|
<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 mlsdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to \;,hat
<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 SectionsH 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 l~
<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 "ownerH prior to commencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that 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 ~ake tc
<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 "AH 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 perffilt 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 ~equiring 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 ,
<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 tee charge of $15.00. The extension shall be requested
<br />in writing to the Building Official. An approved inspection must be logged during each 51
<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, CONSUL
<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 COMMENCEMENTH.
<br />
<br />
<br />~~ 1 f~e~
<br />
<br />S NATURE: '<. NER OR AGENT
<br />
<br />~'"~ -t?d J'(
<br />SI ATURE: TRACTOR
<br />
<br />STATE OF FLORID~~\~ .~
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Bef,\:e me t~ '-\ day of--S~ , 20U-~
<br />by N~ 00R .
<br />_ )..name of person acknowledged)
<br />~o is personally known to me, or
<br />
<br />STATE OF FLORIDA? <::.,.~ ~
<br />COUNTY OF )~ .
<br />The foregoing in trument ~wledZb~
<br />Bef e me thi ~ of ~ ,-
<br />by ,
<br />_ ~m of person acknowledged)
<br />~o is personally known to me, or
<br />
<br />
<br />Owho has produced Dwho has produced
<br />~type of identification) _ {tp:l-.e of identifica.Clor
<br />an'\c"hoOdid g-8id no; 'l an oath. ~nd ~~o 01id'DW8~n~, .:} anoat~
<br />~{.; A. ~_,~ ?C11 '( ~~ . '- ~_A ~ LC')e~ ,~
<br />
<br />Slgnature of person taking' acknowledgement Signature of person taking acknowledgment
<br />
<br />Name t
<br />
<br />~ r ~~lItbfci1opl1ed~
<br />, SabrIna Rae Cant
<br />~ ~ ~ ComoOs,~6326i\
<br />
<br />Of XpII8I ..,.w=""".~,.
<br />
<br />Ndll1e ty
<br />
<br />(/)
<br />
<br />or stamped
<br />NotaIy Public Slate ;'f-;~rl(J~"
<br />Sabrina Rae Cant ~
<br />My Commission 00463;>ti~
<br />Expwes 0811812009
<br />
|