />
<br />
<br />
<br />STATE OF FLORI Dl\--:D
<br />COUNTY OF ~ c...D
<br />The foregoing instrument wa~cknOWledged , I
<br />Before m:) tl1js~ty of ~Ou.b+-, 20.iLl.t
<br />by I..... v.c,'" ,. Q.~I--
<br />__ JDame of person acknowledged)
<br />Ul--W'ho is personally known to me, or
<br />
<br />STATE m' Fl.ORID1\ <--:-J
<br />COUNTY OF -r~LO ---
<br />The foregoing instrurnel.lt I-Iahdcknovil edged. I
<br />Before me t~d s ~-:.lfX ~.~ ~u...rt- , 20 t2'::t
<br />by ~\AD\~~"- _
<br />_ Ylame of persoll ackno\-Il edged)
<br />(3:jfj'() is personally known to me, or
<br />
<br />
<br />Dwho has produced
<br />(type of identification)
<br />~take an oattl.
<br />
<br />o vlho
<br />
<br />
<br />i () II )
<br />
<br />Signl- .
<br />
<br />()\,rled',jlnen t
<br />
<br />.J
<br />
<br />.;
<br />
|