|
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Th~ unde~signed understands that this permit may be subject to "deed restrictions" ,~hich
<br />may bemorerestiictive 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 regulaticns. If the contractor is no~
<br />lieensed 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 />I . "
<br />contractor (,s) sign po+tions of the "Gohtractor. Sections" Of this application for ~hich they
<br />.will be responsible. If ydu,' .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 STArtiTES,' 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 abcve tl~scribed document and promise in good faith to deliver
<br />it to the "owne.r" prior to commencement.
<br />E. . CONTRACTOR'S/OWNER'S AFFID~VIT
<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, zoningt and land
<br />development. .
<br />Application is hereby made to obtain a'permit to do work and instaliation as indicated. Ii
<br />.' '
<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 sta~dards of all laws regulating construction, City
<br />codes, zoning regulations, and land developmerit regulations in the jurisdiction. I also I
<br />certify that I .understand that the regulations of other governmental agencies may apply 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 Environmentally Sensitive I
<br />Lands, Water/Wastewater Treatment' I
<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 Treatcient, Septic ~anks' . .
<br />*U.S. Environmental Protectiori Agency-Asbestos abatemen~
<br />I also certify that, if fill material is to be used in FloC?d Zone "A" or "A, etc.", !-t is
<br />understood that a drainage plan addressing a::'compensa,ting 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'~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 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
<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 feedharge of $1.5.00. The extension shall be requested
<br />in writing to'the Building Official. An approved inspection must be logged during each sit
<br />month period, or the project will be considered ~bandoned. .
<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 LEND~R OR AN ATTORNEY BEFORE RECORDING YOUR. NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD 'AND POST A 'INOTICE OF COMMENCEMENT".
<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 ~ay of '-, 20_
<br />by
<br />(name of persor acknowledged)
<br />[1ho is personally known to me; or
<br />
<br />o who has produced
<br />(type of identification)
<br />and. who Ddid Oiidnot take an oath
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The fcregoing instrument was acknowledged
<br />Before me this _ day of , 2CL-
<br />.by
<br />, (name' of person acknowledged)
<br />Owho_is person~lly known to me, 'or
<br />
<br />o who has producep
<br />(type of identification)
<br />and wnoO did 0 did net take an oath.
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Signature of person taking a~knowledgement
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
|