|
<br />A. NOTICE OF DEED RESTRICTION$
<br />Th~ undersigned understands that this permit may be su~ject 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 po~tions of the "Contractor Sections" of this application for which they
<br />will be responsible. If you, as the owner signs ~s the contraato+, ~ou are indicating that
<br />you, rather than the cQntractor, are responsible for the work. If the contractor 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 FEES 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 ~o~eone 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 />Appliqation 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, C~ty
<br />codes, zoning regulations, and land'development regulations in the jurisdiction. I also
<br />_cer~ify that I understand th~t th~ regulations of other governmental agencies may apply ,to
<br />the intended work, and that it is my responsioility 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~ls, 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 certify 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~giste~~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 ?s _
<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 Officia~ from thereafter requiring a
<br />correc ion of errors in plans, constru9tion, 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 />-pe~iod of six months after the t~me the work is commenced. On~ 90 day extension ~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 ~fficial. An approved inspection must be logged d~ring each six
<br />month period, or 'the project will pe consid~red 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 />$2,500'IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />
<br />STATE OF FLORID)\'
<br />COUNTY OF - .... .
<br />
<br />The foregoi~g instrument waiY1cKnowledged
<br />Before e this day of O,A)h, 2~
<br />by
<br />(name of per
<br />~ is personally
<br />
<br />
<br />acknowledged)
<br />known to me, or
<br />
<br />o who
<br />
<br />
<br />f identification)
<br />t ke an oath.
<br />
<br />Name typed,
<br />
<br />ers~ ta~ ~nowledgement
<br />
<br />~t M,~D01"'"
<br />print~ ~~o;s.zuu,
<br />
<br />
<br />ot identification)
<br />ake an oath
<br />
<br />Name typed,
<br />
<br />person taking acknowledgment
<br />,,'It.. Angela Helms '
<br />~~ My eommission 00185587
<br />
<br />prin ~~Pi!lll!~~8J, ,,001
<br />
|