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<br />A. NOTI~E OF DEED R~~TK~~T~UN~
<br />The undersigned understands that this permit may be subject to "deed restrictions" which
<br />may be more restrictive than city regulatiohs. 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 contr~Ftors to undertake work, they may be requi~ed
<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 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 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 "Contractor Sections" of this ~pplication 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 all 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 />Appli~ation 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 regulations, 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 inolude 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, 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 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 register~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 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 oharge 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 />$2,500 IN VAL} D ~T NEED TO RECORD AND POST A "NOTICE O~COMJ:1E,N:E~ENTII.
<br />
<br />~ ~"~.'{4" ,// /}>.
<br />/ '1(1 L------
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<br />SIG~TURE: CONTRACTOR
<br />
<br />
<br />SIGNAT
<br />,
<br />
<br />acknowledgement
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF lIiLL.511o l?.ou6;(
<br />The foregoing instrument was acknowledged
<br />Before me this /2:111 day of /!PJ2.IL. , 20 C>6
<br />by . EL/S5-? 1'-1. 110 '-LG<I'/,J
<br />(name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />Owho has produced
<br />(type of identification)
<br />~n~ho Od1d ~id n:;J jake an oath
<br />
<br />~~~/~-~
<br />
<br />Signature of person taking acknowledgment
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF . H/I-L.St3tDIZOc1Ctl
<br />The foregoing instrument was acknowledged
<br />Before me this Iz;rH day of "IfJ4.1 f- , 2~'
<br />by cu$5/1 "'1. HCL.L/FtZ14'"'-.J
<br />(name of person acknowledged)
<br />~who is personally known to me, or
<br />
<br />
<br />of identification)
<br />t ke an oath.
<br />
<br />Name
<br />
<br />tYP.~:1~lltuDr.i.nt~deQ;J; .itM\ped
<br />~9.:~-i;."'f~ cllzaD Itn MUllinS
<br />~~.~J:1 Co~mission # 00527014
<br />"'~""'~ Expires March 9, 2010
<br />, ,Waf.' Bonde<! Troy Fa,n .,n.o,*neo, 'ne 800,385.7019
<br />
<br />Name
<br />
<br />t~au~ n.rJ.nt~d ot. stamped
<br />,,~l\':...~ -t:llzaDetfi Mullins
<br />g:[ :&'i~ 'Commission # 00527014
<br />~~if.""'~': Expires March 9, 2010
<br />,If.f,\ Bondod Troy Fo'" ,'nsurance, Inc 800-385,7019
<br />
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