|
<br />'. )" <.i I. J ....: \..-" 1. ~. '....J) ,'. .'._,_ -'. J \..'. L -'.. .1..11 \. V .\.. J..
<br />
<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 ~sdemeanor
<br />violation under state law. If the owner or intended contractqr 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, 813-788-6611.
<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 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, 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 ~owner" prior to commencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that ~ll 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 r~gt1lations, 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 Envi~onmentally 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 AgEmcy-Asb~stos abatement
<br />I also certi fy that, if fill ma te.tial is to be used in Flood Zone ~A!' 0r ".1\., etc. ", it .is
<br />understood tildt 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 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'~NEED TO RECORD AND POST A "NOTICE OF COHM ENT".
<br />
<br />
<br />
<br />SIGN . OWNER OR AGENT S CONTRACTOR
<br />
<br />
<br />STATE OF FL~A ,\ l n STATE OF FLORIDA' \') " l ( ..',
<br />COUNTY OF \ i ~e. v t:l::. COUNTY OF I ~\.:<: j..l)
<br />The foregoing in~trument was acknowledged The forego in? instrument wa~ ackno~ledged. .
<br />tlet~e. me this I day of rY\~C}(2.c.I-....., -rg-,9C'C'k" Before_\!e thJ.s I...- day of. \,p,g C' ~. ' -t-9,liY k
<br />by ~ \.l <::'<::,t: \ I ~ (.'1('" '\:)<:0, c'\"--' by U ,,~,e I \ \ he Vh y~c.\-- ~.,..-,
<br />(name of person ack~owledged) (name of person acknOwledgedj
<br />~who is personally known to me, or ~ho is personally known to me, or
<br />
<br />o who has prOd\lCed ,--------.----"-
<br />(type of identification)
<br />and whoD did /fV1did not take an oath.
<br />
<br />\'\\li- lG' ~ \ l Cr0-tC'-0'~ (c'-
<br />
<br />signature~of person taking acknowledgement
<br />
<br />,~:.~(J~i>' MYRA SUE UlATOWSKI
<br />~~... M:t~13316N' BB 34&823
<br />Name typed, printed t"Eh~S:"ugust29.2008
<br />'\ ...,,<>'" BO!lded Thru Budget Notal'f Services
<br />'l;OFfc'-"
<br />
<br />
<br />o who has produced -----------..-
<br />(type of identification)
<br />o did, , 1Sliid~ol t~kean oath
<br />
<br />^--<- lll~c/_.l J ~.
<br />
<br />taking acknowledgment
<br />
<br />~'~~:'~~~i> MYRA SUE ULATOWSKI
<br />
<br />Name typed, pri~<J{~~~
<br />"'~<>'" Bonded Thru BudgtI Nolary SIMees
<br />-~OFf\.'-"
<br />
|