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<br />A.. NOTI~E OF DEED RESTRICTIONS
<br />The, undersigned understands that this permit may be subject to "deed restrictions" which
<br />may be more restrictivetban City regulations. The undersigned assumes responsibility. 'or
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES
<br />If the owner. has hired a contractor or cbntr~~tors to undertake work, 'they may be required
<br />to be licensed in accordance with state and iocal 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 s~ate law. If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />city of Zephyrhills Building Department, 813-780-0020.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign po~tions of the "Gohtractor Sections" of this ~pplication 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, hay~ been provided with a copy of "Florida's Construction
<br />lien ~aw _ Homeowner's.pr6tection 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 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 />Appliqation 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 wiil 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 inolude but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetiand 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 certi~y that, if fili 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 ~nd 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 cnmmenced. One 90 day extensiou of time
<br />may be allowed for the permit with fee charge of "S.DD. The extension shell be re~ested
<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 RECORO A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOOR PROPERTY. It 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 />
<br />a~~/O~
<br />
<br />SIGNATURE: OWNER OR AGENT '
<br />
<br />.,<AI;{ ~ it4&l~WI
<br />SI{:'!f~: CONTRACTOf
<br />
<br />STATE OF FLORIDA fO-..J(!tJ
<br />COUNTY OF
<br />The foregoing instr~ent waLk~cknErledgedO'-
<br />Before me. this vlt~ay;. of 'UK. r, 20 ~
<br />byL .. (ILtL~(}A-(J(:j'-re/J
<br />(name of person acknowledged)
<br />ho is personally known to me, or
<br />
<br />STATE OF FLORIDA Pa.:reo
<br />COUNTY OF ... ,
<br />The foregoing ins~ument wa~a~ledged
<br />Before ~ ,.thiljl ~~ pay Qf . (Q , 20O'S'
<br />by f-U,.,?(U.. Lcr-I2. 4. (J/"Wa.j) .
<br />~ / (name' of person acknowledged)
<br />lBwho is personally known to me, 'or
<br />
<br />o who has produced .
<br />~ (type of identification)
<br />and wlioWdid, Odid not take an oath.
<br />'-'sri lc ~~. ?r.!
<br />
<br />Signature of person aking acknowledgement
<br />NOTARY PUBLIC-STATE OF FLORIDA
<br />~ St::lcif' 711110 .. .
<br />Name type . mmi~n#iUlJUre2d36
<br />Expires: OCI 16, 2009
<br />. Bonded Thru Atlantic Bondin& Co'., Inc,
<br />
<br />o who has produced
<br />/ (type of identification)
<br />and who I1lfid [>>id not take an oath
<br />
<br />. 0;1[4-'~ M . .
<br />
<br />Signature of person taking acknowledgment
<br />
<br />NOiA~V JllmlTr'-SrlXV OF FWRIL
<br />Name_, PS~~~fiNostamped
<br />
<br />Commission # DD482036
<br />Expires: ocr. 16, 2009
<br />Bonded Thru Atlantic Bonding Co., lnc
<br />
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