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<br />A. NOTIGE OF DEED RESTRICTIONS
<br />Th~ undersigned understands that this p~rmit may be subject to ude~d restrictions" which
<br />may be more restrictive than city regulations. 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 cantra,Ftors 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 maybe 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 uCohtractor 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 CONNECTI,ON FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STA~UTES, AS AMENDED)
<br />I certify that I, the applicant, hay~ been provided with a copy 'of uFlorida'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 uowner", 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 uowner" 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 />Appliqation 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 wiil be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land developmerit 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, Wetiand 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 UA" or uA,etc.", it is
<br />understood that a drainage plan addressing a ucompensating 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 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 LEND 0 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C NCEMENT. JOSS UNDER
<br />$2,500 IN V 0 NOT NEED TO RECORD AND POST A '\NOTICE OF ENT".
<br />
<br />
<br />
<br />CONTRACTOR
<br />--...
<br />
<br />STATE OF FLORIDA 'j
<br />COUNTY OF- yO' 6.~47
<br />The foregoin? instfument wa~cknawledged,,;_
<br />
<br />:;fore '7(/t~~AA-f-WP;:W ' 20 ~
<br />
<br />(name of person acknowledged)
<br />~.-3:-spersonally known to me, or
<br />
<br />STATE OF FLORIDA ,,-)
<br />COUNTY OF ~ '1-": .i<.)
<br />The~ore oing in,S, trum, ent was" aCkn" owl edged
<br />Be'fore , tlV-s ~~ of r:;Jti ' 2oa.,r-
<br />by t' ,Q...I.},~,o (J ~Z ,_,,:-
<br />(name' of person acknowledged)
<br />~6 is personally known to me, 'or
<br />
<br />Owho has produced
<br />(type of identification)
<br />a'}d~~did not I tak~,an oath;
<br />
<br />,-< JJ 0 ,.,.,/1 ./. .Lo'Cl /} ~14'\.
<br />-;zz::, #"V !$l>- ' .. ~ "-
<br />Signature of person taking acknowledgement
<br />..'?.';f.~'fif:t.. Bobbie Swetland '" '
<br />4~ MY WMML<;!;\()N II, DD268763 EXPIRES
<br />Name:'.~' pri~ry~1:2Q!lltamoed
<br />"~~'; :i:.~., BONDED THRU TROY fAIN IN$'JRANG, "i!'
<br />
<br />Owho has produced
<br />, ~,(type, of identific, ation)
<br />and ~~~ ? ,~~d n~ ~ake, an oa~h
<br />
<br />'~~I ~,~1-u':;;/;/~A~~
<br />
<br />Signature of person taking acknowledgment
<br />
<br />......\\"':/"""
<br />liD Bobbie Swetland
<br />Name~~,.., :..~ ,~~<i:~~ ~f~~d
<br />
<br />,1Ir. ,\jl. BONDED THRU TROY FAIN INSURANCE, INC
<br />
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