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<br />~s cDntractor that llaY be an ind1cahDn that ne 1S IIU~"'l"" 'I ........~~- -..- .
<br />City Df Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. . CONSTRUCTION LIEN LAW
<br />
<br />(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
<br />
<br />I certify that I, the applicant, have been prDvided with a copy of "FIDrida's CDnst~uctiDn Lien Law - HDleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is SOleone other than the
<br />"owner., I certify that I have obtained a. copy Df the abDve descr~ed document and promise in gDod faith to deliver it to the
<br />"Dwner" prior tD cOleencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the infDreation in this applicatiDn is accurate and that all work Hill be done in coftpliance with all
<br />applicable laws regulating cDnstructiDn, 20ning, and land development.
<br />
<br />Application is hereby lade tD Dbtain a perlit tD dD wDrk and install~tion as indicated. I certify that nD wDrk or
<br />installation has cOllenced prior to issuance Df a perlit and that all work will be performed to meet standards of all laws
<br />regulating construction, City codes, 2Dning regulatiDns, and land development regulations in the jurisdictiDn. I alsD
<br />certify that I understand that the regulatiDns Df Dther gDvernlental agencies lay apply"to the intended wDrk, and that it is
<br />IY responsibili ty tD identify what actions I lust take tD be in cDllpliance. Such agencies include but ~l e IiDt liaited tD:
<br />
<br />. <I.#'
<br />I Department Df Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~ent. Septic Tanks
<br />I US Environaental PrDtection AQency - Asbestos abatement
<br />
<br />I alsD certify that, if fill laterial is tD be used in Flood ZDne "A" or "A,etc,', it is understoDd th3t a drainage plan
<br />addressing a "CDlpensating volute" will be sublitted which is prepared by a prDfessiDnal engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A perlit issued shall be construed tD be a license to proceed with the wDrk and not as authority to viol~te, cancel alter, or
<br />set aside any provisions of the technical cDdes, nor shall issuance of a perftit prevent the Building Ufficial frDI thereafter
<br />requiring a correctiDn of errDrs in plans; consiructiDn, Dr violations of any code. Every permit iss\l~d ;hall becole invalid
<br />unless the Nork authorized by such pertit is (Ollenced within six months of issuance, or if wDrk authDI Ized by the perlit is
<br />1; suspended or abandDned frlr a period of six lonths after the tise the work is COKlmenced, One 90 day e~tt:nsioll of tile, eay be
<br />allowed for the per~it with fee charge of $15.00. The extension shall be requested in writing tD the Building Official. An
<br />approved inspection must be logged during each six tonth period, (Ir the project will be cr,nsidered ilblilldDned.
<br />.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT ....IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
<br />INTE~ TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DD NOT NEED TO RECORD AND POST A "NOTICE OF COMOENT".
<br />
<br />
<br />SlGNATU ~ / /1__k9? SIGNATURE________Ltf!:.~/I~
<br />~ER OR AGE~T CONTRACTOR
<br />DATE_~~ ~~ ~A------ -- -- . DATE___~~~5r~----
<br />
<br />,,,''''It;' ,t~, -('::/ .",*' , "';
<br />
<br />~AIVa~~;, 4 N~~ ~l' ~.~~f;~1>.' .
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<br />o....t\OTIl \'l ':O.\\OTAnt'.''''
<br />.~ ~V Cot1~~~rO~ EXPIRES__________Mk-------- ~~OMMri!i9tION~' ~IRES_______JIaIIlNk_---
<br />:=: ~' . StItt" ,lIlIi,"n.", = ~ pc,: StItt" FIIIidI......
<br />"-, V'..~ IJ B L \ Co'.' ..,c.niIIiDIl EllpirIs April 20. 1982 '-;. .r'.. t.J B L \ .: MyCamlllissillllExpirlsApril2U192
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