<br />- ---~..~~u '-V1HK1-I.\...'l'UHS AND CONTRAC:.'O?, ?,'::S?O:-\SIBII,ITIES
<br />Ie the owner has hired a contractor or con<',acto," to "ndertake work, they nlay be required
<br />to be licensed in accordance with state, and local regulations. If the contractor is not
<br />Jicensed as required by law, both the owner and contractor may be cited for a misdemeanor
<br />vi_alation under state law. If the owner OJ: intended contractor are uncertain as to what
<br />licerising requirements may apply for the intended 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, he 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 OWOer 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 LaH - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someon'~ 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 that all the information in this application is
<br />be done in compliance with all applicable laws regulating
<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 Hork 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-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "AU or "A,etc.u, it is
<br />understood that a drainage plan addressing a "compensating volumeu 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 work authorized by such permit is commenced within
<br />six months of issuance, or if work authorized by the 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 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 />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 COMMENCEMENTu.
<br />
<br />
<br />~i1Mr;, ~;jE~~-:~EN'r v,"~~~MtJ:cT~
<br />
<br />
<br />STATE OF FLORIDA~~~ STATE OF FLORIDA
<br />COUNTY OF ~ COUNTY OF
<br />The foregoing instrument vias acknowledged The foregoing i
<br />Bef~re e this ~ day of kn ,~S Before e this
<br />bY(S? ~~(Y'Q('\ by
<br />( ame 0 perso acknowledged) ~
<br />tsl.....Who is personally known to me, or ~o
<br />
<br />accurate and that all work Hill
<br />construction, zoning, and land
<br />
<br />o who has
<br />
<br />
<br />rument Ha~s:5nowledg~~~
<br />day of , .~~
<br />
<br />
<br />Owho has produced
<br />(type of identification)
<br />not
<br />
<br />
<br />Name typed,
<br />
<br />Name typed,
<br />
<br />@ Angela Helms
<br />MY ~F'" 'l!Er" I
<br />Oi~~ ~~ 2007
<br />
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