|
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands th~t tEll permit: may IH~ s'Jbject to "deed restrictions" which
<br />may be more restrictive than City tl~qulat:ions. The u:1dersigned assumes respons;lbility for
<br />compliance with any applicable dee,d n~st:ric"t:io'1:=.
<br />B. UNLICENSED CONTRACTORS AND CO"iiTHJ\.CTOH R]~SPONS:CBILI'rIl!:S
<br />If the owner has hired a contractct or cont:caC":onl to undertake work, they may be required
<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~ontractor 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 Departmentl 813-788-6611.
<br />Furthermorel if the owner has hired a contractor or contractors, he is advised to have the
<br />cont.tactor(s) sign portions of the "Contractor Sections" of this application for which they
<br />will be responsible. If you" as the owner signs as the contractor, you are indicating that
<br />you, tather thah 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. TnANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES I AS AMENDED)
<br />I c~rtify 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"l 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. CONTRACTORtS/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 regulatin~ construction, zoning, and land
<br />developmetlt.
<br />Applidation is h~reby 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 constructiont City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other ~overnmental 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 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, Cypress Bayheads; Wetland Area~1
<br />Alterin~ Watercourses
<br />*Army Coip~ of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Departmeht of Health & Rehabilitative Servicesl Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify thatl 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 engine~rregistered ih 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 l!l.n'd not as
<br />authority to Violate, cancell alterl 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 vlg1aUons af any ontle. Ehiery permit
<br />issu~d shaH become invalid unless the wod ~uthor:rzel1 by such pertnlt is commenced wlthin
<br />six months of issuance, or if work authorized by the permit is suspended or abando~ed 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 Buildirig Official. An approved inspection must be logged during each six
<br />month periodl or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR tAILURE 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 A'l'TORNEY BgrORE: RECORDING YOUR NOTICE OF COl'1MENCEMENT. JdBS UNDBR
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO CEMENT".
<br />
<br />CO\f!):T1Q~~ 07
<br />
<br />T"l'1''M''''''''''''''
<br />J:' ;_J['J ;..!~ J.
<br />
<br />AFFIDAVIT
<br />
<br />C\.0
<br />SIGNA,TUREI
<br />
<br />:)
<br />
<br />OWNER OR AGENT
<br />
<br />~
<br />
<br />
<br />STATE OF FLdBIDA n.L.. .J
<br />COUNTY OF ~c.'1"> ~
<br />The foregoing instrument was acknowledged
<br />Before me this ~ day of~~, ~~
<br />by '~~r.m t"f\ l' k I nn~ 1> >. \( ~ h
<br />, (name of persoh adkn6wledged)
<br />Dwho is personally known to me, or
<br />
<br />~ho has ptoautJed S+ ~ l)" ue...:s l-\.~
<br />(type of identification)
<br />and whoD did Ddid not take an oath.
<br />
<br />STATE OF FLORIDA C\ . _ /7 { ~ ,
<br />COUNTY OF _~~ ~
<br />The foregoing instrument was acknowledged
<br />Before me this ~day <.?f~YV\,~ cp.~
<br />by ~0~ V"r\ e,J<:'-{ n ~ ~~C\...r...
<br />(name of person acknowledged)
<br />C1ho is personally known to me, or
<br />
<br />~.~~-~
<br />Signature of person taking acknowledgement
<br />....'At,l K
<br />~~'4J.~ aren L. Miller
<br />
<br />Name typed:"iA:ItI:~H'~_Re
<br />~~~... pires r 9,2010
<br />'If,. '-"" T.... ,"'" ' '__,"0 1OO4It-70111
<br />
<br />Ii:J-Who has produced~<-S~ -Dn.J.( 'I.A<:~
<br />(type of identification)
<br />and who Ddid []:lid nO",t take an oath
<br />
<br />~d.~
<br />Signature of person takin~_~cknow1edgment
<br />.t~~~ Kare.n .L. Miller
<br />:~ \~ COmrTllSSlon # DD609664
<br />Nattie typ ...
<br />, ,If,. Bonded TIlIV ,... . 1_, In.
<br />
<br />
<br />{J'
<br />,I
<br />
|