Laserfiche WebLink
<br />A. NOTICE OF DEED RESTRICTIONS <br />Th~ unde~signed understands that this permit may be subject to "deed restrictions" ~hich <br />may be more restrictive than'City regulations, The undersigned assumes responsibility for <br />compliance with anYappiicable deed restrictions. <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES <br />If the owner, has hired a contractor or contr~ptors to undert.ake work, 'they may be required <br />to be licensed in accordance with state and local regulations, If the contractor is no~ <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 application for which they <br />.will be responsible, If you,' .as the owner signs as the contractor;ydu 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 CONNECT~ON FEES ' <br />D, CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STArUTES,' AS AMENDED) <br />I certify that I; the applicant, hay~ 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 "owne.rir 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 compli~nce 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 instaliation as indicated, I <br />certify that no work or installation has commenced prior to issuance of a permit and that i <br />all work will be performed to meet sta~dards of all laws regulating,construction, city ! <br />codes, zoning regulations, and land dev~lopmerit regulations in the jurisdiction. I also I! <br />. certify that I ,understand that the regulations of other governmental agencies may appiy to I <br />the intended work, and that it is my responsibility to identify what actions I must take td <br />be in compliance, Such agencies include but a~e not limited to: *Department of I <br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmehtally Sensitive I <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 Protectiori Agency-Asbestos abatemen~ <br />I also certify that, if fill material is' to be used in Flood Zone "A" or "A, etc." I i"t is <br />understood that a drainage plan addressing a;~'compens~ting'volume" will be sub~itted which <br />is prepared by a professional engineer registered in the state of Florida prior to permit <br />issuance. 1 <br />A permit issued shall ,be ,construed'~o be a licenSe to proceed with the work ~nd not as <br />authority to violate, ,cancel, alter, or set aside any provisions. of the tetJhnical codes; <br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a <br />correction of errors in plans, qonstruction, or violations of any code. Every permit <br />is~ued 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 fBedharge of $15.00, The extension shall be requested <br />in writing to'the Building Official. An approved inspection must be logged during each si* <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 OB~AIN FINANCING; CONSULT <br />WITH YOUR LENDE:R OR AN ATTORNEY BEFORE RECORDING YOURNOT~CE OF COMMENCEMENT. JOB'S UNDER <br />$2,500 IN VALUE DO NOT NEED TO RECORD 'AND POST A "NOTICE OF COMMENCEMENT", <br /> <br />. <br />'. <br /> <br />SIGNATURE: CONTRACTOR <br /> <br />SIGNATURE: OWNER OR AGENT <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />The foregoing instrument was acknowledged <br />Before me. this ~day of ',I 20_ <br />by <br />(name of persor acknowledged) <br />[1ho is personally known to met or <br /> <br />o who has produced <br />(type of identification) <br />and who Ddid O:lid 'not take an oath <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />.The foregoing instrument was acknowledged <br />Before me this _ day of , 2CL- <br />.by <br />. (name' of person a~knowledged) <br />o who. is personally known to me, 'or <br /> <br />o who has produced <br />(type of identification) <br />and wtioO did Odid not take an oath. <br /> <br />Signature of person taking acknowledgment <br /> <br />Signature of person taking acknowledgement <br /> <br />" <br /> <br />Name typed, printed or stamped <br /> <br />Name typed, printed or stamped <br />