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<br />CONDITIONS O~ PERMIT AF~IDA T
<br />p, . I'JOT I CE OF DEED F:~TI~l!=T I OI\I~~~
<br />The undersigned understands that this permit may be subject to Oded festlidicn:' ,,!'!ich ~"Y be roore restrictive than eit}
<br />regulations. The undersigned assules responsibility for compliance "ith Jny "pplicatle ~['ed restrictions.
<br />
<br />B. LLt:1L I CEJ~0~]LJ~g,l'::LIJ3.ACI.~1.I3!l_!?d::-lp <::::~OI\ITF;:r)Cn'lr\ PEf"]PU!\I:::; I D H,I T I [::~;
<br />If the owner has hired a contrachr or c()ntradors~t;; lI~d;;'~t.;k~~;;~~~I~; -tJ;;~~;-~~';):b~~~q;~i~';dt'~,--l;~li'censp.d in accc,rdi1nr~ with
<br />state and local regulations. If the contractor is not licensed as required by law, both the o"ner and contractor may be
<br />cited for a Gisdeoeanor violation under state law. If the Dwner Dr intended contractor ~re uncertain as to "hat licensing
<br />require!ents aay apply for the intended work, they are advised to contact the City of Z~nhyrhills Building Department, (8131
<br />788-6611.
<br />
<br />Furthersore, if the owner has hired a contractor or contractors, he is Jrlvised to hJve the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for which they Mill be responsible. If you, as the onner sign 2S the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the Hork. If the contractor wishes you to sign
<br />as contractor that may be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TF:ANSF'ORT(~Tlm'l H1PACT FEES AND UTII=-..:.ITL..Gm'li'il~T':I.IJ;:II\! FFE~3
<br />
<br />D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copi of 'Florida's Construc~ion Lien La" - HO~eD"ner'S Protection
<br />Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If t~e, applicant is so~eone other than the
<br />'owner', I certify that I have obtained a copy of the above described docUDent and promise in good faith to deliver it to the
<br />'owner' prior to co~mencement.
<br />
<br />E, CmHF:riCTOF-:' S/mH\j.El~: 1 S P,FFIDAVL:C
<br />I certify that all the information in this application is accurate and that all Hork "ill be done In co~pliance with all
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work Dr
<br />installation has co~~enced prior to issuance of a permit and that all HorK will be perfor~ed Ie' meet standards Df all laws
<br />regulating construction, City codes, zoning regulations, and land development re~ulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to the intended norK, and that it is
<br />flY r1rsponsibility to identify what actions I r.lUSt take to be in cOf.pliance. Suc,h agl'ncies include but are not liflited te,:
<br />f Depart~ent of Enyiron~ental Requlation - Cypress Bayheads, Hetland Areas and [nyirDn~entally Sensitive Lands,
<br />Hater/Wastewater Treatment
<br />f Southwest Florida Hater Manaqe~ent District - Hells, Cypress Boyhoads, Hetland Areas, Altering WatercourSES
<br />f Ar~y CorDs of Enqineers - Seawalls, DOCKS, Navigable Haternays
<br />f Department of Heal~h L Rehabilitative Services, Environmental Health Uni~ - ~ells, ~aste"aler Treatment, Septic Tanks
<br />f US Enyiron~ental Protection AQencv - Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "n,etc,', it is understood that a drainage plan
<br />addressing a "compensating volume" "ill be submitted nhich is prepared by a professional enolneer registered in the State of
<br />Florida prior to permit issuance.
<br />
<br />A per~it issued shall be construed to be a license to proceed Kith the Horl and not 35 authority tD violate, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code, Every perlit issued shall becole invalid
<br />unless the MorK authorized by such permit is com~enced within six months of issuance, Dr if "or~ authorized by the permit is
<br />suspended Dr abandoned for a period of six months after the tiae the HorK is [on~enced. One go day extension of tile, Qay be
<br />allowed for the permit "ith fee charge of SI5.00. The extension shall be requDsted in wriling to tho Building Official. An
<br />approved inspection must be logged during each six ~onth period, or the project "ill be considered abandoned,
<br />HARNING TO OWNER: YOUR FAILURE TO RECORD n NOTICE OF COMMENCEMENT MAY RESULT III YOUR rAYING THICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CDHSULT HITH YOUR LENDER OR AN ATTORNEY, BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER 12,500 IN VALUE DO NOT NEED TO RECORD AND POST n "NOTICE OF COMMENCEMENT',
<br />
<br />~b.W\:b~
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />___.,"~, ,~..~_.B,~
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />
<br />QA~e...o
<br />
<br />P,,~ (' .A)
<br />The foregoing instrument was acknowledqed
<br />b~ me this Not.! I ~, 19 9 r-bY" -
<br />
<br />, K\..LS'::>~\l (h ~ra\.DtJ
<br />who is personally
<br />produced ~ \ \0 \
<br />as identification and
<br />
<br />known to me or who has
<br /><..,So1~~SQ.31 ('n
<br />l'lho didrdid not
<br />
<br />The foreqc,ir,C] inst',-urnt:'nt VIC:'S acl;Tlo,'Jledged
<br />befc,n:' m~ this tU()\(" \Q . 1QC:;;;'-- by
<br />
<br />~~'tO?- \1.____(!\~rot.,;:),...J
<br />~'Jh(r i~. P Cl- '::::'_~I net. 11 y k nCI \'In t [i me [i;- '.4Jho h 3 5
<br />pl-oduced . F\ U), ~~ 0 '13 3S' ).:~] '()
<br />as identiflCi:ltie,n ic;.ncl ,klc, did/d...,id not
<br />
<br />takr1 oath. lLD ~(^-~
<br />
<br />(Sig;;a~llo . {h'L. { 1.(
<br />C' !1 PI tU-iJTT b --.llL1-11- (L - I~
<br />(Name Typed,.Printed or Stamped)
<br />NOT AF:Y PU8LI C
<br />.........
<br />l"':jP'<< ~..\ OFFICIAL SEAL
<br />: I'l i Charlotte Mlhalakls
<br />t : My Commission Expires
<br />...~ IP'" 4..... Nov. 16, 1996
<br />.....~~... Comm. No. CC 235863
<br />
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<br />........
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<br />l~)
<br />\~OF~.
<br />
<br />.~........
<br />
<br />OFFICIAL SEAL
<br />Char lotte Mlhalakls
<br />My Commission Expires
<br />NOli, 16, 1996
<br />Comrn. No. CC 235863
<br />
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