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<br />A. NOTICE OF DEEU R~~T~~~T~UN~
<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 re~ponsibility for
<br />compliance with any applJ.cable deed restrictions.
<br />B. UNLICENSED CONTRACTOHS 1~N:: CONTRACTOR RESPONSIBILITIES
<br />If the ~wner has hired a contractor or contr~ptors t6 undertake work, they may be riqui;ed
<br />to be 11censed in accordance with state and local regu1ation~. 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 ar~ 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 ~Goritractor 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 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, haye b~en 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 inst~llation 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 registered in the State of Florida prior to permit
<br />issuance. '
<br />A permit issued shall,beconstrued 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 />$2,500 IN /~~!;~ NOT NEED TO RECORD AND POST A "NOTICE OF ... ~... ~!rMENT".
<br />
<br />~4".:IL-- z;'r ~
<br />
<br />8~;:~' OWNER OR AGENT 81 AT;RE: C~NT~CTOR
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF HILt.S StOtZ 0 Cl ~ tI
<br />The foregoing instrument was acknowledged
<br />Before me this IZfH day of "'I~IIZ.I '- , 2~'
<br />by Eu$SI/ .....,. HoLLC:-"zI'l"-J
<br />(name of person acknowledged)
<br />~who is personally known to me, or
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF #ILL.ttlo tZou6-;f
<br />
<br />The foregoing instrument was acknowledged
<br />Before me this /2:r1'l day of /lpt2.lL. , 20 at
<br />by EL/$$-1 1'-/. HOI-i..G</I,J
<br />(name of person acknowledged)
<br />~hO is personally known to me, or
<br />
<br />
<br />Owho has produced
<br />(type of identification)
<br />id not~~ke an oath.
<br />)~ C---J
<br />
<br />person taking acknowledgement
<br />
<br />Owho
<br />
<br />has produced
<br />(type of identification)
<br />'d not1tc:;ke an oath
<br />/
<br />~
<br />
<br />
<br />Name t y~f:flf.~~,rEnz:at)etfi Mufl-tft d
<br />gr: '-Jb."!~ Commission # 00527014
<br />....:.4..J!!?/l.1 Expires March 9, 201 0
<br />':f,N;h\' SondedTror Fain -lnsuranCI, Inc 800.385-7019
<br />
<br />Name
<br />
<br />t~~~PEfitafiitR1MD"Mied
<br />~1 :A>~' Commission # 00527014
<br />~ii,~"'f:..1t1.. Expires March 9, 2010
<br />sr... Sonclod Troy Flin -In..,.,nCI, In< 100-385-7019
<br />
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