|
<br />A. NOTIC.E OF DEED RESTRICTIONS
<br />Ths undersignsd understands that this permit may bs subjsct to "dsed rsstridions" which
<br />may be mars rsstrictivs than City rsgulations. Ths undsrsignsd assumss rssponsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES
<br />If ths ownsr has hirsd a contractor or contractors to undsrtaks work,thsy may bs rsquirsd
<br />. . ~
<br />to bs licsnsed in accordancs with stats and local rsgulations. If ths contractor is not
<br />licensed as required by law, both the owner and contractor may be cited for a misdemeanor
<br />violation under stats law. If ths ownsr or intsndsd contractor are uncsrtain as to what
<br />licsnsing rsquirsmsnts may applY for ths intendsd work, thsy ars advissd to contact ths
<br />City of Zephyrhills Building Department, 813-780-0020:
<br />Furthsrmors, if ths owner has hirsd a contractor or contractors, hs is advissd to havs ths
<br />contractorlsl sign portions of ths "contractor.Ssctions" of this ~pplication for which thsy
<br />will bs rssponsibls. It you, as ths ownsr signs as ths contractor, you ars indicating tbat
<br />you, rathsr than ths contractor, ars rssponsibls for the work. Jf ths contractor wishss
<br />yoU to sign as contractor that may bs an indication that hs is not propsrlylicsnssd and is
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTI.ONFEES .
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I csrtify that I, ths applicant, hay. bssn providsd with a copy of "Florida'S construction
<br />lisn Baw _ Homsowosr's.protsction Guids" prsparsd by ths Florida Dspartmsnt at Agriculturs
<br />and Consumsr Affairs. If ths applicant is someons other that ths "ownsr", I csrify that I
<br />havs obtainsd a copy of ths above describsd documsnt and promiss in good faith to dslivsr
<br />it to the "owner" prior to conunencement.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />I csrtify tbat all ths information in this application.is accurats and that all work will
<br />bs dons in compliancs with .all applicabls laws rsgulating construction, zoning, and land
<br />development.
<br />Application is hsrsby made to obtain a psrmit to do work and installation as indicatsd. I
<br />csrtify that no work or installation has commencsd prior to issuahcs of a psrmit and that
<br />all work wiil be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land developmerit regulations in the jurisdiction. I also
<br />csrtify that Iundsrstaod that ths rsgulations of othsr govsrnmsntal agsnciss may apply to
<br />ths intsndsd work, and that it is my rssponsibility to identify what actions I must taks 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 bf 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 csrtify that, if fill matsrial is to be used in Flood "ons "A" or "A,stc.", it is
<br />undsrstood that a drainags plan addrs.sing a "compsnsating volume" will bs submittsd which
<br />is prsparsd by a proIsssional snginssr rsgistsred in ths stats of Florida prior to psrmit
<br />issuance.
<br />A psrmit issusd shall.bsconstrusd to bs a licenss to procssd with ths work and not as
<br />authority to violats,cancsl, altsr, or sst aside any provisions of ths tschnical codss,
<br />nor shall issuancs of a psrmit prsvent ths Building Official from thsrsafter requiring a
<br />corrsction of srrors in plans, construction, or violations of any cads. Evsry psrmit
<br />issusd shall bscoms invalid unless ths work authorizsd by such psrmit is commsncsd within
<br />six months of issuancs, or if work authorizsd by ths psrmit is suspsndsd or abandonsd for 'a
<br />psriod of six months aftsr the tims.the work is commsncsd. Ons 90 day sxtsnsion of tims
<br />may bs allowsd for ths psrmit with fse chargs of $15.00. Ths extension shall bs rsqusstsd
<br />in writing to.ths Building Official. An approvsd inspsction must bs logged during sach six
<br />month period, or the prbject 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, 50~ IN VALUE DO NOT NEED TO RECORDANO pOST A "NOTICE? COMMENCEMENT".
<br />
<br />"'_, r l 0 . /J /
<br />,-~>('^.L (1.1-\ \.I.1\N r~M6L .' IVVi
<br />SIGNATURE: OWNER OR AGENT. ... ,; ORE: CONTRA OR
<br />
<br />STATE OF FLORIDA j) M. ST TE OF FLORIDA
<br />COUNTY OF .tJ;1.e:J.l/'-' COUNTY OF
<br />Ths forsgoing ins~snt w~ a?k~owledgsd _ The fotsgoing instr~t was~~OWlSd9sd
<br />~;forTJJ,,~'&.1e~iJP~ , 2~. :;fOrs met~~m~J~r ,20O-Lp
<br />
<br />~} (nams of psrson acknowlsdgsd) . -,"ame of person ac owledgsdl
<br />ij<who is psrsonally known to me, .or E- ~ is personally known to ms, or
<br />.1.!,. .\./1 ~ l~. D1~3~1 ~ .
<br />lJ!I" who has produced lfIOt ,/,)( rY t./J/ t" J. _~~"1. /J
<br />(type of identification)
<br />
<br />and ~~i~;;~ an oath. . and
<br />
<br />Signaturs of pHson taking aCknoWlSdgSmsn~
<br />
<br />
<br />
<br />D who has produced
<br />(type of iden ification)
<br />not oath
<br />
<br />
<br />of person
<br />
<br />Name typed,
<br />
<br />uth 0 Forrester
<br />pr lWf1ColllmiBIUP I3W 38462
<br />~~' " R Exnires AUgust 01 2006
<br />.~O,~~ t'.
<br />
<br />
<br />Name typed
<br />
<br />~Y.'"4"
<br />
<br />'i' ted
<br />~1'Of.I\~'\-
<br />(407) 398.015'
<br />
<br />or stampect469894
<br />
<br />.~, 2009
<br />\:"1 Service.com
<br />
|