|
<br />A. NOTICE OF DEED RESTRICTION~
<br />Th. undersigned understands that this permit may be subject to "deed restrictions" which
<br />may be more restrictive than city regulations. The unde~signed assumes responsibility for
<br />compliance with, any applicab~e deed re'strictions.
<br />B. - UNLICENSED CONTRACTORS AND CONTRACTOR R~SPONSIBILITIES
<br />If the owner has hired a contractor or co~tractors to undertake wo~k, they may be required
<br />to be licensed in accordance with ~tat~' 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 intended work, they are ~dvised 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 pOftions of the "Contractor sections" of this application for which they
<br />will be responsible. If you, as the owner signs ~s the contracto+, you are indicating that
<br />you, +ather than the cQntractor, are responsible for the work. If the contracto+ wishes
<br />you 'to sign as contractor that may be an indica~ion that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT ~EES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, ~ave 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 applicaqt is ~omeone other that ,the "pwner"; I cerify that I
<br />have obtained a copy of the above qescribed 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 cone in compli,ance with all applicable laws regulating construction, zoning, and land
<br />- development.
<br />Appli~ation is hereby made to obtain a permit to do ,work and installation as indicated. I
<br />certify that no work or install~tion 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 th~t th~ regulations of other governmental agencies may apply ,to
<br />the intended work, and that it is my responsinility 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, Cyp~ess Bayhea~s, Wetlapd Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Sea~a~lsl Dock~, Navigable ~aterways
<br />*Department of Health & Rehabilitative Services, Environmental Health unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmenta~ Protection Agency-Asbestos abatement
<br />I also certif~ 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 r\9giste~~d 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 Shfll issuance of a permit prev~nt the Building Officiq+ from thereafter requiring a
<br />correc ion 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 la
<br />. per:iod of six months after the t~me the work is commenced. OnE! 90 day extension o,f 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 9fficial. An approved inspection must be logged dqring each six
<br />month period, or 'the project will pe consid\9red abandoned. '
<br />WARNING TO OWNER: YOUR FAILURE TO RE~ORD 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 ~N ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,5QQ'IN VALUE DO NOT NEED TO ~ECORD AND POST A "NOTICE OF COMMENCEMENT",
<br />
<br />
<br />d2:/. O~ AGENT
<br />
<br />
<br />STATE OF FLOR.lPJ'. A.'
<br />COUNTY OF ~ J~)--
<br />The foregoi~g i~strument was acknowledged
<br />Befo~ m",": ;o.t1his.. day of~. , 2r11Lf,
<br />by ,.Lb~ ~ ()' ~'-, "
<br />(name of pe+son acknowledged)
<br />~ho is personally known to me, or
<br />
<br />-~~N'CTOR
<br />
<br />STATE OF FLQRIDA Pao ...
<br />COUNTY Of (~
<br />The foregoing instrument,was~~Wledged
<br />Beforec:e t~ ~day ~.f ~ ' 20C/ ""
<br />by ~(\ '~~,'\. ~
<br />(name of pers acknowledged)
<br />~o is p~rsonally known to me, or
<br />
<br />Dwho has produced
<br />(type
<br />and ~d'd not
<br />
<br />of identification)
<br />it ke an oath.
<br />
<br />o wl10 'has produced
<br />(type ot identification)
<br />id not th
<br />
<br />Name typed,
<br />
<br />p son k~nQ acknowledgement
<br />t<.. a HeII'Ia
<br />~ My Commlaslon 00165587
<br />pr e~.~~7
<br />
<br />
<br />~ acknowlepgment
<br />. Mv ~I'lmmlsston DD185587
<br />
<br />
<br />Name typed,
<br />
|