|
<br />..., ""H .."'''''"-,,.. VI'\I" ... ........'U'.uU4~.. ~IW4III1\,l
<br />
<br />I'll. I1V, vir IOU-UUtl
<br />
<br />r. UUl
<br />
<br />A. NO'L'l~E or DUD RI:STRIC1'IONS .
<br />Thll. Wlc:leui9ned W\derstancl8 that this permit may be subject to "deed restrictions" which
<br />may Of! more restrictive thanC1ty requlation". The undersigned a.sume. re.pons~bility for
<br />conpIiance with any applicable deed restrictions~
<br />.S. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S
<br />It the owner ha" hired a contractor or contractcre to undertake work, . they may be required
<br />to be 11cenaed in accordanclI with "tate and local requlations. If the contractor i. not
<br />licensed as required by law, both the owner and ccntractor may be cited for a &isdemeanor
<br />vlolation under state law. If th.'owner or intended contractcr are uncertain &a to what
<br />licensing requirements may apply tor the intended work, they are advised to contact the
<br />City ot Zephyrhills Building Department, 813-780-0020.
<br />rurtherlllore,. if the owner has hired a cOntractor or contractora, he is advised to have the
<br />contractorlsl sign po+tlons of the "Contractor Sections" of this applioation tOr which they
<br />will be responsible. It you, sa the owner siqna as the oontractor, you are Ind1ceting that
<br />you, rather than the contractor, are reaponsible for the work. .If the contrActor wishee
<br />you to .1g".. contractor that may be'an ind1oa~lon that' he is not properly licensed and is
<br />not entitled to permitting privilegea in the City or Zephyrhills.
<br />C. TRANSPORTATION IHPACT ftES AND UTILITY CONNECTION rEZS
<br />D. CONSTIlOCTUION LIEN LAw (ClIAPTtP. 713, !'LOalDA STATUTl:S, AS AMENDED)
<br />I oertify that I, the applicant, haye been provided with a copy'of -rlor1da's Construction
<br />11en Law - Homeowner's.Protection Guide" prepared by the rloridA Department at Aqrloulture
<br />and Consuraer I'.ffAir5. If the applicant 1e someone other that the "owner", I cerity that I
<br />have obtalned a copy ot the above described document and promise 1n qood faith to deliver
<br />it to the "owner" prior to cOlMlenCelllent.
<br />E. CONTRACTOR' S/OWNER' S AfFIDAVIT
<br />I certify thAt all the information in thia appliCAtion is accurate and thAt all work will
<br />be done in compliance with all applicable law5 regulatlnq construction, zoninq, and land
<br />developnent.
<br />Appliqation 1. heraby made to obtAin a permit to do work and instaIiation a. 1~o.tQd. I
<br />Certify that no work or installation has camn.nced prior to i.auahoe of a permit and that
<br />all WOrk will be pertormQd to meet standard. of all laws requlating construct1on, City
<br />codes, zoninq requlations, and land' development regulations in the juri.diction. I also
<br />certify that I understand that the reoulation8 ot othllr governmental agenci.. ~y appiy to
<br />the intendea work, ana that it 18 my reeponaibility to identify wn.t action. I lIluat take to
<br />be in compliance. Such Agencies include but are not limited to: .Department ot
<br />Environmental Requlation-Cyprass Bayheads, Wetland ~rea8 and Environmentally Sensltive
<br />LandA, Water/Wastewater Treatment
<br />'Southw~st rlorida Wat~i M~nagement D15trict-Wells, Cypre.s Bayheads, Wetland Areas,
<br />Alterlnq Watercourse8
<br />'Army Corps of Engineers-Seawalls, Docks, Navlqabla Waterways
<br />'Department or Health ~ Rehabilitative Servicea, Environmental Health Dnit-Well.,
<br />"'aatewater Treatment, Septic Tank.
<br />'U.S. ~vironaantal Protection Agency-h3best05 abatement
<br />1 also certify that, if fill m4terial i8 to be u8ed in rlood Zone -AN or "A,etc.H, it i.
<br />understood that a drainage plan addressinq a -oo~ensating volumeN will be submitted which
<br />1. prepared by a protessional engineer registered in the State ot rlorida prior to perMit
<br />188uance.
<br />A perDlt issued shall.be construed to be a licensll to proceed with the work and not as
<br />authority to violate, cancel, a.lter, or set a.ide. any provisions or the technical codee,
<br />nor shall issuance ot a permit prevent the Bul1dlnq Ottioial ircQ thereatter requiring a
<br />correction or srrors in plans, construction, or violations ot any code. Every permit
<br />issued shall bec~ invalid unle.s the work author1zed by such permlt ls commenced within
<br />.1~ ~nth. or i..uance, or it work authorized by the pernit is auspended or abandoned tor'.
<br />period of six Ronths after the time. the work is co~enced. One 90"d&y extension of tine
<br />mAY be allowed tor the permit with fee charqe ot $15.00. The extension 8hall be requested
<br />in writ1nq to 'the Building attioial. An approved in8pectionmust be logged during each six
<br />month period, or the project 101111 be cOnaiderlld abandoned.
<br />Wl'.RNING TO OWNER: rOOR !"l\ILORE TO RECOaO A NOTICE or COMMENCEHEN'l' HAY RESULT ni YOUR
<br />PAYING TWICE roR INPROVEHENTS TO'rODR PROPERTY. IF rou INTEND TO OBTl\IN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY iu:roRE RECORDING YOUR IIOTICE 05" COMMENCEMENT. JOB'S UNDER
<br />$ , 00 IN VALUE 00 NOT NEED TO RECORD AND POST I'. "NOTICE OF COHMENCEWENTN.
<br />
<br />
<br />SIGNATURE I CONTRACTOR
<br />
<br />STATE or F:J1/Ft . I--
<br />COONTY or . <:'(JA r D () ~
<br />The toreqoinq ip,t~.nt was (OlknOwledged
<br />Bef e e thb .J..J.42:.."9ay ot (I.- .!.-f .2~<<l.(.
<br />by
<br />
<br />acknowleagQd)
<br />known to m., or
<br />
<br />ST~TE OF rLORlDA
<br />COUNT\, or
<br />The toregoing instrument was
<br />Before lI\e this ---Siay of
<br />by
<br />
<br />acJcnowledged
<br />,20_
<br />
<br />
<br />(name ot peraon Acknowledged)
<br />~ho 18 peraonally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and who Odid DUd not take an oath
<br />
<br />Signsture of per80n taking aCkncwledqQent
<br />
<br />N~ typed, printed or stamped
<br />
<br />N&me typed, printed or st$mped
<br />
<br />MONICA L. WATSON
<br />NOTARY "WUc.~,.. OIl ~
<br />COMMISSION tI 00481917.
<br />EXPIRES &f1712OO9
<br />8ClNI8THRU' ~AA'I1
<br />
|