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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subjecl: to "deed restrictions" I^lhich
<br />may be more restrictive than City regulations. The undersigned assumes responsibiJity for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors 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 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 portions of the "Contractor Sections" of this application for which they
<br />Ivill be responsible. If you, as the owner signs as the contractor, you are indicating I.hat
<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 aneJ 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 "ovmer", T cerify that T
<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 />Application 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 0
<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 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.8. 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 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 req\liring 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 vii Uli n
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned [or a
<br />period of six months after the time the work is commenced. One 90 day extension of L i.me
<br />may be allowed for the perr~it 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 sjx
<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, CONSUT,T
<br />WITH YOUR LENDER R AI' TORNEY FORE RE RDING YOUR NOTICE OF COM C7/f;E'MENT'. JOBS l m.'
<br />$2,500 I VALUE D N ED TO CORD N POST A "NOTrC OF COM EN '~1 NT"'. II
<br />
<br />1)..) /
<br />
<br />
<br />STATE OF FLORWA ,r
<br />COUNTY OF ~ C,-,)
<br />The foregoing instrument was acknowledged
<br />Before me this ~ day of r'r\cvY ,,;2UOr'J
<br />by l;2~ \ \ I a '''''' ~~C I l ("-f.Jl )~e.. ~~
<br />(name of person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />~ho has producedJ5IZ\l'2 Ll c.. - PC,
<br />(type of identification)
<br />and whoD did D did not ta ke an oath.
<br />
<br />~~ <:0~~
<br />
<br />Signature of person taking acknowledgement
<br />""p!. K
<br />~~f"L..~~ aren L. Miller
<br />;;'f :~ Commission #
<br />Name type ~.. ~16xpires:Octob8lt29;l2010
<br />...~ IOnded Troy Fain - Insurance. tnc 800-385--7019
<br />
<br />
<br />
<br />STATE OF FLORIDA n
<br />COUNTY OF \/c>-oC 0
<br />The foregoing instrument Ivas acknovJ.l edged
<br />Before me this ~day of ~. , 20 0'7
<br />by
<br />(name of person acknowledged)
<br />Dvho is personally known to me, or
<br />
<br />~vho has produced j) 20 f:: \.-., c:- - \~
<br />(type of identiLicatioll)
<br />and \vho DeEd Odid not take an oath
<br />
<br />~ c~~~.
<br />
<br />Signature of person taking acknov!ledgmeI1t~
<br />
<br />Name typed,
<br />
<br />, ' ~tt. Karen L. Miller
<br />..... -.-,
<br />
<br />~i ~a . .~~B 2010
<br />~:'4',,' . ~fe.~ Expires October 29,
<br />'41,fi:ih~"''' BondlJd Trc, F.irl . INlllraM_\ 1M 1Q04I.101.
<br />
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